Match!

Acceptability of treatments and services for individuals with hoarding behaviors

Published on Oct 1, 2016in Journal of Obsessive-Compulsive and Related Disorders1.391
· DOI :10.1016/j.jocrd.2016.07.001
Carolyn I. Rodriguez16
Estimated H-index: 16
(Stanford University),
Amanda R. Levinson5
Estimated H-index: 5
(SBU: Stony Brook University)
+ 6 AuthorsHelen Blair Simpson41
Estimated H-index: 41
(Columbia University)
Abstract
Abstract Objective To explore the acceptability of currently available treatments and services for individuals who self-report hoarding behaviors. Method Between 10/2013 and 8/2014, participants were invited to complete an online survey that provided them descriptions of eleven treatments and services for hoarding behaviors and asked them to evaluate their acceptability using quantitative (0 [not at all acceptable]−10 [completely acceptable]) Likert scale ratings. The a priori definition of acceptability for a given resource was an average Likert scale score of six or greater. Two well-validated self-report measures assessed hoarding symptom severity: the Saving Inventory-Revised and the Clutter Image Rating Scale. Results Two hundred and seventy two participants who self-reported having hoarding behaviors completed the questionnaire. Analyses focused on the 73% of responders ( n =203) who reported clinically significant hoarding behaviors (i.e., Saving Inventory-Revised scores of ≥40). The three most acceptable treatments were individual cognitive behavioral therapy (6.2±3.1 on the Likert scale), professional organizing service (6.1±3.2), and use of a self-help book (6.0±3.0). Conclusion In this sample of individuals with self-reported clinically significant hoarding behaviors ( n =203), only 3 out of 11 treatments and services for hoarding were deemed acceptable using an a priori score. While needing replication, these findings indicate the need to design more acceptable treatments and services to engage clients and maximize treatment outcomes for hoarding disorder.
  • References (45)
  • Citations (8)
📖 Papers frequently viewed together
85 Citations
68 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References45
Newest
#1Jasmin Knopp-Hoffer (MAHSC: Manchester Academic Health Science Centre)H-Index: 3
#2Sarah Knowles (MAHSC: Manchester Academic Health Science Centre)H-Index: 15
Last. Penny Bee (University of Manchester)H-Index: 23
view all 5 authors...
Background Low intensity interventions based on cognitive-behavioral therapy (CBT) such as computerized therapy or guided self-help can offer effective and accessible care for mild to moderate mental health problems. However, critics argue that by reducing therapist input and the level of experience of the professionals delivering therapy, low intensity interventions deprive users of critical ‘active ingredients’. Thus, while demand management arguments support the use of low intensity intervent...
6 CitationsSource
#1David F. Tolin (Yale University)H-Index: 43
#2Randy O. Frost (Smith College)H-Index: 67
Last. Jordana Muroff (BU: Boston University)H-Index: 15
view all 4 authors...
85 CitationsSource
#1Sanjaya Saxena (UCSD: University of California, San Diego)H-Index: 41
#2Jennifer SumnerH-Index: 1
Hoarding disorder, classified as a separate disorder in Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5), is a common, chronic, and potentially disabling syndrome that can be difficult to treat. Only one previous study prospectively measured response to pharmacotherapy in compu
22 CitationsSource
68 CitationsSource
This study presents nationally representative data on the prevalence and the correlates of difficulty discarding, a behavior described in many psychiatric disorders, including a new diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, called hoarding disorder. Data were derived from the National Epidemiologic Survey on Alcohol and Related Conditions, a national sample of the US population (N=43,093). Difficulty discarding worn-out/worthless items (assessed by a ...
9 CitationsSource
19 CitationsSource
#1Randy O. Frost (Smith College)H-Index: 67
#2Dylan Ruby (Smith College)H-Index: 2
Last. Lee Shuer (Northampton Community College)H-Index: 2
view all 3 authors...
Abstract Hoarding is a serious form of psychopathology that has been associated with significant health and safety concerns, as well as the source of social and economic burden ( Tolin, Frost, Steketee, & Fitch, 2008 ; Tolin, Frost, Steketee, Gray, & Fitch, 2008 ). Recent developments in the treatment of hoarding have met with some success for both individual and group treatments. Nevertheless, the cost and limited accessibility of these treatments leave many hoarding sufferers without options f...
37 CitationsSource
#1Jordana Muroff (BU: Boston University)H-Index: 15
#2Gail SteketeeH-Index: 67
Last. Abigail M. RossH-Index: 9
view all 4 authors...
Background Group cognitive behavioral treatments (GCBTs) for hoarding have produced modest benefits. The current study examined whether the outcomes of a specialized GCBT improve upon bibliotherapy (BIB) for hoarding, as part of a stepped care model. We also explored whether additional home assistance enhanced GCBT outcomes. Methods Hoarding patients (n = 38) were randomized and completed one of three conditions: (1) GCBT with nonclinician home assistants (GCBT+HA; N = 11), (2) GCBT without HA (...
