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Group cognitive-behavioral therapy for hoarding disorder: an open trial
Christina M Gilliam1, Melissa M Norberg, Anna Villavicencio
1Anxiety Disorders Center, The Institute of Living/Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA. cgilliam@harthosp.org
Behaviour Research and Therapy
|September 20, 2011
Summary
Group cognitive-behavioral therapy (CBT) offers an effective, less labor-intensive treatment for hoarding disorder. This approach shows significant symptom improvement, comparable to individual CBT, potentially increasing accessibility.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Therapy
Background:
- Hoarding disorder treatment is often labor-intensive.
- Cognitive-behavioral therapy (CBT) is a promising approach.
- Need for accessible and effective interventions is high.
Purpose of the Study:
- To assess the effectiveness of group CBT for hoarding disorder.
- To evaluate a model of group CBT without clinician home visits.
- To determine if group CBT can reduce clinician burden and treatment costs.
Main Methods:
- Forty-five individuals with hoarding disorder were enrolled in group CBT (16 or 20 sessions).
- Mixed-effects models were used to analyze data from 35 participants.
- Treatment outcomes included hoarding symptoms, depression, anxiety, and quality of life.
Main Results:
- Participants showed significant improvements in hoarding, depression, and anxiety symptoms.
- Quality of life also significantly improved post-treatment.
- Hoarding symptom improvement was comparable to published individual CBT trials.
Conclusions:
- Group CBT for hoarding disorder, without home visits, is an effective treatment.
- This approach may enhance treatment accessibility by reducing clinician burden.
- Group CBT presents a potentially more cost-effective intervention for hoarding disorder.
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