Skip to main content Accessibility help
×
×
Home

Randomised clinical trial of community-based peer-led and psychologist-led group treatment for hoarding disorder

  • Carol A. Mathews (a1), Robert Scott Mackin (a2), Chia-Ying Chou (a3), Soo Y. Uhm (a3), Larry David Bain (a4), Sandra J. Stark (a4), Michael Gause (a5), Ofilio R. Vigil (a6), John Franklin (a7), Mark Salazar (a8), Julian Plumadore (a7), Lauren C. Smith (a9), Kiya Komaiko (a9), Gillian Howell (a10), Eduardo Vega (a11), Joanne Chan (a12), Monika B. Eckfield (a13), Janice Y. Tsoh (a2) and Kevin Delucchi (a2)...

Abstract

Background

Treatment for hoarding disorder is typically performed by mental health professionals, potentially limiting access to care in underserved areas.

Aims

We aimed to conduct a non-inferiority trial of group peer-facilitated therapy (G-PFT) and group psychologist-led cognitive–behavioural therapy (G-CBT).

Method

We randomised 323 adults with hording disorder 15 weeks of G-PFT or 16 weeks of G-CBT and assessed at baseline, post-treatment and longitudinally (≥3 months post-treatment: mean 14.4 months, range 3–25). Predictors of treatment response were examined.

Results

G-PFT (effect size 1.20) was as effective as G-CBT (effect size 1.21; between-group difference 1.82 points, t = −1.71, d.f. = 245, P = 0.04). More homework completion and ongoing help from family and friends resulted in lower severity scores at longitudinal follow-up (t = 2.79, d.f. = 175, P = 0.006; t = 2.89, d.f. = 175, P = 0.004).

Conclusions

Peer-led groups were as effective as psychologist-led groups, providing a novel treatment avenue for individuals without access to mental health professionals.

Declaration of interest

C.A.M. has received grant funding from the National Institutes of Health (NIH) and travel reimbursement and speakers’ honoraria from the Tourette Association of America (TAA), as well as honoraria and travel reimbursement from the NIH for serving as an NIH Study Section reviewer. K.D. receives research support from the NIH and honoraria and travel reimbursement from the NIH for serving as an NIH Study Section reviewer. R.S.M. receives research support from the National Institute of Mental Health, National Institute of Aging, the Hillblom Foundation, Janssen Pharmaceuticals (research grant) and the Alzheimer's Association. R.S.M. has also received travel support from the National Institute of Mental Health for Workshop participation. J.Y.T. receives research support from the NIH, Patient-Centered Outcomes Research Institute and the California Tobacco Related Research Program, and honoraria and travel reimbursement from the NIH for serving as an NIH Study Section reviewer. All other authors report no conflicts of interest.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Randomised clinical trial of community-based peer-led and psychologist-led group treatment for hoarding disorder
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Randomised clinical trial of community-based peer-led and psychologist-led group treatment for hoarding disorder
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Randomised clinical trial of community-based peer-led and psychologist-led group treatment for hoarding disorder
      Available formats
      ×

Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

Corresponding author

Correspondence: Carol A. Mathews, MD, Department of Psychiatry, University of Florida, 100 South Newell Drive, L4-100, Gainesville, Florida 32610, USA. Email: carolmathews@ufl.edu

