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Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder
Gail Steketee1, Randy O Frost, David F Tolin
1Boston University School of Social Work, Boston, Massachusetts 02215-1409, USA. steketee@bu.edu
Depression and Anxiety
|March 26, 2010
Summary
Multicomponent cognitive behavioral treatment (CBT) significantly reduced hoarding symptoms and improved mood compared to a waitlist. Most participants showed improvement after 26 sessions, indicating CBT
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Science
Background:
- Hoarding disorder is a complex condition requiring effective treatment.
- Cognitive Behavioral Treatment (CBT) is a promising therapeutic approach.
Purpose of the Study:
- To investigate the efficacy of a multicomponent CBT for hoarding disorder.
- To evaluate CBT's impact on hoarding severity and mood states.
Main Methods:
- Recruited participants with clinically significant hoarding.
- Randomly assigned 46 patients to CBT or waitlist (WL).
- Administered CBT including education, motivational interviewing, skills training, exposure, and cognitive therapy over 26 sessions.
Main Results:
- CBT group showed significant improvement in hoarding severity and mood after 12 weeks compared to WL.
- After 26 sessions, CBT led to significant reductions in hoarding symptoms with large effect sizes.
- 71% of patients improved based on therapist ratings, and 41% achieved clinically significant improvement.
Conclusions:
- Multicomponent CBT is effective for treating hoarding disorder.
- Treatment refusal and compliance are potential challenges.
- Further research with independent assessors is recommended to confirm benefits and durability.
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