Category: Obsessive Compulsive and Related Disorders

Symposium

Buried in Treasures in Miami: A Replication of the Effectiveness of a Biblio-Based Support Group for Hoarding Disorder

Saturday, November 18
8:30 AM - 10:00 AM
Location: Indigo Ballroom E, Level 2, Indigo Level

Keywords: Hoarding | Group Therapy | Self-Help
Presentation Type: Symposium

Despite the development of efficacious cognitive behavioral therapies (CBT), hoarding disorder (HD) remains a complex clinical challenge. While CBT is associated with significant reductions in severity, clinical levels of hoarding symptoms persist for greater than half of treatment completers, indicating that existing therapies could be further improved. A second concern is that most patients with HD lack access to suitable care, given a lack of trained professionals and a high cost of treatment. With this in mind, Frost and colleagues developed a non-professionally facilitated, short-term, action-oriented, support group based on the Buried in Treasures (BIT) self-help book (Tolin, Frost & Steketee, 2010). Two studies conducted by Frost et al found these groups to be effective, yet it is unclear whether the BIT groups would be as efficacious if they were administered within a different community and by someone not affiliated with Frost et al.


The aim of the current study was to examine the effectiveness of the BIT groups for HD patients (N=41) recruited from the diverse Miami catchment area. Patients enrolled in the BIT groups were assessed at baseline, mid/post-treatment, and 1 month follow-up. Both hoarding (e.g., Saving Inventory Revised (SIR), Hoarding Rating Scale (HRS)), and associated features (e.g., distress tolerance, self-control) were considered. Procedures for the Miami BIT mirrored the original Frost et al. effectiveness study. Facilitators were senior undergraduate students at the University of Miami who attended one brief training on HD.  Repeated Measures ANOVA across 4 levels of time demonstrated a significant effect of time on both HRS interview scores F(3,26)=14.1, p

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