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Wong TY, Fang Z, Cheung C, Wong CSM, Suen YN, Hui CLM, Lee EHM, Lui SSY, Chan SKW, Chang WC, Sham PC, Chen EYH. Unveiling common psychological characteristics of proneness to aggression and general psychopathology in a large community youth cohort. Transl Psychiatry 2023; 13:255. [PMID: 37438366 DOI: 10.1038/s41398-023-02538-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 06/20/2023] [Accepted: 06/21/2023] [Indexed: 07/14/2023] Open
Abstract
Elevated aggression in individuals with psychiatric disorders is frequently reported yet aggressive acts among people with mental illness are often intertwined with proneness to aggression and other risk factors. Evidence has suggested that both general psychopathology and proneness to aggression may share common psychological characteristics. This study aims to investigate the complex relationship between general psychopathology, proneness to aggression, and their contributing factors in community youth. Here, we first examined the association between proneness to aggression and the level of general psychopathology in 2184 community youths (male: 41.2%). To identify common characteristics, we trained machine learning models using LASSO based on 230 features covering sociodemographic, cognitive functions, lifestyle, well-being, and psychological characteristics to predict levels of general psychopathology and proneness to aggression. A subsequent Gaussian Graph Model (GGM) was fitted to understand the relationships between the general psychopathology, proneness to aggression, and selected features. We showed that proneness to aggression was associated with a higher level of general psychopathology (discovery: r = 0.56, 95% CI: [0.52-0.59]; holdout: r = 0.60, 95% CI: [0.54-0.65]). The LASSO model trained on the discovery dataset for general psychopathology was able to predict proneness to aggression in the holdout dataset with a moderate correlation coefficient of 0.606. Similarly, the model trained on the proneness to aggression in the discovery dataset was able to predict general psychopathology in the holdout dataset with a correlation coefficient of 0.717. These results suggest that there is substantial shared information between the two outcomes. The GGM model revealed that isolation and impulsivity factors were directly associated with both general psychopathology and proneness to aggression. These results revealed shared psychological characteristics of general psychopathology and proneness to aggression in a community sample of youths.
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Affiliation(s)
- Ting Yat Wong
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China.
- Department of Psychology, Education University of Hong Kong, Hong Kong SAR, China.
| | - Zhiqian Fang
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
| | - Charlton Cheung
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
| | - Corine S M Wong
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
| | - Yi Nam Suen
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China.
| | - Christy L M Hui
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
| | - Edwin H M Lee
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
| | - Simon S Y Lui
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
| | - Sherry K W Chan
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
- State Key Laboratory of Brain and Cognitive Sciences, University of Hong Kong, Hong Kong SAR, China
| | - Wing Chung Chang
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
- State Key Laboratory of Brain and Cognitive Sciences, University of Hong Kong, Hong Kong SAR, China
| | - Pak Chung Sham
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China
- State Key Laboratory of Brain and Cognitive Sciences, University of Hong Kong, Hong Kong SAR, China
| | - Eric Y H Chen
- Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China.
- State Key Laboratory of Brain and Cognitive Sciences, University of Hong Kong, Hong Kong SAR, China.
