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J Clin Psychol. 2018 Jul;74(7):1092-1105. doi: 10.1002/jclp.22589. Epub 2018 Feb 7.

Enhancing group cognitive-behavioral therapy for hoarding disorder with between-session Internet-based clinician support: A feasibility study.

Author information

1
Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.
2
Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
3
Department of Psychology, Stockholm University, Stockholm, Sweden.
4
Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
5
The Institute of Living, Yale University School of Medicine, New Haven, CT, USA.

Abstract

OBJECTIVE:

Hoarding disorder (HD) is difficult to treat. In an effort to increase efficacy and engagement in cognitive-behavioral therapy (CBT), we developed and evaluated a novel intervention comprising group CBT combined with between-session Internet-based clinician support for people with HD.

METHOD:

Twenty participants with HD received group CBT combined with an Internet-support system enabling therapist-participant communication between group sessions.

RESULTS:

The treatment was associated with a significant reduction on the Saving Inventory-Revised (SI-R) and a large effect size (Cohen's d = 1.57) was found at posttreatment. Treatment gains were maintained at the 3-month follow-up. Group attendance was high and no participants dropped out from treatment prematurely. Between-session motivational support from the therapist was most frequently mentioned as the main strength of the system.

CONCLUSION:

The results of this study support adding Internet-based clinician support to group CBT for HD to increase treatment adherence and, potentially, improve the overall efficacy of CBT.

KEYWORDS:

behavioral group therapy; cognitive-behavioral therapy; hoarding; internet-based interventions

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