Cognitive-behavioral therapy for geriatric compulsive hoarding.
Cognitive-behavioral therapy for geriatric compulsive hoarding.
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用于老年强迫性ho积的认知行为疗法。
DOI：
10.1016/j.brat.2011.07.002
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发表时间：
2011-10
影响因子：
4.1
通讯作者：
Saxena S
中科院分区：
文献类型：
--
作者：
Ayers CR;Wetherell JL;Golshan S;Saxena S
本研究以12名65岁以上的成年人为样本，探讨了对强迫性囤积症的手动认知行为治疗（CBT）方案的反应。所有的参与者都是认知完整的，没有参与任何其他心理治疗，并且强迫囤积是他们的主要问题。在17周的时间里，所有人都接受了26次单独的CBT。主要结果指标是储蓄量表修订版和UCLA囤积严重程度量表，在基线、治疗中期、治疗后和6个月随访时进行。其他结果包括临床总体印象（CGI）评分、抑郁、焦虑、残疾和杂乱图像评分。结果表明，囤积严重程度和抑郁的统计学显着变化。然而，12名参与者中只有3名在治疗后被归类为治疗反应者，并且他们的增益在6个月随访时没有保持。CGI、焦虑、残疾和混乱评分在治疗后和随访时均无变化。没有参与者退出，但家庭作业的遵守情况各不相同，并且与囤积严重程度的降低相关。研究结果表明，患有强迫性囤积症的老年人可能需要加强或替代治疗。
This investigation examined response to a manualized cognitive-behavioral therapy (CBT) protocol for compulsive hoarding in a sample of 12 adults over age 65. All participants were cognitively intact, not engaging in any other psychotherapy, and had compulsive hoarding as their primary problem. All received 26 sessions of individual CBT over the course of 17 weeks. The primary outcome measures were the Savings Inventory-Revised and UCLA Hoarding Severity Scale, which were administered at baseline, mid-treatment, post-treatment, and 6-month follow-up. Other outcomes included Clinical Global Impression (CGI) scores, depression, anxiety, disability, and clutter image ratings. Results demonstrated statistically significant changes on hoarding severity and depression. However, only three of the twelve participants were classified as treatment responders at post-treatment, and their gains were not maintained at 6-month follow-up. CGI, anxiety, disability, and clutter ratings were unchanged at post-treatment and follow-up. No participants dropped out, but homework compliance was variable and correlated with decreases in hoarding severity. Findings suggest that older adults with compulsive hoarding may require an enhanced or alternative treatment.
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影响因子：
4.1
作者：
Mohlman, J;Gorman, JM
通讯作者：
Gorman, JM
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
影响因子：
5.3
作者：
Saxena, S;Maidment, KM;Bystritsky, A
通讯作者：
Bystritsky, A
影响因子：
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作者：
Hartl, TL;Frost, RO;Savage, CR
通讯作者：
Savage, CR
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作者：
Mueller, Astrid;Mitchell, James E.;de Zwaan, Martina
通讯作者：
de Zwaan, Martina