Journal
JOURNAL OF CLINICAL PSYCHOLOGY
Volume 74, Issue 7, Pages 1092-1105Publisher
WILEY
DOI: 10.1002/jclp.22589
Keywords
behavioral group therapy; cognitive-behavioral therapy; hoarding; internet-based interventions
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Funding
- Stockholm County Council
- Karolinska Institutet
- Bror Gadelius foundation
- Fredrik and Ingrid Thuring foundation
- FORTE
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ObjectiveHoarding disorder (HD) is difficult to treat. In an effort to increase efficacy and engagement in cognitive-behavioral therapy (CBT), we developed and evaluated a novel intervention comprising group CBT combined with between-session Internet-based clinician support for people with HD. MethodTwenty participants with HD received group CBT combined with an Internet-support system enabling therapist-participant communication between group sessions. ResultsThe treatment was associated with a significant reduction on the Saving InventoryRevised (SI-R) and a large effect size (Cohen's d=1.57) was found at posttreatment. Treatment gains were maintained at the 3-month follow-up. Group attendance was high and no participants dropped out from treatment prematurely. Between-session motivational support from the therapist was most frequently mentioned as the main strength of the system. ConclusionThe results of this study support adding Internet-based clinician support to group CBT for HD to increase treatment adherence and, potentially, improve the overall efficacy of CBT.
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