27719
Hoarding in Adults with Autism; A Preliminary Study of Prevalence, Risk Factors and Protective Factors.

Poster Presentation
Thursday, May 10, 2018: 5:30 PM-7:00 PM
Hall Grote Zaal (de Doelen ICC Rotterdam)
J. Acland1, K. L. Ashwood2, C. M. Murphy2, S. Blainey3, F. Dekastrou4, K. Mehta4, E. L. Woodhouse5, V. Stoencheva6, R. H. Wichers2, M. Pitts7, A. Galanopoulos7, A. Nolan6, I. Broch-Due6, R. McNally6, S. Maltezos7, D. Robertson6, G. M. McAlonan6 and D. G. Murphy8, (1)South London & Maudsley NHS Trust, Camberwell, United Kingdom of Great Britain and Northern Ireland, (2)Department of Forensic and Neurodevelopmental Sciences, and the Sackler Institute for Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom, (3)Forensic and Neurodevelopmental Sciences, IOPPN, Denmark Hill, United Kingdom, (4)FANS, IOPPN, London, United Kingdom, (5)Forensic & Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, London, United Kingdom, (6)Behavioural Genetics Clinic, Adult Autism Service, Behavioural and Developmental Psychiatry Clinical Academic Group, South London and Maudsley Foundation NHS Trust, London, United Kingdom, (7)The Adult Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism National Service, Behavioural and Developmental Psychiatry Clinical Academic Group, South London and Maudsley Foundation NHS Trust, London, United Kingdom, (8)Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
Background: Hoarding includes difficulties with discarding, saving items, and accumulating large numbers of possessions or pets that result in clutter and adversely impact on daily-life. Hoarding disorder (HD) has been listed in DSM-5 as a standalone condition in 2013, affecting 1.5%-5.8% of the general population. In addition, there is preliminary evidence that some people with ASD and ADHD may have hoarding behaviours.

Objectives: Hoarding in adults with ASD and ADHD has had little investigation. It has been suggested that cognitive and behavioural difficulties may contribute to hoarding behaviour in people with ASD (restricted interests/difficulties with routine changes) and ADHD (poor attention/disorganization), respectively. The prevalence of hoarding/hoarding-type, risks associated with developing hoarding and factors protective against developing hoarding in adults with ASD/ADHD are unknown. Research is required into factors that influence HD in individuals with an ASC to aid in targeting effective psychological interventions.

Methods: We aimed to investigate hoarding in male and female adults with ASD, risk factors such as co-morbidity with ADHD symptomology, depression and anxiety disorder symptoms and, gender distribution.

We aimed to investigate hoarding in male and female adults with ASD, risk factors such as co-morbidity with ADHD symptomology, depression and anxiety disorder symptoms and, gender distribution.

Results: 53.47% of participants had high hoarding symptomology (score 6 or more). Gender distribution was, 40.5% male and 12.5% female with HHS, 29.8% male and 17.2% female with LHS. High HADS scores for depression were found with 59.5% and for anxiety with 59.7% with HHS. HHS also correlated with inattentive symptoms (63%) and hyperactive symptoms (61%) when compared to the LHS group (p< .001).

Conclusions: Males were 1.3 times more likely to be in the HHS group. The HHS group also exhibited a higher association with OCD symptoms, anxiety symptoms, social anxiety symptoms and depressive symptoms when compared to the LHS. The OCI-R hoarding subscales provide limited information regarding severity and other co-morbid factors. Further investigation using hoarding specific measures and focus groups would provide accurate results with regards to the severity of hoarding.

See more of: Adult Outcome: Medical, Cognitive, Behavioral
See more of: Adult Outcome: Medical, Cognitive, Behavioral