Short-term cognitive-behavioral group treatment for hoarding disorder: A naturalistic treatment outcome study

Richard Moulding, Maja Nedeljkovic, Michael Kyrios, Debra Osborne, Christopher Mogan

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

The study aim was to test whether a 12-week publically rebated group programme, based upon Steketee and Frost's Cognitive Behavioural Therapy-based hoarding treatment, would be efficacious in a community-based setting. Over a 3-year period, 77 participants with clinically significant hoarding were recruited into 12 group programmes. All completed treatment; however, as this was a community-based naturalistic study, only 41 completed the post-treatment assessment. Treatment included psychoeducation about hoarding, skills training for organization and decision making, direct in-session exposure to sorting and discarding, and cognitive and behavioural techniques to support out-of-session sorting and discarding, and nonacquiring. Self-report measures used to assess treatment effect were the Savings Inventory—Revised (SI-R), Savings Cognition Inventory, and the Depression, Anxiety and Stress Scales. Pre-post analyses indicated that after 12 weeks of treatment, hoarding symptoms as measured on the SI-R had reduced significantly, with large effect sizes reported in total and across all subscales. Moderate effect sizes were also reported for hoarding-related beliefs (emotional attachment and responsibility) and depressive symptoms. Of the 41 participants who completed post-treatment questionnaires, 14 (34%) were conservatively calculated to have clinically significant change, which is considerable given the brevity of the programme judged against the typical length of the disorder. The main limitation of the study was the moderate assessment completion rate, given its naturalistic setting. This study demonstrated that a 12-week group treatment for hoarding disorders was effective in reducing hoarding and depressive symptoms in an Australian clinical cohort and provides evidence for use of this treatment approach in a community setting.

Original languageEnglish
Pages (from-to)235-244
Number of pages10
JournalClinical Psychology & Psychotherapy
Volume24
Issue number1
Early online date11 Jan 2016
DOIs
Publication statusPublished - Jan 2017
Externally publishedYes

Keywords

  • Cognitive Behaviour Therapy
  • Dissemination
  • Hoarding
  • Naturalistic
  • Treatment
  • Treatment Outcome

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