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The complex clinical and cognitive phenotype of adult patients with attention deficit hyperactivity disorder (ADHD) and comorbid hoarding disorder.

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Title: The complex clinical and cognitive phenotype of adult patients with attention deficit hyperactivity disorder (ADHD) and comorbid hoarding disorder.
Authors: Grassi, Giacomo, Moradei, Corinna, Cecchelli, Chiara, van Ameringen, Michael
Source: International Journal of Psychiatry in Clinical Practice. Jun2024, Vol. 28 Issue 2, p167-176. 10p.
Subjects: Risk assessment, Self-evaluation, Attention-deficit hyperactivity disorder, Executive function, Affective disorders, Anxiety, Compulsive hoarding, Attention, Impulsive personality, Cognition disorders, Memory, Comorbidity, Disease risk factors, Adults
Abstract: Objectives: Several studies consistently showed that patients with attention deficit hyperactivity disorder (ADHD) have high rates of hoarding disorder (HD) comorbidity. The aim of the present study was to compare the clinical and cognitive features of adult ADHD patients with and without hoarding comorbidity according to a self-report measure, and a sample of healthy controls. Methods: Fifty-seven consecutive adult outpatients with a primary diagnosis of ADHD with comorbid hoarding disorder (ADHD+HD), 57 matched ADHD patients without hoarding disorder comorbidity (ADHD-HD), and a control group of 47 healthy controls (HCs) were enrolled. All subjects undergone a comprehensive clinical assessment and a neurocognitive assessment focused on attention, memory, and executive functions. Results: The ADHD groups differed on most of the clinical and cognitive measures compared to HCs. ADHD+HD patients showed similar ADHD symptoms but greater subjective impulsivity, mood and anxiety symptoms, and a greater functional impairment compared to ADHD-HD patients as well as greater attentional and executive functioning impairments. Conclusions: ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype correlated to a greater functional impairment compared to ADHD patients without this comorbidity. These results further highlight the relevance of assessing and treating hoarding behaviours in adults with ADHD. KEY POINTS: Hoarding disorder is a frequent comorbidity in adult patients with ADHD. ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype compared to ADHD patients without this comorbidity. ADHD patients with comorbid hoarding disorder also show a greater functional impairment. Hoarding behaviours in adult ADHD patients should be routinely assessed. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The complex clinical and cognitive phenotype of adult patients with attention deficit hyperactivity disorder (ADHD) and comorbid hoarding disorder.
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  Data: <searchLink fieldCode="AR" term="%22Grassi%2C+Giacomo%22">Grassi, Giacomo</searchLink><br /><searchLink fieldCode="AR" term="%22Moradei%2C+Corinna%22">Moradei, Corinna</searchLink><br /><searchLink fieldCode="AR" term="%22Cecchelli%2C+Chiara%22">Cecchelli, Chiara</searchLink><br /><searchLink fieldCode="AR" term="%22van+Ameringen%2C+Michael%22">van Ameringen, Michael</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Psychiatry+in+Clinical+Practice%22">International Journal of Psychiatry in Clinical Practice</searchLink>. Jun2024, Vol. 28 Issue 2, p167-176. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Executive+function%22">Executive function</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+hoarding%22">Compulsive hoarding</searchLink><br /><searchLink fieldCode="DE" term="%22Attention%22">Attention</searchLink><br /><searchLink fieldCode="DE" term="%22Impulsive+personality%22">Impulsive personality</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Memory%22">Memory</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Several studies consistently showed that patients with attention deficit hyperactivity disorder (ADHD) have high rates of hoarding disorder (HD) comorbidity. The aim of the present study was to compare the clinical and cognitive features of adult ADHD patients with and without hoarding comorbidity according to a self-report measure, and a sample of healthy controls. Methods: Fifty-seven consecutive adult outpatients with a primary diagnosis of ADHD with comorbid hoarding disorder (ADHD+HD), 57 matched ADHD patients without hoarding disorder comorbidity (ADHD-HD), and a control group of 47 healthy controls (HCs) were enrolled. All subjects undergone a comprehensive clinical assessment and a neurocognitive assessment focused on attention, memory, and executive functions. Results: The ADHD groups differed on most of the clinical and cognitive measures compared to HCs. ADHD+HD patients showed similar ADHD symptoms but greater subjective impulsivity, mood and anxiety symptoms, and a greater functional impairment compared to ADHD-HD patients as well as greater attentional and executive functioning impairments. Conclusions: ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype correlated to a greater functional impairment compared to ADHD patients without this comorbidity. These results further highlight the relevance of assessing and treating hoarding behaviours in adults with ADHD. KEY POINTS: Hoarding disorder is a frequent comorbidity in adult patients with ADHD. ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype compared to ADHD patients without this comorbidity. ADHD patients with comorbid hoarding disorder also show a greater functional impairment. Hoarding behaviours in adult ADHD patients should be routinely assessed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/13651501.2024.2427615
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 167
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      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Executive function
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      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Compulsive hoarding
        Type: general
      – SubjectFull: Attention
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      – SubjectFull: Impulsive personality
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      – SubjectFull: Cognition disorders
        Type: general
      – SubjectFull: Memory
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      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Adults
        Type: general
    Titles:
      – TitleFull: The complex clinical and cognitive phenotype of adult patients with attention deficit hyperactivity disorder (ADHD) and comorbid hoarding disorder.
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            NameFull: Grassi, Giacomo
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            NameFull: Moradei, Corinna
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            NameFull: Cecchelli, Chiara
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            NameFull: van Ameringen, Michael
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            – D: 01
              M: 06
              Text: Jun2024
              Type: published
              Y: 2024
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