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A Naturalistic Study of Emotion Regulation-Enhanced Cognitive-Behavioral Group Therapy for Hoarding Disorder in a Community Setting. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2022. [DOI: 10.1016/j.jadr.2022.100450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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3
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Interpersonal functioning in hoarding: An investigation of the link between hoarding symptoms and social support, social anhedonia, and social rewards. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2022. [DOI: 10.1016/j.jadr.2022.100313] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
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Akbari M, Seydavi M, Mohammadkhani S, Turchmanovych N, Chasson GS, Majlesi N, Hajialiani V, Askari T. Emotion dysregulation and hoarding symptoms: A systematic review and meta‐analysis. J Clin Psychol 2022; 78:1341-1353. [DOI: 10.1002/jclp.23318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 12/03/2021] [Accepted: 01/12/2022] [Indexed: 11/10/2022]
Affiliation(s)
- Mehdi Akbari
- Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University Tehran Iran
| | - Mohammad Seydavi
- Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University Tehran Iran
| | - Shahram Mohammadkhani
- Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University Tehran Iran
| | | | - Gregory S. Chasson
- Department of Psychology Illinois Institute of Technology Chicago Illinois USA
| | - Noshin Majlesi
- Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University Tehran Iran
| | - Vahid Hajialiani
- Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University Tehran Iran
| | - Tahereh Askari
- Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University Tehran Iran
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Chia K, Pasalich DS, Fassnacht DB, Ali K, Kyrios M, Maclean B, Grisham JR. Interpersonal attachment, early family environment, and trauma in hoarding: A systematic review. Clin Psychol Rev 2021; 90:102096. [PMID: 34717158 DOI: 10.1016/j.cpr.2021.102096] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 08/07/2021] [Accepted: 10/13/2021] [Indexed: 10/20/2022]
Abstract
The formation of intense emotional attachments to objects, difficulty parting with possessions, and the extreme accumulation of clutter are key features of Hoarding Disorder (HD). Although substantial literature implicates processes such as dysfunctional beliefs and maladaptive emotional cycles in HD, little is known about the vulnerability factors that lead to their development and hoarding symptomatology. The current review sought to systematically collate and integrate findings from studies investigating the relationship between hoarding symptoms and three proposed vulnerability factors: i) interpersonal attachment, ii) early family environment, and iii) traumatic or adverse life events. A comprehensive search of the databases PsycInfo, PubMed, and Scopus identified a total of 39 studies for inclusion. The results presented a complex pattern that supported the presence of relationships between insecure attachment, cold and controlling family experiences, and exposure to adverse life events with increased hoarding severity. However, the specificity of these factors to HD over other clinical groups remains unclear and findings are limited by the heterogenous and small number of studies. We conclude by discussing the clinical implications and limitations of these findings and propose new directions for future research.
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Affiliation(s)
- Kerryne Chia
- Research School of Psychology, The Australian National University, Canberra, Australia.
| | - Dave S Pasalich
- Research School of Psychology, The Australian National University, Canberra, Australia
| | - Daniel B Fassnacht
- Research School of Psychology, The Australian National University, Canberra, Australia; Órama Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia
| | - Kathina Ali
- Research School of Psychology, The Australian National University, Canberra, Australia; Órama Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia
| | - Michael Kyrios
- Research School of Psychology, The Australian National University, Canberra, Australia; Órama Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia
| | - Bronte Maclean
- Research School of Psychology, The Australian National University, Canberra, Australia
| | - Jessica R Grisham
- School of Psychology, University of New South Wales, Sydney, Australia
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Ouellette MJ, Rowa K, Soreni N, Elcock A, McCabe RE. Exposure to stressful and traumatic life events in hoarding: Comparison to clinical controls. J Clin Psychol 2021; 77:2216-2227. [PMID: 33963770 DOI: 10.1002/jclp.23153] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 03/29/2021] [Accepted: 04/01/2021] [Indexed: 11/10/2022]
Abstract
BACKGROUND Individuals with hoarding report stressful and traumatic life events at an elevated rate compared with those with obsessive-compulsive disorder and healthy controls, but have not been compared with other clinical groups. This study compared rates of traumatic life events between those with clinically significant hoarding, anxiety disorders, or posttraumatic stress disorder (PTSD), hypothesizing that rates would be higher in the hoarding and PTSD groups than the anxiety group. METHODS Rates of traumatic and stressful events were compared across groups. RESULTS All comparisons across groups on types of events were significant (partial-eta squared 0.051-0.162). The hoarding group endorsed significantly more crime-related events but similar rates of other events as compared to the PTSD and anxiety disorder groups. CONCLUSION These findings suggest that many stressful and traumatic life events are not uniquely elevated in hoarding when compared with other clinical populations.
