Anxiety Disorders Center, The Institute of Living/Hartford Hospital, 200 Retreat Avenue, Hartford, CT 06106, USA.
Behav Res Ther. 2011 Nov;49(11):802-7. doi: 10.1016/j.brat.2011.08.008. Epub 2011 Sep 3.
Although cognitive-behavioral therapy (CBT) appears to be a promising treatment approach for hoarding disorder, treatment to date has been quite labor intensive. The goal of this study, therefore, was to assess the potential effectiveness of group CBT for hoarding, without home visits by the clinician. Forty-five individuals with hoarding disorder enrolled in either a 16 or 20 session program of group CBT; 30 (67%) completed treatment. Using mixed-effects models to account for missing data, we report data from 35 (78%) participants who provided enough data for analysis. Participants demonstrated significant improvements in hoarding symptoms, as well as symptoms of depression and anxiety, and quality of life. Improvements in hoarding symptoms were comparable to two published clinical trials on individual CBT for hoarding disorder. Results of this study suggest that group CBT for hoarding, without home discarding sessions by the clinician, may be an effective treatment option with the potential advantage of increasing treatment access by reducing clinician burden and cost of treatment.
虽然认知行为疗法（CBT）似乎是一种很有前途的囤积症治疗方法，但迄今为止的治疗方法非常耗费精力。因此，本研究的目的是评估不进行临床家访的团体认知行为疗法治疗囤积症的潜在效果。45 名患有囤积症的患者参加了 16 或 20 次团体认知行为疗法课程；30 名（67%）完成了治疗。使用混合效应模型来解释缺失数据，我们报告了 35 名（78%）参与者的数据，这些参与者提供了足够的数据进行分析。参与者在囤积症状以及抑郁和焦虑症状和生活质量方面都有显著改善。囤积症状的改善与两项关于个体认知行为疗法治疗囤积症的已发表临床试验相当。这项研究的结果表明，不进行临床家访的团体认知行为疗法治疗囤积症可能是一种有效的治疗选择，其潜在优势是通过减少临床医生的负担和治疗成本来增加治疗的可及性。
