Hoarding is three times more likely to affect older adults between the ages of 55 to 94 than those in their 30s or 40s, according to the American Psychiatric Association. Researchers have not found a specific cause for hoarding disorder. Some studies suggest men are more likely to be hoarders than women, although both sexes can develop the disorder. There may be a familial link, as many people with hoarding disorders have a family member who also exhibits symptoms. A stressful life event, such as the death of a loved one, may provoke or worsen symptoms. Some evidence points to brain injuries as another potential cause.

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