Trial reportThe Journal of clinical psychiatry
Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) for Hoarding Disorder in Older Adults: A Randomized Clinical Trial.
Trial report in The Journal of clinical psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01227057 (Treatment of Late Life Compulsive Hoarding), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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.
Treatment of Late Life Compulsive Hoarding
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Cognitive behavioural therapy and third-wave approaches for anxiety and related disorders in older people.The Cochrane database of systematic reviews · 2024Pooled it
- Cognitive rehabilitation and exposure/sorting therapy for hoarding disorder: A randomized controlled trial.Journal of consulting and clinical psychology · 2026Trial
- Non-immersive virtual environments for the treatment of hoarding disorder: a preliminary randomized controlled trial based on a non-clinical sample.BMC psychology · 2025Trial
- Adding executive function training to cognitive behavioral therapy for binge eating disorder: A pilot randomized controlled trial.Eating behaviors · 2023Trial
- Classification of hoarding and comorbid neuropsychiatric symptoms.Psychiatry research communications · 2025Article
- Rates of diagnosis and service utilization in veterans with hoarding disorder.Psychiatry research · 2024Article
- Multi-method study of the implementation of Cognitive Symptom Management and Rehabilitation Training (CogSMART) in real-world settings.BMC health services research · 2022Article
- Implementation and evaluation of a community-based treatment for late-life hoarding.International psychogeriatrics · 2021Article
- How well do hoarding research samples represent cases that rise to community attention?Behaviour research and therapy · 2020Article
- Recent Advances in Research on Hoarding.Current psychiatry reports · 2019Review
- Saving inventory - Revised: Psychometric performance across the lifespan.Journal of affective disorders · 2019Article
- Comparing clinical characteristics and treatment outcomes between Veterans and non-Veterans with hoarding disorder.Comprehensive psychiatry · 2018Article
- Predictors of treatment outcome and attrition in adults with hoarding disorder.Journal of obsessive-compulsive and related disorders · 2018Article
- Group Cognitive Rehabilitation and Exposure/Sorting Therapy: A Pilot Program.Cognitive therapy and research · 2017Article
- The Association between Age and Experienced Emotions in Hoarding Disorder.Clinical gerontologistArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo compare the efficacy of Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) with geriatric case management (CM) in a sample of older adults meeting DSM-5 diagnostic criteria for hoarding disorder (HD).
methodsFifty-eight older adults with HD were enrolled in a randomized controlled trial between December 2011 and March 2014. Thirty-one participants received CREST, and 27 participants received CM. Both interventions consisted of 26 individual sessions over a period of 6 months and included several home visits by the study therapists (CREST) or nurses (CM). The Saving Inventory-Revised (SI-R) and the UCLA Hoarding Severity Scale (UHSS) were the main outcome measures.
resultsParticipants in the CREST condition had significantly greater improvement on the SI-R than participants in the CM group (group × time interaction: β = 3.95, SE = 1.81, P = .029), with participants who completed the CREST condition averaging a 38% decrease in symptoms and participants who completed the CM condition averaging a 25% decrease in symptoms. In contrast, there was not a significant group × time interaction effect on the UHSS (β = 1.23, SE = 0.84, P = .144), although participants did report greater improvement in symptoms in the CREST condition (35%) than in the CM condition (24%). Treatment gains were maintained at 6-month follow-up.
conclusionsCREST appears to be an efficacious treatment compared to CM for older adults, but CM also showed meaningful benefits.
trial registrationClinicalTrials.gov identifier: NCT01227057.
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What OpenQuestion holds
Registered trials
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.