Objectives
To investigate the feasibility of an age-adapted, manualized behavioral treatment
for geriatric hoarding.
Methods
Participants were 11 older adults (mean age: 66 years) with hoarding disorder. Treatment
encompassed 24 individual sessions of psychotherapy that included both cognitive rehabilitation
targeting executive functioning and exposure to discarding/not acquiring. Hoarding
severity was assessed at baseline, mid-treatment, and posttreatment.
Results
Results demonstrated clinically and statistically significant changes in hoarding
severity at posttreatment. No participants dropped out of treatment. Eight participants
were classified as treatment responders, and three as partial responders. Partial
responders reported severe/extreme hoarding and psychiatric comorbidities at baseline.
Conclusions
The combination of cognitive rehabilitation and exposure therapy is a promising approach
in the treatment of geriatric hoarding. Targeting neurocognitive deficits in behavioral
therapy for these geriatric patients with hoarding disorder doubled response rates
relative to our previous trial of cognitive behavior therapy alone.
Key Words
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Article info
Publication history
Published online: July 08, 2013
Accepted:
February 15,
2013
Received in revised form:
February 4,
2013
Received:
November 22,
2012
Identification
Copyright
Published by Elsevier Inc.
