Department of Psychology, The New School for Social Research, New York, NY, USA.
Department of Psychiatry, Lenox Hill, Northwell Health, New York, NY, USA.
Australas J Ageing. 2020 Dec;39(4):375-380. doi: 10.1111/ajag.12817. Epub 2020 Jul 1.
Hoarding disorder in older adults often develops in the context of co-occurring psychosocial maladies, and treatment response tends to be suboptimal. This preliminary investigation explored several ageing-related factors and their relationship to hoarding symptom severity (HSS), and examined treatment response to 15 sessions of cognitive behavioural therapy (CBT) with in-home support.
Twenty-nine participants (Mage = 67) completed self-report questionnaires measuring HSS, self-control, indecisiveness, depression, loneliness, social support and boredom, before (T1) and after (T2) treatment.
At T1, HSS was associated marginally with loneliness and significantly with all other variables, except social support. At T2, HSS and depression decreased significantly and only boredom and self-control remained associated with HSS. Attrition rates were high, and those with low social support were more likely to discontinue treatment prematurely.
Increasing social support may improve treatment retention, and pre-emptively reducing sources of boredom and increasing self-control during treatment might improve outcomes for older adults with hoarding disorder.
老年人囤积障碍常常在同时存在的心理社会疾病的背景下发展，且治疗反应往往欠佳。本初步研究探讨了几种与年龄相关的因素及其与囤积症状严重程度（HSS）的关系，并检查了 15 次认知行为治疗（CBT）联合家庭支持的治疗反应。
29 名参与者（Mage=67）在治疗前（T1）和治疗后（T2）完成了自我报告问卷，以测量 HSS、自我控制、优柔寡断、抑郁、孤独、社会支持和无聊。
在 T1 时，HSS 与孤独相关，与除社会支持外的所有其他变量相关。在 T2 时，HSS 和抑郁显著下降，仅无聊和自我控制与 HSS 相关。失访率较高，社会支持较低的人更有可能提前终止治疗。
增加社会支持可能会提高治疗的保留率，在治疗期间预先减少无聊源并增强自我控制，可能会改善老年囤积障碍患者的治疗结果。
