Ayers Catherine R, Dozier Mary E, Taylor Charles T, Mayes Tina L, Pittman James O E, Twamley Elizabeth W
VA San Diego Healthcare System, 3350 La Jolla Village Drive 116B, San Diego, CA 92161, USA.
San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA 92161, USA.
Cognit Ther Res. 2017 Nov 11;42:315-327.
While cognitive-behavioral therapy for hoarding disorder (HD) has resulted in significant reductions in symptoms, most individuals continue to have significant hoarding symptoms following treatment. This investigation sought to extend the literature on the behavioral treatments for hoarding by examining (1) group cognitive rehabilitation and exposure/sorting therapy (CREST) and (2) group exposure therapy (ET) for hoarding. Participants in both studies reported significant decreases in hoarding symptom severity from baseline to post-treatment on all primary outcome measures using mixed-effects linear regression models with the intent to treat sample. Participants who received group CREST reported statistically significant reductions in anxiety, depression, and overall severity at post-treatment, while participants who received group ET did not. Results provide preliminary evidence for both group CREST and group ET as effective treatments for hoarding disorder.
虽然针对囤积障碍（HD）的认知行为疗法已使症状显著减轻，但大多数患者在治疗后仍有明显的囤积症状。本研究旨在通过考察（1）团体认知康复与暴露/整理疗法（CREST）和（2）团体囤积暴露疗法（ET）来扩展囤积行为治疗的相关文献。两项研究的参与者均报告称，在使用意向性治疗样本的混合效应线性回归模型中，从基线到治疗后，所有主要结局指标上的囤积症状严重程度均显著降低。接受团体CREST治疗的参与者在治疗后焦虑、抑郁和总体严重程度方面有统计学意义的显著降低，而接受团体ET治疗的参与者则没有。结果为团体CREST和团体ET作为囤积障碍的有效治疗方法提供了初步证据。
