35th AM (2024) - Poster Session-Hoarding Sympotamatology is Associated with Worse Treatment Outcomes

Hoarding Sympotamatology is Associated with Worse Treatment Outcomes

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The study examines the relationship between hoarding disorder (HD) and substance use disorder (SUD), focusing on individuals undergoing treatment. HD is known for a persistent difficulty in discarding possessions and is often accompanied by substance use disorders. This research seeks to understand how HD symptoms change through SUD treatment and how these symptoms might affect critical treatment outcomes like craving and abstinence self-efficacy.<br /><br />The study matched a group of patients scoring high on hoarding symptoms with those scoring low, while controlling for obsessive-compulsive disorder (OCD) severity, given the overlap in symptomatology between HD and OCD. The hypothesis was that individuals with significant hoarding symptoms entering treatment would experience a reduction in these symptoms over time and report higher craving levels with reduced self-efficacy in maintaining abstinence compared to controls.<br /><br />The sample included 2024 individuals undergoing treatment at the UF Health Florida Recovery Center. Measurements were taken at the beginning, 30 days into treatment, and at discharge. The results indicated that clinically significant hoarding symptoms decreased markedly throughout treatment, from 7.5% of the sample at baseline to 4.8% at discharge. The hoarding group showed significantly greater craving and lower abstinence self-efficacy relative to controls but did not differ in outcomes related to hoarding symptoms specifically.<br /><br />The study concludes that while HD symptoms lessen significantly during treatment, those with HD face worse treatment outcomes in craving and abstinence efficacy, heavily influenced by OCD symptom severity. These findings stress the need to address comorbid symptoms of hoarding and OCD in SUD treatments for improved outcomes. <br /><br />Funding for the study was provided by several health and research institutions, emphasizing its significance in understanding the interplay between hoarding and substance use disorders.

Keywords

hoarding disorder

substance use disorder

treatment outcomes

craving

abstinence self-efficacy

obsessive-compulsive disorder

symptom reduction

comorbid symptoms

UF Health Florida Recovery Center

research funding

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