{"title":"'Not my mess'?: How do supporters of individuals with hoarding difficulties rate the quality of the support they offer?","authors":"James Dennis, Kate Rosen, Paul M Salkovskis","doi":"10.1111/bjc.12520","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Hoarding difficulties (HD) affect many people and cause upset and danger for the person, as well as friends and family. Previous research found that people with HD feel less adequately socially supported compared with individuals with obsessive compulsive disorder (OCD). This study used the perspective of those offering support to infer whether people with HD view their support differently, or if there is a gap in support quality compared with those with OCD.</p><p><strong>Design: </strong>The design was cross-sectional, comparing those supporting OCD with those supporting HD.</p><p><strong>Methods: </strong>An online questionnaire was completed by 116 people offering support (POS) to people with these conditions. Support quality was measured using an adapted, proxy version of the Revised Norbeck Social Support Questionnaire. The research hypothesized that POS(HD) would not differ on support ratings compared with POS(OCD); or that POS(HD) would report comparatively lower ratings across support components. Secondary analysis investigated group differences in stigmatized attitudes and associative stigma; internalized stigma by virtue of having a connection to a stigmatized individual.</p><p><strong>Results: </strong>POS(HD) rated their wish to support and the perceived success as significantly lower. Public stigma was rated more highly by POS(HD) relative to POS(OCD) and associative stigma felt more acutely by POS(HD).</p><p><strong>Conclusions: </strong>Motivation to support was significantly lower in the HD group with associative stigma a significant predictive factor. Further research involving dyads is needed to investigate what is causing this shortfall in support. Clinical research for HD interventions should also examine how involving POS could enhance treatment outcomes.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1111/bjc.12520","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Hoarding difficulties (HD) affect many people and cause upset and danger for the person, as well as friends and family. Previous research found that people with HD feel less adequately socially supported compared with individuals with obsessive compulsive disorder (OCD). This study used the perspective of those offering support to infer whether people with HD view their support differently, or if there is a gap in support quality compared with those with OCD.
Design: The design was cross-sectional, comparing those supporting OCD with those supporting HD.
Methods: An online questionnaire was completed by 116 people offering support (POS) to people with these conditions. Support quality was measured using an adapted, proxy version of the Revised Norbeck Social Support Questionnaire. The research hypothesized that POS(HD) would not differ on support ratings compared with POS(OCD); or that POS(HD) would report comparatively lower ratings across support components. Secondary analysis investigated group differences in stigmatized attitudes and associative stigma; internalized stigma by virtue of having a connection to a stigmatized individual.
Results: POS(HD) rated their wish to support and the perceived success as significantly lower. Public stigma was rated more highly by POS(HD) relative to POS(OCD) and associative stigma felt more acutely by POS(HD).
Conclusions: Motivation to support was significantly lower in the HD group with associative stigma a significant predictive factor. Further research involving dyads is needed to investigate what is causing this shortfall in support. Clinical research for HD interventions should also examine how involving POS could enhance treatment outcomes.
目的：囤积症（HD）会影响许多人，并给患者、朋友和家人带来困扰和危险。以往的研究发现，与强迫症（OCD）患者相比，囤积症患者觉得自己没有得到足够的社会支持。本研究利用提供支持者的视角来推断 HD 患者是否以不同的方式看待他们所获得的支持，或者与强迫症患者相比，在支持质量方面是否存在差距：设计：本研究采用横断面设计，比较了为强迫症患者提供支持的人员与为 HD 患者提供支持的人员：116 名为上述患者提供支持（POS）的人员填写了一份在线问卷。支持质量采用诺贝克社会支持问卷（Revised Norbeck Social Support Questionnaire）的改编替代版进行测量。研究假设：与 POS（强迫症）相比，POS（HD）在支持评分上没有差异；或者 POS（HD）在各支持要素上的评分相对较低。辅助分析调查了鄙视态度和联想鄙视方面的群体差异；由于与被鄙视者有联系而内化的鄙视：结果：POS（HD）对其支持意愿和成功感知的评价明显较低。相对于 POS（强迫症），POS（HD）对公众鄙视的评价更高，POS（HD）对联想鄙视的感受更强烈：结论：HD 组的支持动机明显较低，联想成见是一个重要的预测因素。需要进一步开展涉及二人组的研究，以探究造成这种支持不足的原因。有关 HD 干预措施的临床研究也应探讨 POS 的参与如何能够提高治疗效果。
期刊介绍：
The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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