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A preliminary investigation of domestic squalor in people with a history of alcohol misuse: neuropsychological profile and hoarding behavior – an opportunistic observational study

Published online by Cambridge University Press:  16 June 2015

Andrew Gleason ,
Matthew Lewis ,
Sook Meng Lee  and
Stephen Macfarlane
Andrew Gleason
Affiliation:
Aged Psychiatry Service, Caulfield Hospital, Alfred Health, Victoria, Australia Department of Psychiatry, University of Melbourne, Victoria, Australia
Matthew Lewis
Affiliation:
Aged Psychiatry Service, Caulfield Hospital, Alfred Health, Victoria, Australia
Sook Meng Lee
Affiliation:
Aged Psychiatry Service, Caulfield Hospital, Alfred Health, Victoria, Australia Department of Geriatric Medicine, Western Health, Sunshine, Victoria, Australia
Stephen Macfarlane*
Affiliation:
Aged Psychiatry Service, Caulfield Hospital, Alfred Health, Victoria, Australia
*
Correspondence should be addressed to: Stephen Macfarlane, Associate Professor, Aged Psychiatry Service, Caulfield Hospital, 260 Kooyong Road, Caulfield 3162, Victoria, Australia. Phone: +613-9076-6600; Fax: +613-9076-6180. Email: s.macfarlane@cgmc.org.au.
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Abstract

Background:

Domestic squalor has been associated with alcohol misuse but little work has explored this. Executive dysfunction is commonly observed in squalor and is also associated with alcohol misuse. Hoarding can accompany squalor, but it is unclear whether hoarding is also linked with alcohol misuse. This study compared neuropsychology and hoarding status of individuals living in squalor with and without a history of alcohol misuse.

Methods:

A subgroup analysis was conducted on a series of 69 neuropsychological reports of people living in squalor. Data on cognitive profiles, basic demographics, alcohol use, and hoarding were extracted and analyzed.

Results:

Alcohol misuse was reported in 25 of the 69 participants (36%). Alcohol misusers were significantly younger (mean age 66.2 years, SD = 10.7) than non-misusers (mean age 75.6 years, SD = 10.3) (p < 0.00) and significantly more likely to be male (p = 0.01). No significant differences between the two subgroups were found for estimated premorbid intellectual functioning, Mini Mental State Examination (MMSE) scores, or individual neuropsychological domains. Alcohol misusers were more likely to be living in squalor without hoarding than squalor with hoarding (p = 0.01).

Conclusions:

Alcohol misusers living in squalor were less likely to hoard than non-misusers. This finding suggests that alcohol misuse may be a risk factor for squalor via failure to maintain one's environment rather than through intentional accumulation of objects. The similar cognitive profile among those with and without a history of alcohol misuse could represent a common pattern of executive dysfunction that predisposes individuals to squalor regardless of underlying alcohol misuse diagnosis.

Keywords

squalorhoardingalcoholneuropsychologyfrontalexecutive function
Type
Research Article
Information
International Psychogeriatrics , Volume 27 , Issue 11 , November 2015 , pp. 1913 - 1918
Copyright
Copyright © International Psychogeriatric Association 2015 

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