Hoarding behaviour in Xhosa patients with schizophrenia - prevalence and clinical presentation
Authors: Ameer T , Niehaus D J H , Koen L , Seller C , Seedat S 
Published: June 2017

<div style="left: 81.816px; top: 554.304px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.945404);" data-canvas-width="64.96499999999999"><strong>Objective:</strong></div><div style="left: 146.781px; top: 554.304px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.916953);" data-canvas-width="327.78">Hoarding is commonly defined as the acquisition of</div><div style="left: 81.816px; top: 577.634px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.925405);" data-canvas-width="392.8499999999999">and failure to discard possessions of little use or value, and is</div><div style="left: 81.816px; top: 600.963px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.925516);" data-canvas-width="392.82">included as a symptom in the diagnostic criteria for obsessive</div><div style="left: 81.816px; top: 624.293px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.921474);" data-canvas-width="392.63999999999976">compulsive personality disorder (OCPD) and obsessive</div><div style="left: 81.816px; top: 647.622px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.966516);" data-canvas-width="392.76">compulsive disorder (OCD). However, it has also been</div><div style="left: 81.816px; top: 670.952px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.927338);" data-canvas-width="392.80500000000006">observed in other clinical syndromes including schizophrenia.</div><div style="left: 81.816px; top: 694.281px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.877386);" data-canvas-width="392.8349999999999">This study was conducted to investigate the prevalence and</div><div style="left: 81.816px; top: 717.611px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.901411);" data-canvas-width="392.79">clinical presentation of hoarding behaviour in schizophrenia</div><div style="left: 81.816px; top: 740.94px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.896676);" data-canvas-width="145.65">among Xhosa patients.</div><div style="left: 81.816px; top: 778.453px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.945913);" data-canvas-width="52.845000000000006"><strong>Method:</strong></div><div style="left: 134.661px; top: 778.453px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.875209);" data-canvas-width="339.975">The sample consisted of 102 patients, recruited as</div><div style="left: 81.816px; top: 801.782px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.892501);" data-canvas-width="392.7749999999999">part of a larger genetic study in the Cape Town metropole</div><div style="left: 81.816px; top: 825.112px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.942281);" data-canvas-width="392.7900000000001">between November 2004 and January 2005, diagnosed with</div><div style="left: 81.816px; top: 848.441px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.911274);" data-canvas-width="392.82">schizophrenia or schizoaffective disorders according to the</div><div style="left: 81.816px; top: 871.771px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.906643);" data-canvas-width="335.72999999999996">Diagnostic and Statistical Manual of Mental Disorders</div><div style="left: 417.051px; top: 871.771px; font-size: 15.45px; font-family: sans-serif;">(</div><div style="left: 420.651px; top: 871.771px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.845623);" data-canvas-width="45.720000000000006">DSM-IV</div><div style="left: 466.371px; top: 871.771px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.873016);" data-canvas-width="8.25">)</div><div style="left: 81.816px; top: 895.1px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.933064);" data-canvas-width="392.82">criteria. They were screened for clinically significant hoarding</div><div style="left: 81.816px; top: 918.43px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.903346);" data-canvas-width="392.82000000000005">symptoms. If these were present, additional information on</div><div style="left: 81.816px; top: 941.759px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.883932);" data-canvas-width="392.7750000000001">the phenomenology was obtained by means of a structured</div><div style="left: 81.816px; top: 965.089px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.892874);" data-canvas-width="392.82000000000005">questionnaire. The Mini International Neuropsychiatric Interview</div><div style="left: 81.816px; top: 988.418px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.893517);" data-canvas-width="392.79000000000013">(MINI) (screen and full version), the Yale Brown Obsessive</div><div style="left: 81.816px; top: 1011.75px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.902758);" data-canvas-width="392.82000000000005">Compulsive Scale (Y-BOCS) Checklist, Y-BOCS, Clutter Image</div><div style="left: 81.816px; top: 1035.08px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.887528);" data-canvas-width="392.80499999999995">Rating Scale (CIRS) and a structured questionnaire on hoarding</div><div style="left: 81.816px; top: 1058.41px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.907236);" data-canvas-width="118.485">were administered.</div><div style="left: 81.816px; top: 1095.92px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.789549);" data-canvas-width="44.06999999999999"><strong>Results:</strong></div><div style="left: 125.886px; top: 1095.92px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.878424);" data-canvas-width="348.7050000000001">Only four patients with schizophrenia were classified</div><div style="left: 81.816px; top: 1119.25px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.890916);" data-canvas-width="392.7899999999999">as hoarders. Although their clinical presentation resembled that</div><div style="left: 81.816px; top: 1142.58px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.912332);" data-canvas-width="392.8349999999999">of hoarders described elsewhere in the literature, they had low</div><div style="left: 81.816px; top: 1165.91px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.908464);" data-canvas-width="392.835">Y-BOCS scores and did not report other obsessive-compulsive</div><div style="left: 81.816px; top: 1189.24px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.872842);" data-canvas-width="68.94">symptoms.</div><div style="left: 81.816px; top: 1226.75px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.906502);" data-canvas-width="73.2"><strong>Conclusion:</strong></div><div style="left: 155.016px; top: 1226.75px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.900338);" data-canvas-width="319.575">Our results suggest that hoarding behaviour is</div><div style="left: 81.816px; top: 1250.08px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.908745);" data-canvas-width="392.79000000000013">not common in Xhosa patients with schizophrenia. Further</div><div style="left: 81.816px; top: 1273.41px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.912192);" data-canvas-width="392.78999999999996">investigation of protective factors for hoarding behaviour in the</div><div style="left: 81.816px; top: 1296.74px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.907419);" data-canvas-width="192.63000000000002">Xhosa population is warranted.</div>