A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting
Background: Cognitive-behavioral group therapy for hoarding disorder (HD) is efficacious, but outcomes are modest and dropout rates are generally high. Clinical challenges in this population include high rates of comorbidity and difficulty regulating and tolerating negative emotions, which may reduc...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Journal of Affective Disorders Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915322001421 |
| _version_ | 1797985540302176256 |
|---|---|
| author | Jessica R. Grisham Keong Yap Simone Isemann Jeanettte Svehla Nancy Briggs Melissa M. Norberg |
| author_facet | Jessica R. Grisham Keong Yap Simone Isemann Jeanettte Svehla Nancy Briggs Melissa M. Norberg |
| author_sort | Jessica R. Grisham |
| collection | DOAJ |
| description | Background: Cognitive-behavioral group therapy for hoarding disorder (HD) is efficacious, but outcomes are modest and dropout rates are generally high. Clinical challenges in this population include high rates of comorbidity and difficulty regulating and tolerating negative emotions, which may reduce engagement with discarding exposures and lead to increased dropout. Methods: In the current naturalistic study, we evaluated standard group cognitive-behavioral therapy enhanced with a three-session emotion regulation module in a large sample of individuals (N = 115) seeking treatment for HD at a community mental health clinic. We evaluated outcomes for distress tolerance, as well as hoarding symptoms and comorbid depression and anxiety symptoms. Results: Distress tolerance was significantly improved at post-treatment, Hoarding symptoms, anxiety, and depression were also significantly decreased. Distress tolerance predicted more severe hoarding symptoms at baseline, but improvement in distress tolerance was not significantly associated with improvement in hoarding symptoms. Limitations: The primary limitation was the absence of a control treatment condition, but HD is known to be a chronic condition which tends not to improve in waitlist control conditions. Conclusions: Integrating emotion regulation strategies may provide an important pathway to improving treatment outcomes for hoarding disorder. |
| first_indexed | 2024-04-11T07:18:38Z |
| format | Article |
| id | doaj.art-4c53c54633ce4a6a8701d9fa8a6165b3 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-04-11T07:18:38Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-4c53c54633ce4a6a8701d9fa8a6165b32022-12-22T04:37:49ZengElsevierJournal of Affective Disorders Reports2666-91532022-12-0110100450A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community settingJessica R. Grisham0Keong Yap1Simone Isemann2Jeanettte Svehla3Nancy Briggs4Melissa M. Norberg5School of Psychology, UNSW Sydney, Australia; Corresponding author: Jessica R. Grisham, School of Psychology, UNSW Sydney, Kensington, NSW-2052, Australia.School of Psychology, UNSW Sydney, Australia; School of Behavioural and Health Sciences, Australian Catholic University, AustraliaLifeline Harbour to Hawkesbury, AustraliaLifeline Harbour to Hawkesbury, AustraliaSchool of Psychology, UNSW Sydney, AustraliaDepartment of Psychology, Macquarie University, AustraliaBackground: Cognitive-behavioral group therapy for hoarding disorder (HD) is efficacious, but outcomes are modest and dropout rates are generally high. Clinical challenges in this population include high rates of comorbidity and difficulty regulating and tolerating negative emotions, which may reduce engagement with discarding exposures and lead to increased dropout. Methods: In the current naturalistic study, we evaluated standard group cognitive-behavioral therapy enhanced with a three-session emotion regulation module in a large sample of individuals (N = 115) seeking treatment for HD at a community mental health clinic. We evaluated outcomes for distress tolerance, as well as hoarding symptoms and comorbid depression and anxiety symptoms. Results: Distress tolerance was significantly improved at post-treatment, Hoarding symptoms, anxiety, and depression were also significantly decreased. Distress tolerance predicted more severe hoarding symptoms at baseline, but improvement in distress tolerance was not significantly associated with improvement in hoarding symptoms. Limitations: The primary limitation was the absence of a control treatment condition, but HD is known to be a chronic condition which tends not to improve in waitlist control conditions. Conclusions: Integrating emotion regulation strategies may provide an important pathway to improving treatment outcomes for hoarding disorder.http://www.sciencedirect.com/science/article/pii/S2666915322001421HoardingEmotion regulationDistress toleranceCognitive-behavioral therapy |
| spellingShingle | Jessica R. Grisham Keong Yap Simone Isemann Jeanettte Svehla Nancy Briggs Melissa M. Norberg A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting Journal of Affective Disorders Reports Hoarding Emotion regulation Distress tolerance Cognitive-behavioral therapy |
| title | A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting |
| title_full | A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting |
| title_fullStr | A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting |
| title_full_unstemmed | A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting |
| title_short | A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting |
| title_sort | naturalistic study of emotion regulation enhanced cognitive behavioral group therapy for hoarding disorder in a community setting |
| topic | Hoarding Emotion regulation Distress tolerance Cognitive-behavioral therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2666915322001421 |
| work_keys_str_mv | AT jessicargrisham anaturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT keongyap anaturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT simoneisemann anaturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT jeanetttesvehla anaturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT nancybriggs anaturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT melissamnorberg anaturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT jessicargrisham naturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT keongyap naturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT simoneisemann naturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT jeanetttesvehla naturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT nancybriggs naturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting AT melissamnorberg naturalisticstudyofemotionregulationenhancedcognitivebehavioralgrouptherapyforhoardingdisorderinacommunitysetting |