References

Hide All
1American Psychiatric Association A. Diagnostic and Statistical Manual of Mental Disorders (5th edn). American Psychiatric Association, 2013.
2Tolin, DF, Frost, RO, Steketee, G, Gray, KD, Fitch, KE. The economic and social burden of compulsive hoarding. Psychiatry Res 2008; 160(2): 200–11.
3Harris, J. Household hoarding and residential fires. Proceedings of Int Congr Appl Psychol, Melbourne, 2010.
4Frost, RO, Steketee, G, Williams, L. Hoarding: a community health problem. Health Soc Care Community 2000; 8(4): 229–34.
5Tolin, DF, Frost, RO, Steketee, G, Fitch, KE. Family burden of compulsive hoarding: results of an internet survey. Behav Res Ther 2008; 46(3): 334–44.
6Frost, RO, Steketee, G, Williams, LF, Warren, R. Mood, personality disorder symptoms and disability in obsessive compulsive hoarders: a comparison with clinical and nonclinical controls. Behav Res Ther 2000; 38(11): 1071–81.
7Ayers, CR, Saxena, S, Golshan, S, Wetherell, JL. Age at onset and clinical features of late life compulsive hoarding. Int J Geriatr Psychiatry 2010; 25(2): 142–9.
8Frost, RO, Steketee, G, Tolin, DF. Comorbidity in hoarding disorder. Depress Anxiety 2011; 28(10): 876–84.
9Mackin, RS, Vigil, O, Insel, P, Kivowitz, A, Kupferman, E, Hough, CM, et al. Patterns of clinically significant cognitive impairment in hoarding disorder. Depress Anxiety 2016; 33(3): 211–8.
10Brakoulias, V, Eslick, GD, Starcevic, V. A meta-analysis of the response of pathological hoarding to pharmacotherapy. Psychiatry Res 2015; 229(1–2): 272–6.
11Tolin, DF, Frost, RO, Steketee, G, Muroff, J. Cognitive behavioral therapy for hoarding disorder: a meta-analysis. Depress Anxiety 2015; 32(3): 158–66.
12Williams, M, Viscusi, JA. Hoarding disorder and a systematic review of treatment with cognitive behavioral therapy. Cogn Behav Ther 2016; 45(2): 93110.
13Mathews, CA, Uhm, S, Chan, J, Gause, M, Franklin, J, Plumadore, J, et al. Treating hoarding disorder in a real-world setting: results from the Mental Health Association of San Francisco. Psychiatry Res 2016; 237: 331–8.
14Muroff, J, Steketee, G, Himle, J, Frost, R. Delivery of internet treatment for compulsive hoarding (D.I.T.C.H.). Behav Res Ther 2010; 48(1): 7985.
15Koenig, TL, Leiste, MR, Spano, R, Chapin, RK. Multidisciplinary team perspectives on older adult hoarding and mental illness. J Elder Abuse Negl 2013; 25(1): 5675.
16Muroff, J, Steketee, G, Frost, RO, Tolin, DF. Cognitive behavior therapy for hoarding disorder: follow-up findings and predictors of outcome. Depress Anxiety 2014; 31(12): 964–71.
17Uhm, SY, Tsoh, JY, Mackin, RS, Gause, M, Chan, J, Franklin, J, et al. Comparison of a peer facilitated support group to cognitive behavior therapy: study protocol for a randomized controlled trial for hoarding disorder. Contemp Clin Trials 2016; 50: 98105.
18Frost, RO, Steketee, G, Grisham, J. Measurement of compulsive hoarding: saving inventory-revised. Behav Res Ther 2004; 42(10): 1163–82.
19Saxena, S, Ayers, CR, Dozier, ME, Maidment, KM. The UCLA Hoarding Severity Scale: development and validation. J Affect Disord 2015; 175: 488–93.
20Frost, RO, Steketee, G, Tolin, DF, Renaud, S. Development and validation of the Clutter Image Rating. J Psychopathol Behav Assess 2008; 30: 193203.
21Nordsletten, AE, de la Cruz, LF, Pertusa, A, Reichenberg, A, Hotopf, M, Hatch, SL, et al. The Structured Interview for Hoarding Disorder (SIHD): development, further validation, and pragmatic usage. J Obsessive Compuls Relat Disord 2013; 2(3): 346–50.
22Nasreddine, ZS, Phillips, NA, Bedirian, V, Charbonneau, S, Whitehead, V, Collin, I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005; 53(4): 695–9.
