Persistent retention or accumulation of possessions. In clinical research, the observable accumulation must be distinguished from the reasons for retaining objects, difficulty discarding, environmental constraints and associated impairment.
Emotional significance assigned to objects, including their relation to memory, identity or anticipated use. A research account must distinguish attachment from inability to categorize or act on a decision.
Difficulty making or carrying out decisions to relinquish possessions. Measuring discarding difficulty separately from clutter helps distinguish a proposed process from an outcome also influenced by space, resources and other household members.
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