{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T12:25:36Z","timestamp":1784723136222,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T00:00:00Z","timestamp":1544486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>A prior study found that over 50% of treatment\u2010seeking individuals who hoard incur at least one psychiatric work impairment day (i.e., they are unable to work or are less effective at work due to poor mental health) each month. The aim of the current study was to assess work\u2010related variables associated with workplace impairment in a non\u2010treatment\u2010seeking sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional. Self\u2010report questionnaires were administered via Amazon's Mechanical Turk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred and eighty\u2010five employed individuals who reported elevated hoarding symptoms completed questionnaires regarding hoarding symptoms, work engagement, psychiatric work impairment, work control, attention and concentration difficulties at work, and quality of workplace relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Greater workplace control and higher quality workplace relationships were associated with greater work engagement. Greater hoarding symptoms and attention difficulties at work were associated with more psychiatric work impairment days. Work engagement statistically mediated the association between the quality of workplace relationships and work impairment, though mediation was also significant when reversing the mediating and outcome variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among a community sample of employed individuals, greater hoarding symptoms were associated with greater psychiatric work impairment. Work\u2010related variables, such as co\u2010worker relationships and attention difficulties, contributed additional variance above that accounted for by hoarding symptoms. There were significant associations between co\u2010worker relationships, work engagement, and workplace impairment, though the direction of the mediation model is unclear. Future research should examine factors associated with unemployment in hoarding disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner Points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Clinicians should be aware that greater hoarding severity directly contributes to greater workplace impairment.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Clinicians should consider prioritizing the reduction in clutter in living areas that impact one's daily activities and subsequent ability to attend work.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Clinicians should assess and treat workplace impairment by helping individuals achieve greater control at work, developing higher quality interpersonal relationships, and improving their attentional abilities.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12212","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:23:43Z","timestamp":1544574223000},"page":"342-356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Hoarding symptoms and workplace impairment"],"prefix":"10.1111","volume":"58","author":[{"given":"Brittany M.","family":"Mathes","sequence":"first","affiliation":[{"name":"Florida State University Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Henry","sequence":"additional","affiliation":[{"name":"Centre for Emotional Health Macquarie University Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman B.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Florida State University Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7840-9007","authenticated-orcid":false,"given":"Melissa M.","family":"Norberg","sequence":"additional","affiliation":[{"name":"Centre for Emotional Health Macquarie University Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-017-9878-1"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2013.02.010"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.3940"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1348\/096317909X402596"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1108\/02683940710733115"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hrm.20004"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691610393980"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465812001105"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02678370410001734322"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.86.3.499"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030120704"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(93)90094-B"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2003.07.006"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00137-0"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000121151.40413.bd"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2017.12.001"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.05.011"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.20327"},{"key":"e_1_2_5_22_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis","author":"Hayes A. 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