23Steketee, G, Frost, RO. Compulsive Hoarding and Acquiring: Therapist Guide. Oxford University Press, 2006.
24Steketee, G, Frost, RO. Compulsive Hoarding and Acquiring: Workbook. Oxford University Press, 2007.
25Tolin, DF, Steketee, G, Frost, RO. Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding. Oxford University Press, 2007.
26Shuer, LJ, Frost, RO. Leading the Buried in Treasures Workshop: A Facilitator's Manual. Smith College, 2011 (https://www.nationalcouncildocs.net/wp-content/uploads/2013/11/Shuer-Frost-2011-Buried-in-Treasures-Workshop.pdf).
27Frost, RO, Hristova, V, Steketee, G, Tolin, DF. Activities of Daily Living Scale in hoarding disorder. J Obsessive Compuls Relat Disord 2013; 2(2): 8590.
28Steketee, G, Frost, RO, Kyrios, M. Cognitive aspects of compulsive hoarding. Cogn Ther Res 2003; 27(4): 463–79.
29Beck, AT, Steer, RA, Ball, R, Ranieri, W. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess 1996; 67(3): 588–97.
30Beck, AT, Epstein, N, Brown, G, Steer, RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988; 56(6): 893–7.
31Swanson, JM, Schuck, S, Mann, MM, Carlson, C, Hartman, CA, Sergeant, JA, et al. Categorical and dimensional definitions and evaluations of symptoms of ADHD: the SNAP and the SWAN rating scales. Int J Educ Psychol Assess 2012; 10(1): 5170.
32Conners, CK. Conners’ Continuous Performance Test II: Computer Program for Windows Technical Guide and Software Manual. Multi-Health Systems, 2000.
33Benedict, RH. Brief Visuospatial Memory Test-Revised. Psychological Assessment Resources, Inc, 1997.
34Wechsler, D. Wechsler Abbreviated Scale of Intelligence. Psychological Corporation, 1999.
35Frost, RO, Ruby, D, Shuer, LJ. The buried in treasures workshop: waitlist control trial of facilitated support groups for hoarding. Behav Res Ther 2012; 50(11): 661–7.
36Gilliam, CM, Norberg, MM, Villavicencio, A, Morrison, S, Hannan, SE, Tolin, DF. Group cognitive-behavioral therapy for hoarding disorder: an open trial. Behav Res Ther 2011; 49(11): 802–7.
37Frost, RO, Hristova, V. Assessment of hoarding. J Clin Psychol 2011; 67(5): 456–66.
38Frost, RO, Pekareva-Kochergina, A, Maxner, S. The effectiveness of a biblio-based support group for hoarding disorder. Behav Res Ther 2011; 49(10): 628–34.
39Grisham, JR, Norberg, MM. Compulsive hoarding: current controversies and new directions. Dialogues Clin Neurosci 2010; 12(2): 233–40.
40Mataix-Cols, D, Pertusa, A. Annual research review: hoarding disorder: potential benefits and pitfalls of a new mental disorder. J Child Psychol Psychiatry 2012; 53(5): 608–18.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Open
  • ISSN: -
  • EISSN: 2056-4724
  • URL: /core/journals/bjpsych-open
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Type Description Title
WORD
Supplementary materials

Mathews et al. supplementary material
Mathews et al. supplementary material 1

 Word (96 KB)
96 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Randomised clinical trial of community-based peer-led and psychologist-led group treatment for hoarding disorder

  • Carol A. Mathews (a1), Robert Scott Mackin (a2), Chia-Ying Chou (a3), Soo Y. Uhm (a3), Larry David Bain (a4), Sandra J. Stark (a4), Michael Gause (a5), Ofilio R. Vigil (a6), John Franklin (a7), Mark Salazar (a8), Julian Plumadore (a7), Lauren C. Smith (a9), Kiya Komaiko (a9), Gillian Howell (a10), Eduardo Vega (a11), Joanne Chan (a12), Monika B. Eckfield (a13), Janice Y. Tsoh (a2) and Kevin Delucchi (a2)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *