@article{2d17c44fd96a4f0096aff1c358b0d92c,
title = "Hoarding Symptoms in Children and Adolescents With Obsessive-Compulsive Disorder: Clinical Features and Response to Cognitive-Behavioral Therapy",
abstract = "Objective: Although adult hoarding disorder is relatively common and often debilitating, few studies have examined the phenomenology of pediatric hoarding. We examined the clinical phenomenology and response to cognitive-behavioral therapy (CBT) treatment in youths with a diagnosis of obsessive-compulsive disorder (OCD) with and without hoarding symptoms. Age was tested as a moderator across analyses, given prior findings that the impact of hoarding symptoms may not become apparent until adolescence. Method: Youths (N = 215; aged 7−17 years) with OCD pursuing evaluation and/or treatment at a university-based specialty clinic participated in the current study. Presence of hoarding symptoms was assessed as part of a larger battery. Data from a subset of youths (n = 134) who received CBT were included in treatment response analyses. Results: Youths with hoarding symptoms did not differ from those without hoarding symptoms with respect to overall OCD symptom severity and impairment. Youths with hoarding met criteria for more concurrent diagnoses, including greater rates of internalizing and both internalizing/externalizing, but not externalizing-only, disorders. Youths with and without hoarding symptoms did not significantly differ in rate of response to CBT. Age did not moderate any of these relationships, suggesting that the presence of hoarding symptoms was not associated with greater impairments across the clinical presentation of OCD or its response to treatment by age. Conclusion: We found no evidence that hoarding is associated with greater OCD severity or poorer treatment response in affected youth. Theoretical and clinical implications of these findings, including future directions for research on testing developmental models of hoarding across the lifespan, are discussed.",
keywords = "OCD, hoarding, pediatric",
author = "Michelle Rozenman and Joseph McGuire and Monica Wu and E. Ricketts and Tara Peris and Joseph O'Neill and Bergman, {R. Lindsey} and Susanna Chang and John Piacentini",
note = "Funding Information: Support for work on this manuscript was provided as follows: Dr. Rozenman received research support from the UCLA Clinical Translational Science Institute (UL1TR000124), the UCLA Friends of Semel Research Scholar Program, and the International OCD Foundation (IOCDF); Dr. McGuire received support from the Tourette Syndrome Association (TSA); Dr. Wu received support from the UCLA T32 in Psychobiological Sciences; Dr. Ricketts received support from the National Institute of Mental Health (NIMH; K23MH113884) and TSA; Dr. Peris received support from NIMH (R01MH110476 and K23MH085058); Dr. Chang received support from NIMH (R34MH109601); and Dr. Piacentini received support from NIMH (R01MH081864), IOCDF, and TSA.Disclosure: Dr. Peris has received grant support from NIMH and royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. O'Neill has received grant support from NIMH. Dr. Bergman has received royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. Chang has received grant support from NIMH and royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. Piacentini has received grant support from NIMH. He has received royalties from Oxford University Press, including for manuals for the CBT described in this study, Guilford Press, and the American Psychological Association. He has served on the speakers{\textquoteright} bureau for the TSA. Drs. Rozenman, McGuire, Wu, and Ricketts report no biomedical financial interests or potential conflicts of interest. Funding Information: Support for work on this manuscript was provided as follows: Dr. Rozenman received research support from the UCLA Clinical Translational Science Institute (UL1TR000124), the UCLA Friends of Semel Research Scholar Program, and the International OCD Foundation (IOCDF); Dr. McGuire received support from the Tourette Syndrome Association (TSA); Dr. Wu received support from the UCLA T32 in Psychobiological Sciences; Dr. Ricketts received support from the National Institute of Mental Health (NIMH; K23MH113884) and TSA; Dr. Peris received support from NIMH (R01MH110476 and K23MH085058); Dr. Chang received support from NIMH (R34MH109601); and Dr. Piacentini received support from NIMH (R01MH081864), IOCDF, and TSA.Disclosure: Dr. Peris has received grant support from NIMH and royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. O'Neill has received grant support from NIMH. Dr. Bergman has received royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. Chang has received grant support from NIMH and royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. Piacentini has received grant support from NIMH. He has received royalties from Oxford University Press, including for manuals for the CBT described in this study, Guilford Press, and the American Psychological Association. He has served on the speakers{\textquoteright} bureau for the TSA. Drs. Rozenman, McGuire, Wu, and Ricketts report no biomedical financial interests or potential conflicts of interest. Support for work on this manuscript was provided as follows: Dr. Rozenman received research support from the UCLA Clinical Translational Science Institute ( UL1TR000124), the UCLA Friends of Semel Research Scholar Program, and the International OCD Foundation ( IOCDF); Dr. McGuire received support from the Tourette Syndrome Association ( TSA); Dr. Wu received support from the UCLA T32 in Psychobiological Sciences; Dr. Ricketts received support from the National Institute of Mental Health (NIMH; K23MH113884) and TSA; Dr. Peris received support from NIMH ( R01MH110476 and K23MH085058); Dr. Chang received support from NIMH ( R34MH109601); and Dr. Piacentini received support from NIMH ( R01MH081864), IOCDF, and TSA. Disclosure: Dr. Peris has received grant support from NIMH and royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. O'Neill has received grant support from NIMH. Dr. Bergman has received royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. Chang has received grant support from NIMH and royalties from Oxford University Press, including for manuals for the CBT described in this study. Dr. Piacentini has received grant support from NIMH. He has received royalties from Oxford University Press, including for manuals for the CBT described in this study, Guilford Press, and the American Psychological Association. He has served on the speakers{\textquoteright} bureau for the TSA. Drs. Rozenman, McGuire, Wu, and Ricketts report no biomedical financial interests or potential conflicts of interest. Publisher Copyright: {\textcopyright} 2019 American Academy of Child and Adolescent Psychiatry",
year = "2019",
month = aug,
doi = "10.1016/j.jaac.2019.01.017",
language = "English (US)",
volume = "58",
pages = "799--805",
journal = "Journal of the American Academy of Child and Adolescent Psychiatry",
issn = "0890-8567",
publisher = "Elsevier Limited",
number = "8",
}