Hoarding disorder: a new diagnosis for DSM‐V?

  title={Hoarding disorder: a new diagnosis for DSM‐V?},
  author={David Mataix-Cols and Randy O. Frost and Alberto Pertusa and Lee Anna Clark and Sanjaya Saxena and James Frederick Leckman and Dan J Stein and Hisato Matsunaga and Sabine Wilhelm},
  journal={Depression and Anxiety},
This article provides a focused review of the literature on compulsive hoarding and presents a number of options and preliminary recommendations to be considered for DSM‐V. In DSM‐IV‐TR, hoarding is listed as one of the diagnostic criteria for obsessive–compulsive personality disorder (OCPD). According to DSM‐IV‐TR, when hoarding is extreme, clinicians should consider a diagnosis of obsessive–compulsive disorder (OCD) and may diagnose both OCPD and OCD if the criteria for both are met. However… 
When hoarding is a symptom of OCD: a case series and implications for DSM-V.
Hoarding's Place in the DSM-5: Another Symptom, or a Newly Listed Disorder?
The purpose of this paper is to provide some insight into the evidence base that has prompted this change and to familiarize clinicians with research and best practices in the emerging field of diagnosing and treating hoarding behaviors.
Hoarding disorder: a new diagnostic category in ICD-11?
Given the focus of ICD-11 on primary care and public health, the Working Group suggests that poor insight and severe domestic squalor may be considered as specifiers for hoarding disorder in I CD-11.
Obsessive–compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM‐V
A number of changes to the existing diagnostic criteria for OCD are proposed, and these proposed criteria may change as the DSM‐V process progresses.
Should an obsessive–compulsive spectrum grouping of disorders be included in DSM‐V?
The obsessive–compulsive (OC) spectrum has been discussed in the literature for two decades. Proponents of this concept propose that certain disorders characterized by repetitive thoughts and/or
Concept, Diagnostic Criteria and a Future Prospective of Obsessive-Compulsive Disorder
Research on obsessive-compulsive disorder (OCD) has advanced substantially since the DSM-IV was published in 1994. It is time to reexamine the nosology of this disorder, reviewing conflicting views
Comorbidity in hoarding disorder
This is the first large‐scale study of comorbidity in a sample of people meeting recently proposed criteria for hoarding disorder and relying on validated assessment procedures to form important base rates for developing research and treatments forHoarding disorder.
Hoarding disorder : a new obsessive-compulsive related disorder in DSM-5
Journal of Psychopathology 2015;21:354-364 Summary Obsessive-compulsive disorder (OCD) and related disorders have been the subject of significant revisions in the fifth edition of the Diagnostic and
Is the DSM-5 hoarding disorder diagnosis valid in China?
The 'Hoarding Disorder' diagnosis defined in DSM-5 is a valid clinical entity in China, though when making the diagnosis clinicians must take care to differentiate pathological hoarding that is distressing to the individual and significantly interferes with social and occupational functioning from culturally sanctioned thriftiness that is not associated with either distress or social dysfunction.
The proposal suggests using specifiers to improve the clinical utility of the new diagnosis of Hoarding Disorder, as hoarding can sometimes be conceptualized as being secondary to OCD and in other cases as a comorbid disorder.


Should an obsessive–compulsive spectrum grouping of disorders be included in DSM‐V?
The obsessive–compulsive (OC) spectrum has been discussed in the literature for two decades. Proponents of this concept propose that certain disorders characterized by repetitive thoughts and/or
Hoarding in obsessive–compulsive disorder and related disorders: A preliminary report of 15 cases
Evidence is suggested that hoarding may manifest in a variety of other psychiatric conditions, and a range of pharmacologic and behavioral treatments have been tried, but their effectiveness in managing hoarding behaviors requires additional research.
The status of hoarding as a symptom of obsessive-compulsive disorder.
Refining the diagnostic boundaries of compulsive hoarding: a critical review.
Hoarding in obsessive-compulsive disorder: clinical and genetic correlates.
DNA extracted from venous blood in a Caucasian subset of the interviewed OCD patients was genotyped to investigate polymorphisms in genes involved in monoamine function and previously hypothesized to be relevant to OCD, consistent with the hypothesis that hoarding represents a unique symptom subtype in OCD with a distinctive clinical and psychobiological profile.
Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both?
Overall, the phenomenology of hoarding behavior was similar in the two hoarding groups, and the strong relationship between compulsive hoarding and obsessive-compulsive personality disorder was explained entirely by the overlapping item content.
Recent advances in compulsive hoarding
  • S. Saxena
  • Psychology, Medicine
    Current psychiatry reports
  • 2008
The conceptualization, phenomenology, diagnosis, etiology, neurobiology, and treatment of compulsive hoarding are reviewed, implicating dysfunction of ventral and medial prefrontal cortical areas that mediate decision-making, attention, and emotional regulation.
Hoarding: a symptom, not a syndrome.
It is suggested that certain factors may be common to all groups of hoarders, as they all show poor insight, lack of resistance to the compulsion to hoard, and poor treatment motivation.
Hoarding in obsessive compulsive disorder: results from a case-control study.