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Does hoarding get worse with age?

Research has indicated that hoarding, a relatively common disorder among the elderly, gets progressively worse as a person gets older.

agingcare.com - The Dangers of Hoarding Behavior Become More Severe With Age

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Research has indicated that hoarding, a relatively common disorder among the elderly, gets progressively worse as a person gets older. A study conducted by researchers at Johns Hopkins University School of Medicine found that the overall prevalence of hoarding behavior is around four percent, but this number increases to 6.2 percent for those age 55 and older. Dealing with an elder’s hoarding is not something that many family caregivers anticipate. Extreme clutter and unsafe and unsanitary conditions hinder common senior goals like remaining independent and aging in place. Achieving a better understanding of why hoarders hoard and learning productive steps you can take to address this behavior will help you minimize hazards in your loved one’s home.

Why Does Hoarding Get Worse With Age?

As we age, many people face a dramatic decline in the quality and frequency of their social interactions. This often leaves seniors feeling lonely and separated from the outside world. Consequently, they may begin to engage in behaviors that seem to help them cope with isolation and depression. In some cases, these behaviors revolve around the accumulation of “things”—everything from clothes and knickknacks to food and even living, breathing animals. Researchers at the University of California, San Francisco (UCSF) conducted a study that found a whopping 13 percent of older adults experiencing late life depression report severe compulsive hoarding. Hoarding and depression are similar in that they are what the researchers at UCSF refer to as “frontally mediated.” This essentially means that both disorders impact the frontal lobes of the brain. This area of the brain is responsible for skills and behaviors like organizing and arranging. People with hoarding disorder are also likely to experience other mental health conditions, such as depression, anxiety, personality disorders like obsessive-compulsive disorder (OCD), alcohol dependence and attention deficit hyperactivity disorder (ADHD). It is unclear whether hoarding habits worsen with age or if an individual’s ability to cope with hoarding habits worsens, but there is no question that the disorder has a greater impact on older adults.

The Dangers of Hoarding Behavior in the Elderly

Out of control collecting creates hazards for hoarders of all ages, but seniors are particularly vulnerable. For example, age-related mobility issues compound the dangers of hoarding. Together, hoarding and limited mobility dramatically increase an elder’s risk of falling and fall-related injuries. When conducting a home safety assessment for an older adult, one of the first recommendations is to inspect walking paths and hallways throughout the house and remove all clutter to prevent falls. “In particular, late life hoarding poses a significant fall risk by creating trip-and-fall hazards throughout the home,” explains Catherine Ayers, Ph.D., ABPP, division director of the VA San Diego Healthcare System (VASDHS) La Jolla Mental Health Outpatient Clinics, assistant professor in the University of California San Diego (UCSD) Department of Psychiatry, and faculty member in the SDSU/UCSD Joint Doctoral Program in Clinical Psychology. “Other risks include fire hazards, poor hygiene and nutrition, and poor sanitary conditions.”

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Ultimately, a hoarder's household can become a hazardous environment very quickly. Not only does this jeopardize a senior’s health, safety and independence, but it also prevents them from getting the assistance they may need to age in place. Family caregivers and professional caregivers from in-home care agencies can’t provide adequate support to elders who live in cramped, unsafe and unsanitary homes. Older adults who hoard are often the targets of adult protective services (APS) investigations because of the dangers their hoards present to themselves and others.

How to Treat Hoarding in the Elderly

The Hoarding Research Team at the Boston University School of Social Work has conducted some illuminating research on the treatment of hoarding through cognitive behavioral therapy (CBT). In one study, a group of seniors between 60 and 90 years of age who were engaging in classic hoarding behavior were assigned to social workers who endeavored to gain their trust and work with them on establishing organizational and decision-making skills. Trust proved to be the crucial factor in effectively treating hoarding behavior. Once an elder established a trusting relationship with their social worker, they were more receptive to proposed behavioral changes. The trust component is one major reason why a plan to enter an elder’s home and dispose of their hoard is ineffective—at least in the long run. After these kinds of interventions, most people begin hoarding again immediately. Even as a family member or a close friend, you will find that most hoarders respond to this act with hostility and deep mistrust. The social workers in the Boston University study understood this correlation and tried to ensure that the elders felt in control of the cleaning and organization processes. By the end of the study, the elderly hoarders were able to handle alterations to their home environments without experiencing extreme distress.

5 Steps to Help A Senior Who Hoards

agingcare.com - The Dangers of Hoarding Behavior Become More Severe With Age

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