title: Understanding DSM-5 Hoarding Disorder: A Triple Vulnerability Model.
abstract: Whereas a triple vulnerability model has been used to evaluate several anxiety- and mood-related conditions, no research has purposefully examined hoarding from this perspective.
  
  
  
  Using a multivariate approach, the current study evaluated the unique relations between hoarding and a general biological (e.g., neuroticism), psychological (e.g., anxiety sensitivity), and hoarding-specific vulnerability (e.g., saving cognitions) within 526 individuals.
  
  
  
  A structural equation model (SEM) including all three vulnerabilities as well as hoarding symptoms provided good fit to the data. Consistent with the model, the vulnerabilities accounted for a substantial percentage (66%) of the variance in hoarding severity.
  
  
  
  These findings suggest that, similar to other emotional distress disorders, risk for hoarding can be conveyed through a constellation of general and specific vulnerabilities. Future research should continue to examine this model, particularly utilizing a prospective design and clinical sample.
authors.affiliation: a Department of Psychology , Florida State University , Tallahassee , Florida.
authors.forename: Amanda M
authors.initials: AM
authors.lastname: Raines
authors.affiliation: a Department of Psychology , Florida State University , Tallahassee , Florida.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Oglesby
authors.affiliation: a Department of Psychology , Florida State University , Tallahassee , Florida.
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Allan
authors.affiliation: a Department of Psychology , Florida State University , Tallahassee , Florida.
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Short
authors.affiliation: a Department of Psychology , Florida State University , Tallahassee , Florida.
authors.forename: Norman B
authors.initials: NB
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000503:physiopathology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D000067836:Hoarding Disorder / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D000075384:Neuroticism; D016584:Panic Disorder / Q000503:physiopathology*; D010551:Personality / Q000502:physiology*; D055815:Young Adult