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Affiliation(s)
- Mélise J Ouellette
- Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, Ontario, Canada
| | - Karen Rowa
- Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, Ontario, Canada.,Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Noam Soreni
- Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Ashleigh Elcock
- Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada
| | - Randi E McCabe
- Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada.,Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, Ontario, Canada.,Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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Fontenelle LF, Muhlbauer JE, Albertella L, Eppingstall J. Traumatic and stressful life events in hoarding: the role of loss and deprivation. Eur J Psychotraumatol 2021; 12:1947002. [PMID: 34367527 PMCID: PMC8312593 DOI: 10.1080/20008198.2021.1947002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Although past research shows hoarding to be associated with stressful life events involving loss and/or deprivation, the temporal relationship between the onset of symptoms and these events is not completely clear. OBJECTIVES In a cross-sectional online study, we examined the relationship between the number of events involving loss or deprivation before/simultaneously vs. after the onset of hoarding and various hoarding-related beliefs, such as emotional attachment to possessions, and symptom severity. Further, we examined whether perceived social support moderated the influence of these events on emotional attachment to objects. METHODS One hundred seventeen subjects with hoarding problems responded to a series of instruments to assess the history and timing of traumatic and stressful loss and/or deprivation in relation to the onset of hoarding, and self-report tools evaluating the severity of hoarding, beliefs/motivations, depression, anxiety, general distress, and perceived social support. RESULTS The number of events involving loss or deprivation occurring before hoarding was related to increased emotional attachment to possessions, whereas events happening after the onset of hoarding were related to increased concerns about memory as drivers of hoarding symptoms. Events happening before hoarding did not interact with perceived social support to influence emotional attachment to objects. CONCLUSIONS The timing of traumatic and stressful life events related to loss and deprivation is associated with different hoarding phenotypes, including beliefs/motivations for hoarding. If confirmed by longitudinal studies, these findings may be relevant for therapeutic and preventive measures.
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Affiliation(s)
- Leonardo F Fontenelle
- Turner Institute for Brain and Mental Health, Monash University, Clayton, Australia.,Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ) & D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | - Julia E Muhlbauer
- Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ) & D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
| | - Lucy Albertella
- Turner Institute for Brain and Mental Health, Monash University, Clayton, Australia
| | - Jan Eppingstall
- Turner Institute for Brain and Mental Health, Monash University, Clayton, Australia
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Information processing in hoarding disorder: A systematic review of the evidence. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021. [DOI: 10.1016/j.jadr.2020.100039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
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Rajkumar RP. A Biopsychosocial Approach to Understanding Panic Buying: Integrating Neurobiological, Attachment-Based, and Social-Anthropological Perspectives. Front Psychiatry 2021; 12:652353. [PMID: 33716838 PMCID: PMC7943846 DOI: 10.3389/fpsyt.2021.652353] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 02/02/2021] [Indexed: 01/07/2023] Open
Abstract
The global COVID-19 pandemic has focused the attention of researchers, civil authority and the general public on the phenomenon of "panic buying," characterized by the excessive purchase of specific materials-particularly food and hygiene-related products-in anticipation of an expected shortage. This phenomenon has been well-documented in response to several natural and man-made disasters, but its global scope and severity in the context of COVID-19 are unprecedented. This response can negatively impact health, food security, and disease prevention efforts. Attempts to modify such behaviors are more likely to succeed if they are based on insights from both the biomedical and the social sciences. From a biological perspective, the phenomenological overlap between panic buying and psychological disorders such as hoarding disorder and compulsive buying raises the possibility of a shared neurobiological underpinning. Evolutionary models suggest that these behaviors represent an attempt to enhance individual and group survival in the face of a threatened scarcity of resources. These phenomena may be influenced by specific genetic variants which are also implicated in hoarding-related psychological disorders. From a psychological perspective, attachment theory provides a conceptual framework that serves as a bridge between prior life adversity, current deprivation, and an increased attachment to material objects. Such a framework is of relevance when considering panic buying during the COVID-19 pandemic, which has been associated with significant disruptions in attachment bonds. From a social-anthropological perspective, hoarding and related behaviors have been associated with social exclusion and rejection, as well a lack of social support. These risk factors have affected large sections of the general population in the context of the COVID-19 pandemic and the governmental responses to it. This perspective also emphasizes the symbolic significance of the hoarded objects themselves. In this paper, an attempt is made to integrate these three perspectives and thereby formulate a biopsychosocial model of panic buying in response to this global health crisis. The existing scientific literature on panic buying is examined in the light of this model. Finally, suggestions are proposed as to how this model might inform social strategies aimed at preventing or reducing panic buying.
