Department of Psychology, Smith College, Northampton, MA 01063, USA.
Behav Res Ther. 2012 Nov;50(11):661-7. doi: 10.1016/j.brat.2012.08.004. Epub 2012 Aug 24.
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 for help. One alternative is support groups that require relatively few resources. Frost, Pekareva-Kochergina, and Maxner (2011) reported significant declines in hoarding symptoms following a non-professionally run 13-week support group (The Buried in Treasures [BIT] Workshop). The BIT Workshop is a highly structured and short term support group. The present study extended these findings by reporting on the results of a waitlist control trial of the BIT Workshop. Significant declines in all hoarding symptom measures were observed compared to a waitlist control. The treatment response rate for the BIT Workshop was similar to that obtained by previous individual and group treatment studies, despite its shorter length and lack of a trained therapist. The BIT Workshop may be an effective adjunct to cognitive behavior therapy for hoarding disorder, or an alternative when cognitive behavior therapy is inaccessible.
囤积是一种严重的心理病理学形式，它与重大的健康和安全问题有关，也是社会和经济负担的来源（Tolin、Frost、Steketee 和 Fitch，2008 年；Tolin、Frost、Steketee、Gray 和 Fitch，2008 年）。囤积症治疗的最新进展在个体和团体治疗方面都取得了一定的成功。然而，这些治疗方法的成本和有限的可及性使得许多囤积症患者没有获得帮助的选择。一种替代方法是支持小组，这种方法需要的资源相对较少。Frost、Pekareva-Kochergina 和 Maxner（2011 年）报告称，在一个非专业运行的 13 周支持小组（The Buried in Treasures [BIT] Workshop）之后，囤积症状显著下降。BIT 研讨会是一个高度结构化和短期的支持小组。本研究通过报告 BIT 研讨会的候补名单对照试验结果，扩展了这些发现。与候补名单对照相比，所有囤积症状测量都有显著下降。与以前的个体和团体治疗研究相比，BIT 研讨会的治疗反应率相似，尽管它的长度较短，而且没有经过培训的治疗师。BIT 研讨会可能是认知行为疗法治疗囤积障碍的有效辅助手段，或者是认知行为疗法不可及的替代方法。
