Catherine R Ayers1, Natalie Castriotta2, Mary E Dozier3, Emmanuel P Espejo4, Ben Porter5. 1. Research Service, VA San Diego Healthcare System, United States; Psychology Service, VA San Diego Healthcare System, United States; Department of Psychiatry, University of California, San Diego School of Medicine, United States. Electronic address: cayers@ucsd.edu. 2. Research Service, VA San Diego Healthcare System, United States. 3. Research Service, VA San Diego Healthcare System, United States; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, United States. 4. Psychology Service, VA San Diego Healthcare System, United States; Department of Psychiatry, University of California, San Diego School of Medicine, United States. 5. Department of Psychology, University of Houston, United States.
Abstract
BACKGROUND AND OBJECTIVES: This study examined the relationship between experiential and behavioral avoidance and hoarding symptom severity, controlling for anxiety and depression symptoms, in 66 adult individuals (M age = 61.41; SD = 9.03) with HD. METHODS: Hierarchical regression was used to test the associations between hoarding severity, as defined by the Savings Inventory-Revised (SI-R) total and its three subscales, and avoidance, as defined by the Acceptance and Action Questionnaire II (AAQ-II) and two scales from the Brief COPE (Self-Distraction and Behavioral Disengagement) when controlling for anxiety and depression symptoms. RESULTS: Experiential avoidance (AAQ-II) and behavioral avoidance (Brief COPE subscales Self-Distraction and Behavioral Disengagement) uniquely accounted for aspects of hoarding severity (SI-R) in regression models. Behavioral avoidance contributed significant additional variance to the SI-R Clutter subscale, whereas experiential avoidance was uniquely predictive of additional variance in the SI-R Difficulty Discarding and the SI-R Acquisition subscales. LIMITATIONS: Future research should examine the effect of experiential avoidance on hoarding behaviors experimentally. CONCLUSIONS: Given that the AAQ-II and Self-Distraction and Behavioral Disengagement subscales were not correlated, these findings suggest that experiential and behavioral avoidance are two distinct processes contributing to the severity of specific HD. Results support the utility of avoidance in the cognitive-behavioral model for HD.
BACKGROUND AND OBJECTIVES: This study examined the relationship between experiential and behavioral avoidance and hoarding symptom severity, controlling for anxiety and depression symptoms, in 66 adult individuals (M age = 61.41; SD = 9.03) with HD. METHODS: Hierarchical regression was used to test the associations between hoarding severity, as defined by the Savings Inventory-Revised (SI-R) total and its three subscales, and avoidance, as defined by the Acceptance and Action Questionnaire II (AAQ-II) and two scales from the Brief COPE (Self-Distraction and Behavioral Disengagement) when controlling for anxiety and depression symptoms. RESULTS: Experiential avoidance (AAQ-II) and behavioral avoidance (Brief COPE subscales Self-Distraction and Behavioral Disengagement) uniquely accounted for aspects of hoarding severity (SI-R) in regression models. Behavioral avoidance contributed significant additional variance to the SI-R Clutter subscale, whereas experiential avoidance was uniquely predictive of additional variance in the SI-R Difficulty Discarding and the SI-R Acquisition subscales. LIMITATIONS: Future research should examine the effect of experiential avoidance on hoarding behaviors experimentally. CONCLUSIONS: Given that the AAQ-II and Self-Distraction and Behavioral Disengagement subscales were not correlated, these findings suggest that experiential and behavioral avoidance are two distinct processes contributing to the severity of specific HD. Results support the utility of avoidance in the cognitive-behavioral model for HD.
Authors: Ziad S Nasreddine; Natalie A Phillips; Valérie Bédirian; Simon Charbonneau; Victor Whitehead; Isabelle Collin; Jeffrey L Cummings; Howard Chertkow Journal: J Am Geriatr Soc Date: 2005-04 Impact factor: 5.562
Authors: Olivia Bernini; Giovanni Tumminaro; Lisa Compare; Cristina Belviso; Valentina Conforti; Carmen Berrocal Montiel Journal: Front Pain Res (Lausanne) Date: 2022-07-15
Authors: Natalie Castriotta; Mary E Dozier; Charles T Taylor; Tina Mayes; Catherine R Ayers Journal: J Obsessive Compuls Relat Disord Date: 2019-04 Impact factor: 1.677