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

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

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cognition
  • Cognitive Behavioral Therapy*
  • Feasibility Studies
  • Female
  • Hoarding Disorder / therapy*
  • Humans
  • Internet*
  • Male
  • Middle Aged
  • Psychotherapy, Group* / methods
  • Treatment Outcome