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Enhancing group cognitive‐behavioral therapy for hoarding disorder with between‐session Internet‐based clinician support: A feasibility study
Author(s) -
Ivanov Volen Z.,
Enander Jesper,
MataixCols David,
Serlachius Eva,
Månsson Kristoffer N.T.,
Andersson Gerhard,
Flygare Oskar,
Tolin David,
Rück Christian
Publication year - 2018
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22589
Subject(s) - psychology , attendance , cognitive behavioral therapy , session (web analytics) , clinical psychology , hoarding (animal behavior) , group psychotherapy , hoarding disorder , psychotherapist , cognitive therapy , the internet , cognition , intervention (counseling) , psychiatry , medicine , obsessive compulsive , world wide web , feeding behavior , computer science , economics , economic growth
Objective Hoarding 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. Method Twenty participants with HD received group CBT combined with an Internet‐support system enabling therapist–participant communication between group sessions. Results The treatment was associated with a significant reduction on the Saving Inventory—Revised (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. Conclusion The 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.