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Comparing the Efficacy of Defusion, Self-as-Context, and Distraction Strategies for Getting Rid of Possessions.
Journal of Cognitive Psychotherapy ( IF 0.6 ) Pub Date : 2020-08-01 , DOI: 10.1891/jcpsy-d-20-00010
Clarissa W Ong 1 , Carina L Terry 2 , Michael P Twohig 2
Affiliation  

Interventions for hoarding disorder need to target difficulty letting go of items to reduce clutter and improve functioning. The present studies were designed to test the efficacy of brief cognitive interventions for letting go of possessions and self-report outcomes. Participants (N = 67 in Study 1; N = 110 in Study 2) received training on defusion or distraction in Study 1 and defusion, self-as-context, or distraction in Study 2 and completed measures at pre- and postintervention. Study 1 found no differences between defusion and distraction on saving, self-rated discomfort with discarding, or perceived importance of the target belonging. In Study 2, participants provided most favorable feedback for self-as-context compared to defusion and distraction, indicating promise of this strategy. Nonetheless, findings from both studies overall provide minimal support for use of present procedures to reduce saving. Limitations include use of nonclinical samples and single-item variables to obtain participant feedback.

中文翻译:

比较解散、自我作为背景和分心策略在摆脱财产方面的功效。

囤积障碍的干预措施需要针对放开物品的困难,以减少混乱并改善功能。目前的研究旨在测试短暂认知干预对放弃财产和自我报告结果的有效性。参与者(研究 1 中的 N = 67;研究 2 中的 N = 110)在研究 1 中接受了关于分散或分心的培训,在研究 2 中接受了分散、自我情境或分散的培训,并在干预前和干预后完成了测量。研究 1 发现在储蓄方面的分散注意力和分心、自评对丢弃的不适感或对目标归属感的重要性感知之间没有差异。在研究 2 中,与分散和分心相比,参与者对自我情境提供了最有利的反馈,表明这种策略的前景。尽管如此,这两项研究的结果总体上对使用现有程序来减少储蓄提供了最低限度的支持。限制包括使用非临床样本和单项变量来获得参与者的反馈。
更新日期:2020-08-01
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