Category: Obsessive Compulsive and Related Disorders

Symposium

Hoarding Symptoms in Youth With OCD: Clinical Features and CBT Response

Friday, November 17
3:30 PM - 5:00 PM
Location: Aqua 310, Level 3, Aqua Level

Keywords: Hoarding | OCD (Obsessive Compulsive Disorder)
Presentation Type: Symposium

Although Hoarding comprises a distinct diagnostic category in DSM-5 (APA, 2013), rates of hoarding symptoms in youth with OCD are high. Unfortunately, hoarding co-occurrence in pediatric OCD is not well understood (Burton et al., 2015). To date, three studies have examined hoarding symptoms in pediatric OCD, finding that youth with hoarding symptoms reported earlier age of OCD onset, worse insight into symptoms, and higher levels of internalizing and externalizing problems (Frank et al., 2014; Storch, Lack et al., 2007; Samuels et al., 2014). While hoarding is associated with worse treatment outcome in adults with OCD (Bloch et al., 2014), the youth literature is less clear (Ginsburg et al., 2008; Masi et al., 2005; Storch, Merlo et al., 2007). This presentation replicates and extends those prior findings in a large sample of youth with primary OCD (N=215). Youth ages 8 to 17 (M=12.25, SD=2.75) presented for evaluation at a university-based OCD specialty program, and were included in this study if they met for a primary OCD diagnosis. Youth were divided into two groups: those who endorsed hoarding symptoms on the CY-BOCS (n=91) versus those who did not (n=124). Results revealed that, although groups did not differ with respect to age or minority status, girls were more likely to endorse hoarding symptoms than boys (51 vs 36%; χ2=4.52, p=.03). There were no group differences on total CYBOCS score or OCD-related impairment (COIS-R). Youth in the hoarding group were more likely to meet for Internalizing (β=1.35, pβ=1.16, pβ=4.69, p=.006), and symmetry obsessions/ordering, counting, and repeating compulsions (β=4.72, p<.001). For the subsample of youth who completed CBT (n=90), there was no association between baseline hoarding symptoms and treatment response or CYBOCS total score reduction. Implications for future study and characterization of hoarding in youth will be discussed.

Michelle Rozenman

Assistant Clinical Professor of Psychiatry & Biobehavioral Sciences
UCLA Semel Institute for Neuroscience & Human Behavior

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