{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T15:07:38Z","timestamp":1780931258527,"version":"3.54.1"},"reference-count":58,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T00:00:00Z","timestamp":1658275200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1352465822000261_as1\"><jats:title>Background:<\/jats:title><jats:p>Hoarding disorder (HD) can be understood through the cognitive behavioural model in the context of vulnerability factors (for example, personality traits, co-morbidities, traumatic life events) and beliefs about possessions (for example, identity, emotional attachment, memory, utility). Less is known about the strength of these hypothesised beliefs, or how they interact within the hoarding population, with researchers suggesting that specifying beliefs would improve treatment outcomes.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000261_as2\"><jats:title>Aim:<\/jats:title><jats:p>The current study explored beliefs in HD, utilising Q-methodology to explore both categories of beliefs and the interactions between these. Moreover, Q-methodology allowed for comparison of the individuals endorsing specific categories of beliefs.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000261_as3\"><jats:title>Method:<\/jats:title><jats:p>A comprehensive list of beliefs about possessions was developed. Thirty-two adults with clinically significant levels of HD completed a Q-sort task, alongside measures of proposed vulnerabilities, including co-morbidity, trauma and attachment style.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000261_as4\"><jats:title>Results:<\/jats:title><jats:p>Q-factor analysis produced four profiles consisting of groups of participants who endorsed the same beliefs and had shared characteristics: (1) \u2018Expression of identity\u2019, (2) \u2018Responsibility and morality\u2019, (3) \u2018Stability and predictability\u2019, and (4) \u2018Objects as emotional and meaningful beings\u2019.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465822000261_as5\"><jats:title>Discussion:<\/jats:title><jats:p>The profiles were distinguished by different categories of beliefs and co-morbid symptoms, suggesting that more targeted assessment tools and interventions would be beneficial to account for this heterogeneity within the clinical population. In particular, beliefs about identity and self-concept formed the largest profile, and beliefs about stability and predictability introduce a novel category of beliefs.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1352465822000261","type":"journal-article","created":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T05:40:00Z","timestamp":1658295600000},"page":"538-555","source":"Crossref","is-referenced-by-count":4,"title":["What is underneath all that stuff? A Q-methodological exploration of profiles of beliefs and vulnerabilities in hoarding disorder"],"prefix":"10.1017","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0226-1186","authenticated-orcid":false,"given":"Rowan M.","family":"Tinlin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Beckwith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9911-3587","authenticated-orcid":false,"given":"James D.","family":"Gregory","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire L.","family":"Lomax","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,7,20]]},"reference":[{"key":"S1352465822000261_ref9","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1017\/S1352465808004955","article-title":"What do people with psychosis think caused their psychosis? 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