This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.

Original Research

Hoarding and Treatment Response in 38 Nondepressed Subjects With Obsessive-Compulsive Disorder

Donald W. Black, Patrick Monahan, Janelle Gable, Nancee Blum, Gerard Clancy, and Peggy Baker

Published: August 15, 1998

Article Abstract

Objective: The authors studied factors associated with short-termtreatment response in 38 nondepressed subjects with DSM-III-R obsessive-compulsivedisorder (OCD).

Method: The subjects completed 12 weeks of treatment with paroxetine(N = 20), placebo (N = 8), or cognitive-behavioral therapy(N = 10). Clinician and self-rated measures were gathered at baseline, duringtreatment, and after treatment.

Results: Seventeen (45%) subjects had “much” or “verymuch” improvement and achieved at least a 40% decrease in their total Yale-BrownObsessive Compulsive Scale (YBOCS) score. Responders had lower obsessive-compulsive scoreson the Symptom Checklist 90-Revised, had a lower checking score on the MaudsleyObsessive-Compulsive Inventory, were less likely to have had prior drug therapy, and ingeneral suffered more obsessive-compulsive symptoms. They were significantly less likelyto have hoarding obsessions and corresponding compulsions. The latter finding wasconfirmed using multiple regression analysis.

Conclusion: Hoarding is an important symptom that predicts poor treatmentresponse in patients with OCD.

Volume: 59

Quick Links:

Continue Reading…

Subscribe to read the entire article


Buy this Article as a PDF