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In-person and online-delivered acceptance and commitment therapy for hoarding disorder: A multiple baseline study
Journal of Contextual Behavioral Science ( IF 5.138 ) Pub Date : 2021-02-04 , DOI: 10.1016/j.jcbs.2021.02.001
Clarissa W. Ong , Jennifer Krafft , Franchessca Panoussi , Julie M. Petersen , Michael E. Levin , Michael P. Twohig

Hoarding disorder (HD) is associated with distress and functional impairment not only for the individual but also for their family members and community. Acceptance and commitment therapy (ACT) already has broad empirical support and may be helpful for treating HD. In this nonconcurrent multiple baseline study (N = 6), we examined the effect of ACT on HD symptom severity, functional impairment, quality of life, co-occurring symptoms, and other outcomes. Participants consistently reported decreases in HD severity, clutter, functional impairment due to clutter, and depression at posttreatment. Scores were maintained at follow-up for two of three participants. Changes in other variables like quality of life and psychological inflexibility were less consistent. Overall, our findings preliminarily support the efficacy of ACT for HD especially for symptom severity, but the reliability of its effect on other outcomes like quality of life and psychological inflexibility is unclear. Limitations include a homogeneous (100% White women) sample.



中文翻译:

ho积症的面对面和在线交付的接受和承诺治疗:多基线研究

ard积病(HD)不仅对个人而且对他们的家庭成员和社区都造成困扰和功能障碍。接受和承诺治疗(ACT)已经有广泛的经验支持,可能有助于治疗HD。在这种非并发的多个基线研究(Ñ = 6),我们检查了ACT对HD症状严重程度,功能障碍,生活质量,同时出现的症状和其他结局的影响。参与者一致报告,HD严重程度降低,混乱,由于混乱导致的功能障碍和治疗后抑郁。在随访中,三分之二的参与者保持评分。生活质量和心理僵化等其他变量的变化则不太一致。总体而言,我们的研究结果初步支持了ACT对HD的疗效,特别是对于症状严重程度,但尚不清楚其对其他结局(如生活质量和心理僵硬)的影响是否可靠。局限性包括均质(100%的白人女性)样本。

更新日期:2021-02-04
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