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Affiliation(s)
- Ravi Philip Rajkumar
- Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
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Mathes BM, Timpano KR, Raines AM, Schmidt NB. Attachment theory and hoarding disorder: A review and theoretical integration. Behav Res Ther 2020; 125:103549. [DOI: 10.1016/j.brat.2019.103549] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Revised: 12/19/2019] [Accepted: 12/29/2019] [Indexed: 01/03/2023]
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Mathes BM, Kennedy GA, Cougle JR, Schmidt NB. An examination of the relationship between hoarding symptoms and hostility. J Psychiatr Res 2019; 111:121-127. [PMID: 30721849 DOI: 10.1016/j.jpsychires.2019.01.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Revised: 01/11/2019] [Accepted: 01/30/2019] [Indexed: 10/27/2022]
Abstract
Hoarding disorder (HD) is a persistent and severe psychiatric condition in which individuals are unable to discard possessions, which results in considerable clutter. Individuals who hoard often endorse interpersonal difficulties and social isolation. However, little research has examined mechanisms that may help to explain this relationship. One possible mechanism is hostility, which is characterized by increased sensitivity to real or perceived social threats. The current study examined the relationship between hoarding symptoms and hostility across two undergraduate samples. In study 1, unselected undergraduates (N = 195) were administered measures of hoarding symptoms, hostile interpretations, and depression and anxiety symptoms. Participants in study 2 (N = 117) were selected for reporting elevated hoarding symptoms. Study 2 participants were administered the same measures as in study 1, and were additionally randomized to an inclusion or exclusion condition in a social exclusion manipulation. Total hoarding symptoms and hostile interpretations were positively associated across both samples, even when controlling for depression and anxiety. Further, greater hoarding symptoms were associated with increased feelings of hostility in response to social exclusion in study 2. Results suggest that increased sensitivity to social threat may confer risk for hoarding. These findings add to a growing body of research implicating interpersonal factors in the development and maintenance of hoarding disorder.
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Mathes BM, Henry A, Schmidt NB, Norberg MM. Hoarding symptoms and workplace impairment. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2018; 58:342-356. [PMID: 30548281 DOI: 10.1111/bjc.12212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 11/15/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVES A prior study found that over 50% of treatment-seeking individuals who hoard incur at least one psychiatric work impairment day (i.e., they are unable to work or are less effective at work due to poor mental health) each month. The aim of the current study was to assess work-related variables associated with workplace impairment in a non-treatment-seeking sample. DESIGN Cross-sectional. Self-report questionnaires were administered via Amazon's Mechanical Turk. METHODS One hundred and eighty-five employed individuals who reported elevated hoarding symptoms completed questionnaires regarding hoarding symptoms, work engagement, psychiatric work impairment, work control, attention and concentration difficulties at work, and quality of workplace relationships. RESULTS Greater workplace control and higher quality workplace relationships were associated with greater work engagement. Greater hoarding symptoms and attention difficulties at work were associated with more psychiatric work impairment days. Work engagement statistically mediated the association between the quality of workplace relationships and work impairment, though mediation was also significant when reversing the mediating and outcome variables. CONCLUSIONS Among a community sample of employed individuals, greater hoarding symptoms were associated with greater psychiatric work impairment. Work-related variables, such as co-worker relationships and attention difficulties, contributed additional variance above that accounted for by hoarding symptoms. There were significant associations between co-worker relationships, work engagement, and workplace impairment, though the direction of the mediation model is unclear. Future research should examine factors associated with unemployment in hoarding disorder. PRACTITIONER POINTS Clinicians should be aware that greater hoarding severity directly contributes to greater workplace impairment. Clinicians should consider prioritizing the reduction in clutter in living areas that impact one's daily activities and subsequent ability to attend work. Clinicians should assess and treat workplace impairment by helping individuals achieve greater control at work, developing higher quality interpersonal relationships, and improving their attentional abilities.
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Affiliation(s)
| | - Alastair Henry
- Centre for Emotional Health, Macquarie University, Sydney, New South Wales, Australia
| | | | - Melissa M Norberg
- Centre for Emotional Health, Macquarie University, Sydney, New South Wales, Australia
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