New research suggests a significant link between eating disorders and hoarding behaviors, a connection that clinicians are increasingly recognizing as potentially complicating treatment and recovery. A study published in in the International Journal of Eating Disorders, led by researchers at the University of Louisville and the University of North Carolina at Chapel Hill, found that hoarding symptoms are commonly present in individuals with eating disorders.
The Connection Between Eating Disorders and Hoarding
The study, an observational cross-sectional analysis, examined the prevalence of hoarding symptoms among individuals diagnosed with various eating disorders. Researchers found that these symptoms weren’t limited to a single type of eating disorder; they were observed across the spectrum, including those with binge eating disorder. This suggests that hoarding isn’t simply a consequence of a specific eating disorder presentation, but may represent a co-occurring condition with shared underlying mechanisms.
While the exact nature of this relationship is still being investigated, experts believe several factors may contribute to the comorbidity. These include difficulties with emotional regulation, impulsivity, and perfectionism – traits often seen in both eating disorders and hoarding disorder. The act of acquiring and saving items may serve as a way to cope with difficult emotions or to create a sense of control, particularly for individuals struggling with the instability inherent in eating disorder behaviors.
Implications for Diagnosis and Treatment
The recognition of this link has important implications for both diagnosis and treatment. Clinicians need to be aware of the potential for hoarding symptoms in patients presenting with eating disorders, and vice versa. Failing to recognize and address both conditions simultaneously could hinder recovery efforts.
Traditionally, eating disorder treatment has focused primarily on normalizing eating patterns and addressing distorted body image. However, for individuals with co-occurring hoarding symptoms, a more comprehensive approach is needed. This may involve incorporating elements of cognitive behavioral therapy (CBT) specifically designed to address hoarding behaviors, alongside traditional eating disorder treatment protocols.
The National Eating Disorders Association (NEDA) emphasizes the importance of recognizing the complexities of eating disorders and offers resources for individuals seeking help. NEDA is also preparing to host National Eating Disorders Awareness Week (NEDAW) from to , aiming to raise awareness, challenge stigma, and provide support for those affected. NEDA provides toolkits tailored for various groups, including parents, caregivers, coaches, and educators, to help them better understand and support individuals with eating disorders.
Hoarding Disorder: A Growing Concern
The increasing attention to hoarding disorder itself reflects a growing understanding of its prevalence and impact. Recent reports suggest hoarding disorder may be a looming national crisis, with significant consequences for individuals, families, and communities. The disorder is characterized by the persistent difficulty discarding or parting with possessions, regardless of their actual value, due to a perceived need to save them and distress associated with discarding them. This can lead to cluttered living spaces that interfere with daily functioning and pose safety hazards.
The overlap between hoarding and eating disorders highlights the importance of considering underlying psychological factors that may contribute to both conditions. For example, individuals with both disorders may struggle with anxiety, depression, and difficulties with decision-making. Addressing these underlying issues is crucial for successful treatment.
Accessing Help and Resources
For individuals struggling with an eating disorder, or who suspect they may also have hoarding symptoms, NEDA offers a range of resources, including a screening tool to help assess the severity of the condition and identify appropriate treatment options. They also provide information on support groups and other helpful resources.
NEDA also offers opportunities to get involved in raising awareness and supporting their mission, including volunteering, fundraising, and participating in events like the NEDA Gala, their largest annual fundraiser. NEDA hosts skill-building webinars led by eating disorder experts, providing practical strategies for supporting recovery at every stage.
Medscape provides continuing medical education (CME) activities for physicians and other healthcare professionals, offering opportunities to stay up-to-date on the latest research and best practices in the treatment of eating disorders and related conditions.
It’s important to remember that recovery is possible, and seeking help is a sign of strength. A comprehensive and individualized treatment plan, addressing both the eating disorder and any co-occurring conditions like hoarding, is essential for achieving lasting recovery and improving quality of life.
