Cognitive behavioural therapy (CBT) for problematic hoarding is an effective treatment, but further research in diverse, naturalistic settings is needed to see whether this treatment is effective across settings and in smaller doses. The current study investigated the outcome of a 12-session group CBT for hoarding offered in an outpatient hospital setting. Sixty-four participants completed therapy, and 38 participants completed posttreatment assessments. Results demonstrated statistically significant improvements in hoarding symptom severity, saving cognitions, and self-reported distress tolerance. Effect sizes for changes in saving cognitions were generally large. However, effect sizes were modest for most other outcome variables, and only 4 of 38 participants achieved clinically significant change in hoarding symptom severity. These results suggest that 12 sessions of group CBT for hoarding is associated with significant change in saving cognitions, but less meaningful change in other indicators of symptom severity.

中文翻译：

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CBT 在自然主义环境中对有问题的囤积的结果：对症状和痛苦耐受性的影响

有问题的囤积行为的认知行为疗法 (CBT) 是一种有效的治疗方法，但需要在不同的自然环境中进行进一步研究，以了解这种疗法是否在不同环境和较小剂量下有效。目前的研究调查了在门诊医院环境中提供的 12 节 CBT 小组囤积的结果。64 名参与者完成了治疗，38 名参与者完成了治疗后评估。结果表明，在囤积症状严重程度、保存认知和自我报告的痛苦承受能力方面有统计学意义的改善。储蓄认知变化的效应量通常很大。然而，对于大多数其他结果变量来说，效果大小是适度的，38 名参与者中只有 4 名在囤积症状严重程度方面取得了临床上的显着变化。