Hoarding in children and adolescents with obsessive-compulsive disorder

Jack Samuels, Marco A. Grados, Mark A. Riddle, O. Joseph Bienvenu, Fernando S. Goes, Bernadette Cullen, Ying Wang, Benjamin D. Greenberg, Abby J. Fyer, James T. McCracken, Dan Geller, Dennis L. Murphy, James A. Knowles, Steven A. Rasmussen, Nicole C. McLaughlin, John Piacentini, David L. Pauls, S. Evelyn Stewart, Yin Yao Shugart, Brion MaherAnn E Pulver, Gerald Nestadt

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Compared to studies in adults, there have been few studies of hoarding in children and adolescents with obsessive-compulsive disorder (OCD). In the current study, we evaluated OCD clinical features, Axis I disorders, and social reciprocity scores in 641 children and adolescents with OCD, of whom 163 (25%) had hoarding compulsions and 478 did not. We found that, as a group, youth with hoarding had an earlier age at onset and more severe lifetime OCD symptoms, poorer insight, more difficulty making decisions and completing tasks, and more overall impairment. The hoarding group also had a greater lifetime prevalence of panic disorder, specific phobia, Tourette disorder, and tics. As measured with the Social Reciprocity Scale, the hoarding group had more severe deficits in parent-rated domains of social communication, social motivation, and restricted interests and repetitive behavior. In a multivariable model, the overall social reciprocity score, age at onset of OCD symptoms, symmetry obsessions, and indecision were independently related to hoarding in these children and adolescents with OCD. These features should be considered as candidate risk factors for the development of hoarding behavior in pediatric OCD.

Original languageEnglish (US)
Pages (from-to)325-331
Number of pages7
JournalJournal of Obsessive-Compulsive and Related Disorders
Issue number4
StatePublished - Oct 1 2014


  • Adolescents
  • Children
  • Hoarding
  • Indecision
  • OCD
  • Social reciprocity

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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