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Enhancing group cognitive-behavioral therapy for hoarding disorder with between-session Internet-based clinician
Volen Z Ivanov1,2, Jesper Enander1,2, David Mataix-Cols1,2
1Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.
Journal of Clinical Psychology
|February 8, 2018
Summary
This study combined group cognitive-behavioral therapy (CBT) with internet-based support for hoarding disorder (HD). The novel approach significantly reduced hoarding symptoms and improved treatment engagement.
Area of Science:
- Psychiatry
- Clinical Psychology
- Digital Health
Background:
- Hoarding disorder (HD) presents significant treatment challenges.
- Cognitive-behavioral therapy (CBT) is a primary treatment, but engagement can be limited.
Purpose of the Study:
- To evaluate a novel intervention combining group CBT with between-session Internet-based clinician support for HD.
- To enhance treatment efficacy and participant engagement in hoarding disorder therapy.
Main Methods:
- Twenty participants with HD received integrated treatment: group CBT plus an Internet-support system.
- The system facilitated therapist-participant communication between sessions.
Main Results:
- Significant reductions in hoarding symptoms (Saving Inventory-Revised) were observed posttreatment.
- A large effect size (Cohen's d = 1.57) indicated substantial treatment impact.
- Treatment gains were sustained at 3-month follow-up, with high attendance and no dropouts.
Conclusions:
- Integrating Internet-based clinician support with group CBT shows promise for improving hoarding disorder treatment.
- This blended approach may enhance treatment adherence and overall efficacy for HD.
- Between-session therapist support via the Internet was identified as a key strength.
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