Research Service, VA San Diego Healthcare System, San Diego, CA 92161, USA.
Behav Res Ther. 2011 Oct;49(10):689-94. doi: 10.1016/j.brat.2011.07.002. Epub 2011 Jul 13.
This investigation examined response to a manualized cognitive-behavioral therapy (CBT) protocol for compulsive hoarding (Steketee & Frost, 2007) in a sample of 12 adults over age 65. All participants were cognitively intact, not engaging in any other psychotherapy, and had compulsive hoarding as their primary problem. All received 26 sessions of individual CBT over the course of 17 weeks. The primary outcome measures were the Savings Inventory-Revised and UCLA Hoarding Severity Scale, which were administered at baseline, mid-treatment, post-treatment, and 6-month follow-up. Other outcomes included Clinical Global Impression (CGI) scores, depression, anxiety, disability, and clutter image ratings. Results demonstrated statistically significant changes on hoarding severity and depression. However, only three of the twelve participants were classified as treatment responders at post-treatment, and their gains were not maintained at 6-month follow-up. CGI, anxiety, disability, and clutter ratings were unchanged at post-treatment and follow-up. No participants dropped out, but homework compliance was variable and correlated with decreases in hoarding severity. Findings suggest that older adults with compulsive hoarding may require an enhanced or alternative treatment.
本研究调查了在 12 名年龄在 65 岁以上的成年人样本中，对强制性囤积症（Steketee & Frost，2007）进行的认知行为疗法（CBT）方案的反应。所有参与者认知功能完整，未接受任何其他心理治疗，且以强迫性囤积为主要问题。所有参与者都在 17 周内接受了 26 次个体 CBT。主要结果测量包括储蓄清单修订版和 UCLA 囤积严重程度量表，这些量表在基线、治疗中期、治疗后和 6 个月随访时进行了评估。其他结果包括临床总体印象（CGI）评分、抑郁、焦虑、残疾和杂乱图像评分。结果表明，在囤积严重程度和抑郁方面发生了统计学显著变化。然而，在治疗后只有 12 名参与者中的 3 名被归类为治疗反应者，并且他们的改善在 6 个月随访时没有维持。在治疗后和随访时，CGI、焦虑、残疾和杂乱评分均未改变。没有参与者退出，但家庭作业的依从性是可变的，并且与囤积严重程度的降低相关。研究结果表明，患有强制性囤积症的老年人可能需要增强或替代治疗。
