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Hoarding Disorder and Difficulties in Emotion Regulation.

The present study aimed to examine self-reported deficits in emotion regulation (ER) among individuals with hoarding disorder (HD). Seventy-seven adult outpatients with HD and 45 age- and gender-matched healthy control (HC) participants received a diagnostic assessment and completed self-report measures of hoarding severity, depression, and anxiety. In addition, participants completed the Difficulties in Emotion Regulation Scale (DERS), which measures lack of emotional clarity ( Clarity ), difficulty regulating behavior when distressed ( Impulse ), difficulty engaging in goal-directed cognition and behavior when distressed ( Goals ), unwillingness to accept emotional responses ( Accept ), and lack of access to strategies for feeling better when distressed ( Strategies ). The HD group scored higher on all DERS subscales than did the HC group; self-reported ER deficits remained evident when controlling for baseline depression, anxiety, and stress. The DERS correlated significantly with hoarding severity in the HD group: acquiring was significantly correlated with DERS Impulse, Strategies , and Accept ; saving was significantly correlated with DERS Accept . Correlations remained significant when controlling for depression, anxiety, and stress. Results suggest that HD is characterized by self-reported deficits in ER, and that this relationship is not solely attributable to high levels of depression and anxiety.

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