Evidence map›Paper›PMID 29170732›Full record

ArticleJournal of obsessive-compulsive and related disorders2017

Changes in Saving Cognitions Mediate Hoarding Symptom Change in Cognitive-Behavioral Therapy for Hoarding Disorder.

Hannah C Levy, Blaise L Worden, Christina M Gilliam, Christine D'Urso, Gail Steketee, Randy O Frost, David F Tolin

Abstract read
In one paragraph

Article in Journal of obsessive-compulsive and related disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Recent Advances in Research on Hoarding.Current psychiatry reports · 2019
    Review
  11. Predictors of treatment outcome and attrition in adults with hoarding disorder.Journal of obsessive-compulsive and related disorders · 2018
    Article
  12. 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

7 authors.

Hannah C LevyAnxiety Disorders Center, Institute of Living, Hartford Hospital 200 Retreat Avenue, Hartford, CT 06106 USA.
Blaise L WordenAnxiety Disorders Center, Institute of Living, Hartford Hospital 200 Retreat Avenue, Hartford, CT 06106 USA.
Christina M GilliamAnxiety Disorders Center, Institute of Living, Hartford Hospital 200 Retreat Avenue, Hartford, CT 06106 USA.
Christine D'UrsoAnxiety Disorders Center, Institute of Living, Hartford Hospital 200 Retreat Avenue, Hartford, CT 06106 USA.
Gail SteketeeBoston University School of Social Work 264 Bay State Road, Boston, MA 02215 USA.
Randy O FrostDepartment of Psychology, Smith College 10 Elm Street, Northampton, MA 01063 USA.
David F TolinAnxiety Disorders Center, Institute of Living, Hartford Hospital 200 Retreat Avenue, Hartford, CT 06106 USA.

Funding

Psychopathology of Compulsive HoardingR01MH068007 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI STEKETEE, GAIL SUZANNE · 2005 to 2008
$1.1M
Treatment of Compulsive HoardingR21MH068539 · NIMH · BOSTON UNIVERSITY · PI STEKETEE, GAIL SUZANNE · 2003 to 2005
$466k
NIMH NIH HHS R01 MH068007NIMH NIH HHS R21 MH068539
6 · The paper itself

Abstract

Cognitive-behavioral therapy (CBT) is an empirically-supported treatment for hoarding disorder (HD). However, meta-analytic studies suggest that CBT is only modestly effective, and a significant number of individuals with HD remain symptomatic following treatment. To inform the development of more effective and targeted treatments, it will be important to clarify the mechanisms of treatment response in CBT for HD. To this end, the current study examined whether change in maladaptive saving beliefs mediated symptom change in CBT for HD. Sixty-two patients with primary HD completed measures of maladaptive saving cognitions and hoarding severity at pre-, mid-, and post-CBT. Results showed that change in saving cognitions mediated change in all three domains of HD symptoms (i.e., acquiring, difficulty discarding, and excessive clutter), suggesting that cognitive change may be a mechanism of treatment response in CBT. The findings indicate that cognitive change may have an impact on treatment outcomes, and are discussed in terms of cognitive-behavioral theory of HD and potential ways in which to enhance belief change in treatment.

Indexed as

CBTcognitive changehoarding disordermechanismmediation

Identifiers

PMID29170732
PMCPMC5695719

What OpenQuestion holds

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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.