Evidence map›Paper›PMID 23831173›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014

Novel treatment for geriatric hoarding disorder: an open trial of cognitive rehabilitation paired with behavior therapy.

Catherine R Ayers, Sanjaya Saxena, Emmanuel Espejo, Elizabeth W Twamley, Eric Granholm, Julie Loebach Wetherell

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Venlafaxine extended-release treatment of hoarding disorder.International clinical psychopharmacology · 2014
    Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. A Network Analysis of Hoarding Symptoms, Saving and Acquiring Motives, and Comorbidity.Journal of obsessive-compulsive and related disorders · 2020
    Article
  14. Article
  15. Review
  16. Article
  17. Predictors of treatment outcome and attrition in adults with hoarding disorder.Journal of obsessive-compulsive and related disorders · 2018
    Article
  18. Article
  19. Age-Specific Prevalence of Hoarding and Obsessive Compulsive Disorder: A Population-Based Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    Article
  20. Executive Functioning in Participants Over Age of 50 with Hoarding Disorder.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Catherine R AyersResearch Service, VA San Diego Healthcare System, San Diego, CA; Psychology Service, VA San Diego Healthcare System, San Diego, CA; Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA. Electronic address: cayers@ucsd.edu.
Sanjaya SaxenaDepartment of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA.
Emmanuel EspejoPsychology Service, VA San Diego Healthcare System, San Diego, CA; Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA.
Elizabeth W TwamleyDepartment of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA; Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA.
Eric GranholmPsychology Service, VA San Diego Healthcare System, San Diego, CA; Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA.
Julie Loebach WetherellPsychology Service, VA San Diego Healthcare System, San Diego, CA; Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA.
University of California, San Diego · USVA San Diego Healthcare System · US

Funding

New Intervention for Geriatric Anxiety in Primary CareK23MH067643 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WETHERELL, JULIE L · 2003 to 2007
$723k
NIMH NIH HHS K23 MH067643
6 · The paper itself

Abstract

objectivesTo investigate the feasibility of an age-adapted, manualized behavioral treatment for geriatric hoarding.

methodsParticipants 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.

resultsResults 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.

conclusionsThe 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.

Indexed as

Cognitive Behavioral TherapyAgedAgingFemaleHoarding DisorderHumansMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeCBTcognitive remediationhoardingOCDolder adults

Identifiers

PMID23831173
PMCPMC4095978
OpenAlexW2071492606

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.