Abstract
The current study examined a new measure of squalor associated with hoarding, the Home Environment Index (HEI). Participants (N = 793) were recruited from a large database of individuals who sought information about hoarding following national media appearances and consented to an internet study. Participants completed measures of hoarding and related psychopathology, including the HEI. The HEI showed good internal consistency and construct validity and reflected a single factor of home squalor (15 items). The HEI correlated positively with measures of hoarding and mood psychopathology. Recommendations for future modifications and further study are provided.
Notes
The original (26 item) and revised (15 item) HEI scales are available upon request from the corresponding author.
References
Abrams, R. C., Lachs, M., McAvay, G., Keohane, D. J., & Bruce, M. L. (2002). Predictors of self-neglect in community-dwelling elders. American Journal of Psychiatry, 159, 1724–1730.
Adams, J., & Johnson, J. (1998). Nurses perceptions of elderly people in squalor. Journal of Clinical Nursing, 7, 547–552.
Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89.
Clark, A., Mankikar, G., & Gray, I. (1975). Diogenes syndrome: A clinical study of gross neglect in old age. Lancet, 1, 366–388.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., et al. (2002). The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment, 14, 45–96.
Frost, R. O., Steketee, G., & Grisham, J. R. (2004). Measurement of compulsive hoarding: Saving inventory-revised. Behaviour Research and Therapy, 42, 1163–1182.
Frost, R. O., Steketee, G., & Williams, L. (2000). Hoarding: A community health problem. Health and Social Care in the Community, 8, 229–234.
Gannon, M., & O’Boyle, J. (1992). Diogenes syndrome. Irish Medical Journal, 85, 124.
Halliday, A., Banjaree, S., Philpot, M., & MacDonald, A. (2000). Community study of people who live in squalor. Lancet, 355, 882–886.
Halliday, G., & Snowdon, J. (2009). The Environmental Cleanliness and Clutter Scale (ECCS). International Psychogeriatrics, 21, 1041–1050.
Kim, H. J., Steketee, G., & Frost, R. O. (2001). Hoarding by elderly people. Health and Social Work, 26, 176–184.
Lauder, W. (1998). A survey of self-neglect in patients living in the community. Journal of Clinical Nursing, 8, 95–102.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–342.
Macmillan, D., & Shaw, P. (1966). Senile breakdown in standard of personal and environmental cleanliness. British Medical Journal, 2, 1032–1037.
Mataix-Cols, D., Billotti, D., Fernández de la Cruz, L., & Nordsletten, A. E. (2013). The London field trial for hoarding disorder. Psychological Medicine, 43, 837–847.
Muthen, L. K., & Muthen, B. O. (1998). MPlus 2.12 [Computer Software]. Los Angeles: Author.
Shah, A. K. (1992). Senile squalor syndrome: a small series. Care of the Elderly, 4, 299–300.
Snowdon, J. (1987). Uncleanliness among persons seen by community mental health workers. Hospital & Community Psychiatry, 38, 491–494.
Snowdon, J., & Halliday, G. (2011). A study of severe domestic squalor: 173 cases referred to an old age psychiatry service. International Psychogeriatrics, 23, 308–314.
Snowdon, J., Shah, A., & Halliday, G. (2007). Severe domestic squalor: A review. International Psychogeriatrics, 19, 37–51.
Steiger, J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87, 245–251.
Steketee, G., & Frost, R. O. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23, 905–927.
Tolin, D. F., Frost, R. O., & Steketee, G. (2010). A brief interview for assessing compulsive hoarding: The Hoarding Rating Scale. Psychiatry Research, 30, 147–152.
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Rasmussen, J.L., Steketee, G., Frost, R.O. et al. Assessing Squalor in Hoarding: The Home Environment Index. Community Ment Health J 50, 591–596 (2014). https://doi.org/10.1007/s10597-013-9665-8
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DOI: https://doi.org/10.1007/s10597-013-9665-8