Novel Treatment for Geriatric Hoarding Disorder: An Open Trial of Cognitive Rehabilitation Paired with Behavior Therapy
Novel Treatment for Geriatric Hoarding Disorder: An Open Trial of Cognitive Rehabilitation Paired with Behavior Therapy
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DOI：
10.1016/j.jagp.2013.02.010
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发表时间：
2014-03-01
影响因子：
7.2
通讯作者：
Wetherell, Julie Loebach
中科院分区：
文献类型：
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作者：
Ayers, Catherine R.;Saxena, Sanjaya;Wetherell, Julie Loebach
目的：探讨一种适合年龄的、操作化的行为治疗方法对老年囤积症的可行性。方法：研究对象为11名患有囤积症的老年人（平均年龄：66岁）。治疗包括24个单独的心理治疗疗程，包括针对执行功能的认知康复和暴露于丢弃/不获取。在基线、治疗中期和治疗后评估囤积严重程度。结果：结果显示，临床和统计学显着变化，囤积严重程度在治疗后。没有参与者退出治疗。8名参与者被归类为治疗应答者，3名被归类为部分应答者。部分应答者在基线时报告了重度/极端囤积和精神病合并症。结论：认知康复与暴露疗法相结合是治疗老年囤积症的一种有前途的方法。相对于我们之前单独进行的认知行为疗法试验，针对这些患有囤积症的老年患者的行为疗法中的神经认知缺陷，反应率增加了一倍。
Objectives: To investigate the feasibility of an age-adapted, manualized behavioral treatment for geriatric hoarding. Methods: Participants were 11 older adults (mean age: 66 years) with hoarding disorder. Treatment encompassed 24 individual sessions of psychotherapy that included both cognitive rehabilitation targeting executive functioning and exposure to discarding/not acquiring. Hoarding severity was assessed at baseline, mid-treatment, and posttreatment. Results: Results demonstrated clinically and statistically significant changes in hoarding severity at posttreatment. No participants dropped out of treatment. Eight participants were classified as treatment responders, and three as partial responders. Partial responders reported severe/extreme hoarding and psychiatric comorbidities at baseline. Conclusions: The combination of cognitive rehabilitation and exposure therapy is a promising approach in the treatment of geriatric hoarding. Targeting neurocognitive deficits in behavioral therapy for these geriatric patients with hoarding disorder doubled response rates relative to our previous trial of cognitive behavior therapy alone.