Efficacy and mediators of a group cognitive-behavioral therapy for hoarding disorder: A randomized trial.
Efficacy and mediators of a group cognitive-behavioral therapy for hoarding disorder: A randomized trial.
复制标题
团体认知行为疗法治疗囤积症的功效和调节因素：一项随机试验。
DOI：
10.1037/ccp0000405
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发表时间：
2019
影响因子：
5.9
通讯作者：
Stevens,MichaelC
中科院分区：
文献类型：
--
作者：
Tolin,DavidF;Wootton,BethanyM;Levy,HannahC;Hallion,LaurenS;Worden,BlaiseL;Diefenbach,GretchenJ;Jaccard,James;Stevens,MichaelC
囤积症（HD）是一种常见的和潜在的衰弱性精神疾病。到目前为止，心理治疗产生的效果不大，而且/或者实施起来既费时又费钱。本研究的目的是测试一个简短的组认知行为治疗（CBT）成人HD的疗效和测试假设的调解人的treatment outcome.Method87成人HD的初步诊断随机立即CBT或等待名单。CBT包括每周16次，90分钟的小组会议，强调在会议期间练习放弃和避免获取，决策和解决问题的培训，情绪困扰的容忍度，动机性面试策略和应急管理。参与者进行了评估，在治疗前，治疗中期，和治疗后的独立评估不知道治疗condition.ResultsCBT是有效的HD的症状相比，等待名单。储蓄相关的认知，但不是主观的认知障碍，部分介导的treatment outcomes.ConclusionBrief Group CBT是一种有效的和可行的治疗成人HD，部分介导的减少适应不良的信念财产。将CBT与积极治疗进行比较的优先级试验，以及对治疗结果机制的额外研究是必要的。（PsycInfo数据库记录（c）2020阿帕，保留所有权利）
ObjectiveHoarding disorder (HD) is a common and potentially debilitating psychiatric disorder. Thus far, psychological treatments have yielded modest effects and/or were time-consuming and costly to deliver. The aim of the present study was to test the efficacy of a brief group cognitive–behavioral therapy (CBT) for adults with HD and to test hypothesized mediators of treatment outcome.MethodEighty-seven adults with a primary diagnosis of HD were randomized to either immediate CBT or wait list. CBT consisted of 16 weekly, 90-min group sessions that emphasized in-session practice of discarding and refraining from acquiring, decision-making and problem-solving training, emotional distress tolerance, motivational interviewing strategies, and contingency management. Participants were assessed at pretreatment, midtreatment, and posttreatment by an independent evaluator unaware of treatment condition.ResultsCBT was efficacious for the symptoms of HD compared with wait list. Saving-related cognitions, but not subjective cognitive impairment, partially mediated treatment outcomes.ConclusionBrief Group CBT is an efficacious and feasible treatment for adults with HD, and is partially mediated by reductions in maladaptive beliefs about possessions. Superiority trials comparing CBT to active treatments, and additional research into mechanisms of treatment outcome, are warranted.(PsycInfo Database Record (c) 2020 APA, all rights reserved)