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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Group Cognitive Rehabilitation and Exposure/Sorting Therapy: A Pilot Program.

Catherine R Ayers1,2,3, Mary E Dozier1,2, Charles T Taylor2

  • 1VA San Diego Healthcare System, 3350 La Jolla Village Drive 116B, San Diego, CA 92161, USA.

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|July 17, 2020
PubMed
Summary
This summary is machine-generated.

Cognitive rehabilitation and exposure/sorting therapy (CREST) and group exposure therapy (ET) show promise for hoarding disorder (HD). CREST demonstrated significant reductions in anxiety and depression, while both therapies reduced hoarding symptoms.

Keywords:
Behavior therapyHoardingTreatment

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Area of Science:

  • Psychiatry
  • Behavioral Science
  • Clinical Psychology

Background:

  • Cognitive-behavioral therapy (CBT) for hoarding disorder (HD) yields significant symptom reduction, but many individuals retain substantial symptoms post-treatment.
  • Further research into behavioral treatments is needed to improve outcomes for hoarding disorder.

Purpose of the Study:

  • To evaluate the efficacy of group cognitive rehabilitation and exposure/sorting therapy (CREST) and group exposure therapy (ET) for hoarding disorder.
  • To compare the effectiveness of CREST and ET in reducing hoarding symptoms and associated psychological distress.

Main Methods:

  • A mixed-effects linear regression model with an intent-to-treat sample was employed.
  • Participants underwent either group CREST or group ET.
  • Primary outcome measures assessed hoarding symptom severity, anxiety, and depression from baseline to post-treatment.

Main Results:

  • Both group CREST and group ET led to significant decreases in hoarding symptom severity from baseline to post-treatment.
  • Participants in the group CREST condition reported statistically significant reductions in anxiety and depression.
  • Participants in the group ET condition did not show statistically significant reductions in anxiety and depression.

Conclusions:

  • Preliminary evidence suggests both group CREST and group ET are effective behavioral treatments for hoarding disorder.
  • Group CREST may offer additional benefits by reducing comorbid anxiety and depression symptoms.
  • Further investigation is warranted to confirm the long-term efficacy and comparative effectiveness of these group interventions for hoarding disorder.