Treating Hoarding Disorder in a real-world setting: Results from the Mental Health Association of San Francisco

Psychiatry Research
Carol A MathewsEduardo Vega

Abstract

Hoarding Disorder (HD) is associated with substantial distress, impairment, and individual and societal costs. Cognitive-behavioral therapy (CBT) tailored to HD is the best-studied form of treatment and can be led by mental health professionals or by non-professionals (peers) with specific training. No previous study has directly compared outcomes for therapist-led and peer-led groups, and none have examined the effectiveness of these groups in a real-world setting. We used retrospective data to compare psychologist-led CBT groups (G-CBT) to groups led by peer facilitators using the Buried in Treasures workbooks (G-BiT) in individuals who sought treatment for HD from the Mental Health Association of San Francisco. The primary outcome was change in Hoarding Severity Scale scores. Approximate costs per participant were also examined. Both G-CBT and G-BiT showed improvement consistent with previous reports (22% improvement overall). After controlling for baseline group characteristics, there were no significant differences in outcomes between G-CBT and G-BiT. For G-CBT, where additional outcome data were available, functional impairment and severity of hoarding symptoms improved to a similar degree as compared to previous G-CBT st...Continue Reading

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Citations

Jul 24, 2018·Health & Social Care in the Community·Yuliya BodryzlovaKieron O'Connor
Aug 15, 2019·Current Psychiatry Reports·Eliza J DavidsonCatherine R Ayers
Aug 20, 2021·Clinical Psychology & Psychotherapy·Jonathan DavidMelissa M Norberg

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