Cognitive Rehabilitation and Exposure-based Class for Compulsive Hoarding

University of Miami

Status: Completed

Conditions: Hoarding Disorder

Treatments: Behavioral: Cognitive Rehabilitation and Exposure-based Class for Compulsive Hoarding

Study type: Interventional

Funder types: Other

Identifiers

NCT02306174

20140644

Details and patient eligibility

About

The purpose of this protocol is to investigate the effectiveness of a manualized, 20-week group cognitive rehabilitation (CR) and exposure therapy (ET) course for compulsive hoarding. The overarching aim is to understand whether this course will decrease the core symptoms of hoarding and associated features.

Enrollment: 200 estimated patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Include:

  • Individuals who exhibit subclinical and clinical levels of hoarding disorder, as determined by the SCID interview conducted at the screening assessment, will be eligible to participate in the study. Individuals may also display clinically relevant symptoms of hoarding as indicated by scores on the Hoarding Rating Scale Interview (HRS-I) and/or on the Saving Inventory-Revised (SIR).
  • Comorbid mood and anxiety disorders are permitted.
  • English-speaking
  • Pregnant women

Exclusion criteria

• Adults unable to consent
• Individuals who are not yet adults (infants, children, teenagers)
• Individuals who are over the age of 85
• Individuals with cognitive or physical impairments that would interfere with their participation (e.g., Dementia, uncorrected hearing)
• Participants who have current or past psychotic symptoms or current or past alcohol/substance abuse/dependence may also be excluded.
• Participants may also be excluded if they are currently in other forms of psychotherapy.
• Participants may be excluded if they have had a change in psychotropic medications within three months of the baseline assessment/first class.
• Participants may be excluded if hoarding is not their primary diagnosis.
• Prisoners

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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200 participants in 1 patient group

Cognitive Rehabilitation and Exposure-based Class for Compulsi

Experimental group

Description:

Cognitive training is to improve thinking by learning new skills and strategies. The class begins with cognitive training to increase ability to carry out the skills learned later in treatment. Exposure therapy for discarding and acquiring helps to improve ability to make choices about possessions and learn to tolerate anxiety. Participants will face making difficult choices about items and potentially letting them go. Through repeated exposure to decisions about discarding and acquiring, distress about letting go or making choices about items will decrease over time.

Treatment:

Behavioral: Cognitive Rehabilitation and Exposure-based Class for Compulsive Hoarding