Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T07:42:31.344Z Has data issue: false hasContentIssue false
  • English
  • Français

Outcome of CBT for Problematic Hoarding in a Naturalistic Setting: Impact on Symptoms and Distress Tolerance

Published online by Cambridge University Press:  15 October 2019

Karen Rowa Open the ORCID record for Karen Rowa [Opens in a new window] ,
Duncan Cameron ,
Noam Soreni ,
Joelle LeMoult  and
Randi E McCabe
Karen Rowa*
Affiliation:
Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
Duncan Cameron
Affiliation:
Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada McMaster Integrated Neuroscience Program, McMaster University, Hamilton, Ontario, Canada
Noam Soreni
Affiliation:
Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
Joelle LeMoult
Affiliation:
Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada
Randi E McCabe
Affiliation:
Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada McMaster Integrated Neuroscience Program, McMaster University, Hamilton, Ontario, Canada
*
*Corresponding author: Karen Rowa, Ph.D, Anxiety Treatment and Research Clinic, St. Joseph's Healthcare, 100 West 5th St., Hamilton, ON, CanadaL8N 3K7. Email: [email protected]
Get access

Abstract

Cognitive behavioural therapy (CBT) for problematic hoarding is an effective treatment, but further research in diverse, naturalistic settings is needed to see whether this treatment is effective across settings and in smaller doses. The current study investigated the outcome of a 12-session group CBT for hoarding offered in an outpatient hospital setting. Sixty-four participants completed therapy, and 38 participants completed posttreatment assessments. Results demonstrated statistically significant improvements in hoarding symptom severity, saving cognitions, and self-reported distress tolerance. Effect sizes for changes in saving cognitions were generally large. However, effect sizes were modest for most other outcome variables, and only 4 of 38 participants achieved clinically significant change in hoarding symptom severity. These results suggest that 12 sessions of group CBT for hoarding is associated with significant change in saving cognitions, but less meaningful change in other indicators of symptom severity.

