title: Medical conditions in geriatric hoarding disorder patients.
abstract: Hoarding disorder (HD) in late life is associated with increased risk for fire, falling, poor sanitary conditions, disability, and health risks. However, research on the health status of individuals with HD is limited. Hoarding symptoms and the resulting clutter may exacerbate health conditions and lead to improper management of medical illnesses.
  
  
  OBJECTIVE
  The purpose of this study is to characterize the health status of older adults with hoarding. The rates of medical conditions will be compared to a non-psychiatric peer group.
  
  
  METHODS
  72 older adults with HD and 25 age matched normal controls, completed a medical conditions checklist, symptom severity measures (i.e., UCLA Hoarding Severity Scale, UHSS; Saving Inventory-Revised, SI-R) and a measure capturing activities of daily living (activities of daily living-hoarding, ADL-H).
  
  
  RESULTS
  Older adults with HD (n = 72) reported significantly more health conditions compared to their non-psychiatric peers (n = 25). Hoarding severity significantly predicted the total number of medical conditions. Further, the vast majority of HD patients reported at least one medical condition.
  
  
  CONCLUSIONS
  This is alarming given that hoarding patients utilized health services less than typical for older adults. Given the health status of older adults with HD, interventions should target the prevention and management of medical conditions.
authors.affiliation: a Research Service, VA San Diego Healthcare System , San Diego , USA.
authors.forename: Catherine R
authors.initials: CR
authors.lastname: Ayers
authors.forename: Yasmeen
authors.initials: Y
authors.lastname: Iqbal
authors.forename: Katrina
authors.initials: K
authors.lastname: Strickland
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D015897:Comorbidity; D005260:Female; D006304:Health Status; D000067836:Hoarding Disorder / Q000453:epidemiology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index