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Cognitive Rehabilitation and Exposure/Sorting Therapy for Late-Life Hoarding: Effects on Neuropsychological

Catherine R Ayers1,2, Eliza J Davidson3,4, Mary E Dozier3,4,5

  • 1Mental Healthcare Line, VA San Diego Healthcare System, California.

The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
|June 28, 2019
PubMed

Insights

Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) improved executive functioning in older adults with hoarding disorder. Specifically, CREST enhanced cognitive flexibility and inhibition, aiding task switching.

Area of Science:

  • Gerontology
  • Neuropsychology
  • Psychiatry

Background:

  • Hoarding disorder (HD) is marked by compulsive saving and clutter, often linked to executive functioning deficits.
  • Previous research established Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) as effective for reducing hoarding symptoms in older adults.

Purpose of the Study:

  • To investigate the impact of CREST on executive functioning in older adults diagnosed with hoarding disorder.
  • To determine if CREST improves specific executive functions beyond its effects on hoarding symptoms.

Main Methods:

  • A randomized controlled trial compared CREST with a care management control group.
  • Participants underwent neurocognitive assessments at baseline and posttreatment.
  • Linear mixed models analyzed changes in global and specific executive functioning variables.

Main Results:

  • No significant improvement was observed in the Global Deficit score between groups.
  • Participants receiving CREST showed significant improvements in cognitive flexibility and inhibition compared to the control group.
  • These improvements suggest enhanced task switching abilities in the CREST group.

Conclusions:

  • CREST demonstrates potential for improving specific executive functions, such as cognitive flexibility and inhibition, in older adults with hoarding disorder.
  • These findings suggest CREST may enhance task switching capabilities, a crucial aspect of executive functioning.
Abstract

Keywords:
Executive functionGeriatric patientsHoardingMental health

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