N/A
N=58
Hoarding Older Adults
Compulsive Hoarding
Bottom Line
View on ClinicalTrials.gov: NCT01227057 ↗Enrolled (actual)
58
Serious AEs
0.0%
Results posted
Jun 2016
Primary outcome: Primary: Hoarding Symptom Severity as Measured by the Saving Inventory-Revised (SI-R) at 6 Months — 35.44; 44.68 units on a scale — p=.029
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Cognitive Rehabilitation and Exposure Therapy for Compulsive Hoarding (Behavioral); Case Management (Behavioral)
- Age
- Adult, Older Adult · 60+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Apr 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Hoarding Symptom Severity as Measured by the Saving Inventory-Revised (SI-R) at 6 Months |
35.44; 44.68 | .029 sig |
| SECONDARY The Activities of Daily Living in Hoarding (ADL-H) |
21.09; 27.81 | .04 sig |
| SECONDARY Executive Functioning as Measured by the Delis Kaplan Executive Functioning System (D-KEFS) at 6 Months |
10.8; 10.8 | >.1 |
Summary
The purpose of this investigation is to examine treatment outcome of a new intervention for hoarding in older adults compared to standard case management for hoarding. The new intervention combines exposure therapy and cognitive remediation.
Eligibility Criteria
Inclusion Criteria
Participants must be between the ages of 60 - 85 years old and meet clinical criteria for Compulsive Hoarding (CH) developed by the Steketee and Frost (2000) research group. These criteria include:
- significant amount of clutter in active living spaces
- the urge to collect, buy, or acquire things
- an extreme reluctance to part with items
- clutter accumulation that causes distress or interferes with functioning
- symptom duration of at least 6 months
- the reluctance to part with items is not accounted for by other psychiatric conditions.
To be enrolled, patients must have:
- a score of 20 or greater on the University of California, Los Angeles Hoarding Severity Scale (UHSS)
- 40 or greater on the Savings Inventory-Revised (SI-R)
- severity rating of 4 or higher on the Anxiety Disorders Interview Schedule (ADIS-IV) rating scales for clutter and difficulty discarding
- and diagnosis confirmed at a consensus conference including at least two licensed professionals with expertise in CH (myself and at least one mentor).
Exclusion Criteria
- Individuals with moderate to severe cognitive deficits (scores below 23 on the MMSE) will be excluded.
- Prospective participants must not have active substance abuse problems.
- Participants will also be excluded if they are currently in other forms of psychotherapy.
- Participants must have no change in any psychotropic medications for at least three months prior to the initial assessment.
- Patients with current psychosis or mania will be excluded.
- Mood and anxiety disorders are permitted as long as compulsive hoarding is the primary diagnosis.
- Participants will are not eligible if they have active suicidal ideation, those participants will be given immediate medical or mental health attention.
Data sourced from ClinicalTrials.gov (NCT01227057). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.