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Hoarding Rating Scale Assessment Tool

The Hoarding Rating Scale is a 5-item questionnaire used to assess the severity of hoarding behaviors and their associated impairment. Each item is rated on a 9-point scale from 0 (no problem) to 8 (extreme problem). Higher total scores indicate more severe hoarding. Research has found the average total score for nonclinical samples is 3.34, while the average for those with hoarding problems is 24.22. A total score of 14 or higher suggests clinically significant hoarding.

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2K views2 pages

Hoarding Rating Scale Assessment Tool

The Hoarding Rating Scale is a 5-item questionnaire used to assess the severity of hoarding behaviors and their associated impairment. Each item is rated on a 9-point scale from 0 (no problem) to 8 (extreme problem). Higher total scores indicate more severe hoarding. Research has found the average total score for nonclinical samples is 3.34, while the average for those with hoarding problems is 24.22. A total score of 14 or higher suggests clinically significant hoarding.

Uploaded by

NT GOPICA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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  • Hoarding Rating Scale
  • Interpretation and Criteria of HRS Scores

Hoarding Rating Scale

Please use the following scale when answering items below:

0 = no problem
2 = mild problem, occasionally (less than weekly) acquires items not needed, or
acquires a few unneeded items
4 = moderate, regularly (once or twice weekly) acquires items not needed, or
acquires some unneeded items
6 = severe, frequently (several times per week) acquires items not needed, or
acquires many unneeded items
8 = extreme, very often (daily) acquires items not needed, or acquires large numbers
of unneeded items

1. Because of the clutter or number of possessions, how difficult is it for you to use the rooms
in your home?

0 1 2 3 4 5 6 7 8
Not at all Mild Moderate Severe Extremely
Difficult Difficult

2. To what extent do you have difficulty discarding (or recycling, selling, giving away) ordinary
things that other people would get rid of?

0 1 2 3 4 5 6 7 8
No Mild Moderate Severe Extreme
difficulty Difficulty

3. To what extent do you currently have a problem with collecting free things or buying more
things than you need or can use or can afford?

0 1 2 3 4 5 6 7 8
None Mild Moderate Severe Extreme

4. To what extent do you experience emotional distress because of clutter, difficulty discarding
or problems with buying or acquiring things?

0 1 2 3 4 5 6 7 8
None/ Mild Moderate Severe Extreme
Not at all

5. To what extent do you experience impairment in your life (daily routine, job / school, social
activities, family activities, financial difficulties) because of clutter, difficulty discarding, or
problems with buying or acquiring things?

0 1 2 3 4 5 6 7 8
None/ Mild Moderate Severe Extreme
Not at all
Interpretation of HRS Total Scores (Tolin et al., 2010)

Mean for Nonclinical samples: HRS Total = 3.34; standard deviation = 4.97.

Mean for people with hoarding problems: HRS Total = 24.22; standard deviation = 5.67.

Analysis of sensitivity and specificity suggest an HRS Total clinical cutoff score of 14.

Criteria for Clinically Significant Hoarding: (Tolin et al., 2008)


A score of 4 or greater on questions 1 and 2, and a score of 4 or greater on either question 4 or
question 5.

Tolin, D.F., Frost, R.O., Steketee, G., Gray, K.D., & Fitch, K.E. (2008). The economic and social
burden of compulsive hoarding. Psychiatry Research, 160, 200-211.

Tolin, D.F., Frost, R.O., & Steketee, G. (2010). A brief interview for assessing compulsive
hoarding: The Hoarding Rating Scale-Interview. Psychiatry Research, 178, 147-152.

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