48 CitationsSource
#1David F. Tolin (Yale University)H-Index: 43
#2Michael C. Stevens (Yale University)H-Index: 57
Last. Samantha MorrisonH-Index: 3
view all 5 authors...
Abstract Hoarding Disorder (HD) is a common and chronic condition that is associated with distinct abnormalities in neural function. The impact of treatment on these abnormalities is not known. Six patients with HD and 6 healthy control (HC) participants underwent a functional magnetic resonance imaging (fMRI) task in which they made simulated decisions about whether to acquire or discard a variety of objects. The HD patients then received 16 sessions of manualized group cognitive behavioral the...
17 CitationsSource
#1Catrin LewisH-Index: 6
#2Jennifer PearceH-Index: 4
Last. Jonathan Ian BissonH-Index: 38
view all 3 authors...
Background Self-help interventions for psychiatric disorders represent an increasingly popular alternative to therapist-administered psychological therapies, offering the potential of increased access to cost-effective treatment. Aims To determine the efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders. Method Randomised controlled trials (RCTs) of self-help interventions for anxiety disorders were identified by searching nine online databases. Studies...
107 CitationsSource
Cited By8
Newest
#2Jan Treur (VU: VU University Amsterdam)H-Index: 37
In this paper, an adaptive cognitive agent model is presented that describes both the process of development of a hoarding disorder and recovery from it by therapy. The adaptive agent model was evaluated by simulation experiments and comparison of them with expected patterns known from the literature. Moreover, mathematical analysis was performed of the equilibria of the agent model and used to verify the model. The model can be the basis for a virtual agent model that may support a therapist in...
Source
Abstract Hoarding is a complex mental health and public health problem that requires innovative approaches and interventions. This article reviews the existing empirical literature on technology-supported interventions for hoarding behaviors. Such interventions include online self-help resources, videoconferencing and webcam-based individual and group treatment, “blended” face-to-face plus therapist assisted online programs, as well as virtual reality. Technology-based interventions may extend a...
Source
#1Eliza J. Davidson (UCSD: University of California, San Diego)
#2Mary E. Dozier (UCSD: University of California, San Diego)H-Index: 8
Last. Catherine R. Ayers (UCSD: University of California, San Diego)H-Index: 18
view all 8 authors...
Purpose of Review The purpose of the following paper is to review recent literature trends and findings in hoarding disorder (HD). Our goal is to highlight recent research on etiology, associated features, and empirically based treatments.
Source
Hoarding is often described as a medical disorder, defined by a persistent difficulty in discarding possessions and associated high levels of emotional distress when forced to part with these. This article will discuss how having a different view of hoarding, seeing hoarding as a daily occupation which provides value, purpose, and meaning and with a relationship to self-identity and life purpose, could offer alternate interventions to support an individual who hoards. The article will consider t...
Source
#1Omer Linkovski (Stanford University)H-Index: 4
#2Jordana Zwerling (Stanford University)H-Index: 4
Last. Carolyn I. Rodriguez (Stanford University)H-Index: 16
view all 19 authors...
Abstract Hoarding disorder is characterized by difficulty parting with possessions and by clutter that impairs the functionality of living spaces. Cognitive behavioral therapy conducted by a therapist (individual or in a group) for hoarding symptoms has shown promise. For those who cannot afford or access the services of a therapist, one alternative is an evidence-based, highly structured, short-term, skills-based group using CBT principles but led by non-professional facilitators (the Buried in...
1 CitationsSource
#1Volen Z. Ivanov (KI: Karolinska Institutet)H-Index: 5
#2Jesper Enander (KI: Karolinska Institutet)H-Index: 10
Last. Christian Rück (KI: Karolinska Institutet)H-Index: 36
view all 9 authors...
7 CitationsSource
#1Claire Thompson ('KCL': King's College London)H-Index: 5
#2Lorena Fernández de la Cruz (KI: Karolinska Institutet)H-Index: 14
Last. Juliana Onwumere ('KCL': King's College London)H-Index: 19
view all 4 authors...
Abstract Introduction Hoarding disorder (HD) affects at least 1.5% of the population and is considered to be hard to treat. The current study aimed to systematically review the treatments designed to improve HD symptoms and family impact. Method Searches of PsycINFO, MEDLINE, EMBASE, and Web of Science were undertaken. Studies were included if: (i) the study evaluated an intervention for hoarding problems; (ii) outcome measures were reported; and (iii) study results were published in an indexed ...
10 CitationsSource
#2Omer LinkovskiH-Index: 4
Last. Carolyn I. RodriguezH-Index: 16
view all 4 authors...
Source