Maximizing decision-making style and hoarding disorder symptoms

Background: Past research links hoarding disorder (HD) to indecisiveness and difficulty with decision-making. However, it remains unclear what contributes to difficulty making decisions in HD. Decision-making research suggests that some individuals have a maximizing decision-making style (seeking th...

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Main Authors: Michael G. Wheaton, PhD, Kimberly Topilow, MA
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Comprehensive Psychiatry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X20300298
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author Michael G. Wheaton, PhD
Kimberly Topilow, MA
author_facet Michael G. Wheaton, PhD
Kimberly Topilow, MA
author_sort Michael G. Wheaton, PhD
collection DOAJ
description Background: Past research links hoarding disorder (HD) to indecisiveness and difficulty with decision-making. However, it remains unclear what contributes to difficulty making decisions in HD. Decision-making research suggests that some individuals have a maximizing decision-making style (seeking the best option through an exhaustive search of all existing alternatives) while others “satisfice” (choosing options that are satisfactory even without seeing all options). Past work has linked the dispositional tendency to maximize in decisions to elevated depression, anxiety and obsessive-compulsive disorder (OCD) symptoms, but no study has investigated whether maximizing may be relevant for hoarding behaviors. Method: We administered measures of hoarding behaviors, decision-making style (maximizing vs satisficing), generalized difficulty with decision-making (indecisiveness), distress (depression, anxiety and stress symptoms) and OCD symptoms to a sample of community adults (N = 1113) recruited through Amazon Mechanical Turk (MTurk). Results: The tendency to maximize in decision-making was significantly correlated with hoarding symptoms (including difficulty discarding possessions, excessive acquisition, and clutter). Moreover, regression results showed that maximizing predicted hoarding severity after controlling for indecisiveness, general distress and OCD symptoms. Limitations: We utilized self-report questionnaires in an unscreened community sample. Replication in a clinical sample is needed. Conclusions: The dispositional tendency to maximize in decisions may represent a specific aspect of decision-making relevant for hoarding behaviors. Implications for improving cognitive-behavioral models and treatments are discussed.
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spelling doaj.art-e50c5bee3f714e8385eb084fb3ef4aba2022-12-21T19:15:09ZengElsevierComprehensive Psychiatry0010-440X2020-08-01101152187Maximizing decision-making style and hoarding disorder symptomsMichael G. Wheaton, PhD0Kimberly Topilow, MA1Department of Psychology, Barnard College, Columbia University, New York, United States of America; Corresponding author at: Barnard College, Columbia University, 3009 Broadway, New York, NY 10027, United States of America.Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, United States of AmericaBackground: Past research links hoarding disorder (HD) to indecisiveness and difficulty with decision-making. However, it remains unclear what contributes to difficulty making decisions in HD. Decision-making research suggests that some individuals have a maximizing decision-making style (seeking the best option through an exhaustive search of all existing alternatives) while others “satisfice” (choosing options that are satisfactory even without seeing all options). Past work has linked the dispositional tendency to maximize in decisions to elevated depression, anxiety and obsessive-compulsive disorder (OCD) symptoms, but no study has investigated whether maximizing may be relevant for hoarding behaviors. Method: We administered measures of hoarding behaviors, decision-making style (maximizing vs satisficing), generalized difficulty with decision-making (indecisiveness), distress (depression, anxiety and stress symptoms) and OCD symptoms to a sample of community adults (N = 1113) recruited through Amazon Mechanical Turk (MTurk). Results: The tendency to maximize in decision-making was significantly correlated with hoarding symptoms (including difficulty discarding possessions, excessive acquisition, and clutter). Moreover, regression results showed that maximizing predicted hoarding severity after controlling for indecisiveness, general distress and OCD symptoms. Limitations: We utilized self-report questionnaires in an unscreened community sample. Replication in a clinical sample is needed. Conclusions: The dispositional tendency to maximize in decisions may represent a specific aspect of decision-making relevant for hoarding behaviors. Implications for improving cognitive-behavioral models and treatments are discussed.http://www.sciencedirect.com/science/article/pii/S0010440X20300298Hoarding disordercluttermaximizationdecision-makingindecisiveness
spellingShingle Michael G. Wheaton, PhD
Kimberly Topilow, MA
Maximizing decision-making style and hoarding disorder symptoms
Comprehensive Psychiatry
Hoarding disorder
clutter
maximization
decision-making
indecisiveness
title Maximizing decision-making style and hoarding disorder symptoms
title_full Maximizing decision-making style and hoarding disorder symptoms
title_fullStr Maximizing decision-making style and hoarding disorder symptoms
title_full_unstemmed Maximizing decision-making style and hoarding disorder symptoms
title_short Maximizing decision-making style and hoarding disorder symptoms
title_sort maximizing decision making style and hoarding disorder symptoms
topic Hoarding disorder
clutter
maximization
decision-making
indecisiveness
url http://www.sciencedirect.com/science/article/pii/S0010440X20300298
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