Show Summary Details

Page of

PRINTED FROM OXFORD HANDBOOKS ONLINE (www.oxfordhandbooks.com). © Oxford University Press, 2018. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Handbooks Online for personal use (for details see Privacy Policy and Legal Notice).

date: 15 December 2019

Abstract and Keywords

The authors review the epidemiology, burden, course, and neuropsychological correlates of severe domestic squalor—filthy, unhygienic living conditions that necessitate immediate cleaning. Given the various terminology used in conjunction with squalor, the authors reviewed studies that focused on Diogenes syndrome, senile breakdown, and self-neglect. In addition, the authors reviewed assessment strategies in hopes of increasing clinicians’ and researchers’ systematic assessment of severe domestic squalor. Last, the authors reviewed data that have focused on the connection between squalor and hoarding. This literature review showed that, in some developed countries, at least one in every 1000 elderly persons lives in squalor and that the prevalence among younger persons is lower. Findings concerning the gender ratio have been conflicting. Squalor may be a consequence of a complex interplay of medical and psychiatric conditions, particularly those associated with frontal lobe dysfunction, including hoarding disorder. As one-sixth to one-third of patients who meet criteria for hoarding disorder may live in squalor, treatments for hoarding disorder may need to be tailored to address the specific underlying causes of squalor.

Keywords: Diogenes syndrome, self-neglect, senile breakdown, accumulation, filth

Access to the complete content on Oxford Handbooks Online requires a subscription or purchase. Public users are able to search the site and view the abstracts and keywords for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can''t find the answer there, please contact us.