Keywords

hoardingcognitive behavioural therapydistress toleranceoutcome
Type
Standard Paper
Information
Behaviour Change , Volume 37 , Issue 1 , April 2020 , pp. 13 - 21
Copyright
Copyright © The Author(s) 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Cohen, J (1988) Statistical power analysis for the behavioral sciences. (2nd ed.) Hillsdale, NJ: Erlbaum.Google Scholar
Frost, RO and Hartl, TL (1996). A cognitive-behavioral model of compulsive hoarding. Behaviour Research and Therapy, 34, 341–350.CrossRefGoogle ScholarPubMed
Frost, RO, Steketee, G and Grisham, J (2004). Measurement of compulsive hoarding: Saving Inventory-Revised. Behaviour Research and Therapy, 42, 1163–1182.CrossRefGoogle ScholarPubMed
Gilliam, CM, Norberg, MM, Villavicencio, A, Morrison, S, Hannan, SE and Tolin, DF (2011). Group cognitive-behavioral therapy for hoarding disorder: An open trial. Behaviour Research and Therapy, 49, 802–807.CrossRefGoogle ScholarPubMed
Gross, JJ and John, OP (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362.CrossRefGoogle ScholarPubMed
Iervolino, AC, Perroud, N, Fullana, MA, Guipponi, M, Cherkas, L, Collier, DA and Mataix-Cols, D (2009). Prevalence and heritability of compulsive hoarding: A twin study. The American Journal of Psychiatry, 166, 1156–1161.CrossRefGoogle ScholarPubMed
John, OP and Gross, JJ (2004). Healthy and unhealthy emotion regulation: Personality processes, individual differences, and lifespan development. Journal of Personality, 72, 1301–1334.CrossRefGoogle Scholar
Levy, HC, Worden, BL, Gilliam, CM, D'Urso, C, Steketee, G, Frost, RO and Tolin, DF (2017). Changes in saving cognitions mediate hoarding symptom change in cognitive-behavioral therapy for hoarding disorder. Journal of Obsessive-Compulsive and Related Disorders, 14, 112–118.CrossRefGoogle ScholarPubMed
Mathes, BM, Oglesby, ME, Short, NA, Portero, AK, Raines, AM and Schmidt, NB (2017). An examination of the role of intolerance of distress and uncertainty in hoarding symptoms. Comprehensive Psychiatry, 72, 121–129.CrossRefGoogle ScholarPubMed
Mathews, CA, Uhm, S, Chan, J, Gause, M, Franklin, J, Plumadore, J … Vega, E (2016). Treating hoarding disorder in a real-world setting: Results from the mental health association of san francisco. Psychiatry Research, 237, 331–338.CrossRefGoogle Scholar
Moulding, R, Nedeljkovic, M, Kyrios, M, Osborne, D and Mogan, C (2017). Short-term cognitive–behavioural group treatment for hoarding disorder: A naturalistic treatment outcome study. Clinical Psychology & Psychotherapy, 24, 235–244.CrossRefGoogle ScholarPubMed
Muroff, J, Steketee, G, Bratiotis, C and Ross, A (2012). Group cognitive and behavioral therapy and bibliotherapy for hoarding: A pilot trial. Depression and Anxiety, 29, 597–604.CrossRefGoogle ScholarPubMed
Muroff, J, Steketee, G, Frost, RO and Tolin, DF (2014). Cognitive behavior therapy for hoarding disorder: Follow-up findings and predictors of outcome. Depression and Anxiety, 31, 964–971.CrossRefGoogle ScholarPubMed
Phung, PJ, Moulding, R, Taylor, JK and Nedeljkovic, M (2015). Emotional regulation, attachment to possessions, and hoarding. Scandinavian Journal of Psychology, 56, 573–581.CrossRefGoogle ScholarPubMed
Samuels, JF, Bienvenu, OJ, Grados, MA, Cullen, B, Riddle, MA, Liang, K … Nestadt, G (2008). Prevalence and correlates of hoarding behavior in a community-based sample. Behaviour Research and Therapy, 46, 836–844.CrossRefGoogle Scholar
Shaw, AM and Timpano, KR (2016). An experimental investigation of the effect of stress on saving and acquiring behavioral tendencies: The role of distress tolerance and negative urgency. Behavior Therapy, 47, 116–129.CrossRefGoogle ScholarPubMed
Simons, JS and Gaher, RM (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29, 83–102.CrossRefGoogle Scholar
Steketee, G and Frost, RO (2007a). Compulsive hoarding and acquiring: Therapist guide. Oxford: Oxford University Press.Google Scholar
Steketee, G and Frost, RO (2007b). Compulsive hoarding and acquiring: Workbook. Oxford: Oxford University Press.Google Scholar
Steketee, G, Frost, RO and Kyrios, M (2003). Cognitive aspects of compulsive hoarding. Cognitive Therapy and Research, 27, 463–479.CrossRefGoogle Scholar
Steketee, G, Frost, RO, Tolin, DF, Rasmussen, J and Brown, TA (2010). Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder. Depression and Anxiety, 27, 476–484.CrossRefGoogle ScholarPubMed
Taylor, JK, Moulding, R and Nedeljkovic, M (2018). Emotion regulation and hoarding symptoms. Journal of Obsessive Compulsive and Related Disorders, 18, 86–97.CrossRefGoogle Scholar
Timpano, KR, Shaw, AM, Cougle, JR and Fitch, KE (2014). A multifaceted assessment of emotional tolerance and intensity in hoarding. Behavior Therapy, 45, 690–699.CrossRefGoogle ScholarPubMed
Timpano, KR, Buckner, JD, Richey, JA, Murphy, DL and Schmidt, NB (2009). Exploration of anxiety senstitivity and distress tolerance as vulnerability factors for hoarding behaviors. Depression and Anxiety, 26, 343–353.CrossRefGoogle Scholar
Tolin, DF, Fitch, KE, Frost, RO and Steketee, G (2010). Family informants’ perceptions of insight in compulsive hoarding. Cognitive Therapy and Research, 34, 69–81.CrossRefGoogle Scholar
Tolin, DF, Frost, RO and Steketee, G (2007). An open trial of cognitive-behavioral therapy for compulsive hoarding. Behaviour Research and Therapy, 45, 1461–1470.CrossRefGoogle ScholarPubMed
Tolin, DF, Frost, RO, Steketee, G, Gray, KD and Fitch, KE (2008). The economic and social burden of compulsive hoarding. Psychiatry Research, 160, 200–211.CrossRefGoogle ScholarPubMed
Tolin, DF, Frost, RO, Steketee, G and Muroff, J (2015). Cognitive behavioral therapy for hoarding disorder: A meta-analysis. Depression and Anxiety, 32, 158–166.CrossRefGoogle ScholarPubMed