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Comparison of peer-facilitated support group and cognitive behavioral therapy for hoarding disorder
Investigator (PI): Mathews, Carol
Performing Organization (PO): (Current): University of California, San Francisco, San Francisco General Hospital, Department of Psychiatry, Langley Porter Psychiatric Hospital and Clinics / (415) 476-7500
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2014
Final Year: 2018
Record Source/Award ID: PCORI/CE-1304-6000
Funding: Total Award Amount: $2,028,071
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Number of Subjects: 300
Population Base: Adult
Abstract: Background: Hoarding disorder (HD) is a common syndrome that that can cause significant problems for individuals, families, and communities. HD is defined as 1) ongoing problems with discarding or parting with personal possessions, even items with no clear value; 2) strong urges to save items, and distress or indecision about what to discard; and 3) the accumulation of so many items that the space cannot be used for its usual purposes. HD can cause increased social isolation (due in part to public and self-stigma associated with hoarding challenges), anxiety and depression, and physical safety risks. However, treatment options for HD are limited. One of the best treatments is cognitive behavioral therapy (CBT) with a mental health provider who is trained to treat HD. However, not everyone has access to CBT. Additionally, some people with HD may be unable to go to a mental health provider for treatment. Instead, they may join support groups or contact consumer advocacy groups for help. Therefore, alternative and more accessible forms of treatment are needed. There is some evidence suggesting that support group treatment led by individuals from the community (usually with peers who are in recovery from HD) using a workbook for hoarding may work as well as CBT to reduce symptoms; however, this treatment has not been well studied, and it has never been compared to CBT. Objectives: This study will compare the effectiveness of group CBT to peer-facilitated support group treatment based on the workbook Buried in Treasures (BiT). We are interested in answering several questions that are important to individuals with hoarding challenges and their families and care providers: 1) Is peer-led BiT group treatment for HD as effective as group CBT led by a trained mental health professional? 2) Are specific individual characteristics (for example, gender or presence of depressive symptoms) associated with treatment response? 3) Do individuals with HD have strong preferences for a particular type of treatment, and do those preferences influence how well people respond to treatment? Methods: This study is a partnership between researchers at UCSF and the Mental Health Association of San Francisco (MHASF). A total of 300 adults with HD will be randomly assigned to participate in 16 weeks of either CBT or BiT group treatment. A series of questionnaires and tests will be given to each person before and after they get treatment to look at how severe their hoarding symptoms are, and whether they have other important symptoms such as anxiety, depression, or problems processing information. We will compare participants in the two groups to see how much improvement they made in reducing their hoarding symptoms after treatment. We will also look at whether we can predict who will respond to these treatments based on the findings from the tests and questionnaires.
MeSH Terms:
  • Cognitive Behavioral Therapy /*methods
  • Comparative Effectiveness Research
  • Depression /complications
  • /therapy
  • Health Services Accessibility
  • Hoarding /complications
  • /*therapy
  • Humans
  • Outcome Assessment, Health Care
  • Peer Group
  • Psychotherapy, Group /*methods
  • Randomized Controlled Trials as Topic
  • San Francisco
  • Social Stigma
  • Social Support
  • Stress, Psychological
  • Universities
Country: United States
State: California
Zip Code: 94143
UI: 20143501
CTgovId: NCT02040805
Project Status: Completed
Record History: ('2017: Project extended to 2018.',)