Randomized waitlist-controlled trial of buried in treasures facilitated support groups and in-home uncluttering (BIT+) for hoarding disorder
The Buried in Treasures (BIT) workshop is a promising treatment for hoarding disorder (HD), though many participants struggle with home uncluttering. This randomized waitlist-controlled trial investigated the efficacy of a version of BIT, augmented with in-home uncluttering practice (BIT+). Adults (...
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Veröffentlicht in: | Journal of psychiatric research 2024-08, Vol.176, p.58-67 |
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creator | Wheaton, Michael G. Varias, Andrea D. Sandhu, Thasveen Muñoz Rodríguez, Paula A. Mukunda, Pavithra Filippou-Frye, Maria Millen, Andrea Lombardi, Anthony van Roessel, Peter Raila, Hannah Anderson, Kelley Linkovski, Omer Mahnke, Amanda Sanchez, Catherine McCarthy, Elizabeth Wright, Brianna Mibenge, Chiseche Rico, Yvette Righi, Sarah Halsey, Camilla Torio, Lilleana Asgari, Sepehr Qiu, Tori Garcia, Geronimo Jo, Booil Belofsky, Becca Shuer, Lee J. Frost, Randy O. Rodriguez, Carolyn I. |
description | The Buried in Treasures (BIT) workshop is a promising treatment for hoarding disorder (HD), though many participants struggle with home uncluttering. This randomized waitlist-controlled trial investigated the efficacy of a version of BIT, augmented with in-home uncluttering practice (BIT+).
Adults (N = 41) with hoarding disorder were recruited from the community and randomly assigned to BIT+ or waitlist. BIT+ consisted of 16 sessions of the BIT workshop and 10 uncluttering home visits over 18 weeks. Outcome measures included the Saving Inventory-Revised (self-report) and the Clutter Image Rating Scale (self and independent evaluator rated). Between group repeated measures analyses using general linear modeling examined the effect of BIT+ vs waitlist control on hoarding symptoms after 18 weeks. Within group analyses examined pre-post effects for all BIT+ participants combined after 18 weeks.
After 18 weeks, BIT+ participants benefited significantly more than waitlist controls on hoarding severity with large effect size (Cohen's d = 1.5, p |
doi_str_mv | 10.1016/j.jpsychires.2024.05.055 |
format | Article |
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Adults (N = 41) with hoarding disorder were recruited from the community and randomly assigned to BIT+ or waitlist. BIT+ consisted of 16 sessions of the BIT workshop and 10 uncluttering home visits over 18 weeks. Outcome measures included the Saving Inventory-Revised (self-report) and the Clutter Image Rating Scale (self and independent evaluator rated). Between group repeated measures analyses using general linear modeling examined the effect of BIT+ vs waitlist control on hoarding symptoms after 18 weeks. Within group analyses examined pre-post effects for all BIT+ participants combined after 18 weeks.
After 18 weeks, BIT+ participants benefited significantly more than waitlist controls on hoarding severity with large effect size (Cohen's d = 1.5, p < .001). BIT+ was also associated with improvement reductions in hoarding symptoms, clutter, and functional impairment.
The BIT+ intervention offers promise as a treatment option for hoarding. Adding in-home uncluttering practice may incrementally improve discarding practices. Future controlled trials are warranted.
•We examined changes in hoarding symptoms during an 18-week structured group and in-home uncluttering intervention (BIT+) versus waitlist.•The BIT + intervention produced more symptom improvement than the waitlist.•The BIT + intervention resulted in more change in clutter and functional impairment than the waitlist.•BIT + appears feasible and promising for reducing hoarding symptoms.</description><identifier>ISSN: 0022-3956</identifier><identifier>ISSN: 1879-1379</identifier><identifier>EISSN: 1879-1379</identifier><identifier>DOI: 10.1016/j.jpsychires.2024.05.055</identifier><identifier>PMID: 38843580</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Aged ; BIT ; Buried in treasures ; CBT ; Clutter ; Female ; Hoarding disorder ; Hoarding Disorder - drug therapy ; Hoarding Disorder - therapy ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Self-Help Groups ; Uncluttering ; Waiting Lists</subject><ispartof>Journal of psychiatric research, 2024-08, Vol.176, p.58-67</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c319t-338ba4dd4a7c6ca33d9ac1890a2f26e067c996f505d9afda1efd0bee507a74d53</cites><orcidid>0000-0003-4284-1644 ; 0000-0003-2927-3160 ; 0009-0007-4598-3687 ; 0000-0001-6697-1692 ; 0000-0002-7465-7879 ; 0009-0000-7798-1394 ; 0000-0002-9477-604X ; 0000-0002-9868-0088 ; 0000-0001-9341-6547</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022395624003236$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38843580$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wheaton, Michael G.</creatorcontrib><creatorcontrib>Varias, Andrea D.</creatorcontrib><creatorcontrib>Sandhu, Thasveen</creatorcontrib><creatorcontrib>Muñoz Rodríguez, Paula A.</creatorcontrib><creatorcontrib>Mukunda, Pavithra</creatorcontrib><creatorcontrib>Filippou-Frye, Maria</creatorcontrib><creatorcontrib>Millen, Andrea</creatorcontrib><creatorcontrib>Lombardi, Anthony</creatorcontrib><creatorcontrib>van Roessel, Peter</creatorcontrib><creatorcontrib>Raila, Hannah</creatorcontrib><creatorcontrib>Anderson, Kelley</creatorcontrib><creatorcontrib>Linkovski, Omer</creatorcontrib><creatorcontrib>Mahnke, Amanda</creatorcontrib><creatorcontrib>Sanchez, Catherine</creatorcontrib><creatorcontrib>McCarthy, Elizabeth</creatorcontrib><creatorcontrib>Wright, Brianna</creatorcontrib><creatorcontrib>Mibenge, Chiseche</creatorcontrib><creatorcontrib>Rico, Yvette</creatorcontrib><creatorcontrib>Righi, Sarah</creatorcontrib><creatorcontrib>Halsey, Camilla</creatorcontrib><creatorcontrib>Torio, Lilleana</creatorcontrib><creatorcontrib>Asgari, Sepehr</creatorcontrib><creatorcontrib>Qiu, Tori</creatorcontrib><creatorcontrib>Garcia, Geronimo</creatorcontrib><creatorcontrib>Jo, Booil</creatorcontrib><creatorcontrib>Belofsky, Becca</creatorcontrib><creatorcontrib>Shuer, Lee J.</creatorcontrib><creatorcontrib>Frost, Randy O.</creatorcontrib><creatorcontrib>Rodriguez, Carolyn I.</creatorcontrib><title>Randomized waitlist-controlled trial of buried in treasures facilitated support groups and in-home uncluttering (BIT+) for hoarding disorder</title><title>Journal of psychiatric research</title><addtitle>J Psychiatr Res</addtitle><description>The Buried in Treasures (BIT) workshop is a promising treatment for hoarding disorder (HD), though many participants struggle with home uncluttering. This randomized waitlist-controlled trial investigated the efficacy of a version of BIT, augmented with in-home uncluttering practice (BIT+).
Adults (N = 41) with hoarding disorder were recruited from the community and randomly assigned to BIT+ or waitlist. BIT+ consisted of 16 sessions of the BIT workshop and 10 uncluttering home visits over 18 weeks. Outcome measures included the Saving Inventory-Revised (self-report) and the Clutter Image Rating Scale (self and independent evaluator rated). Between group repeated measures analyses using general linear modeling examined the effect of BIT+ vs waitlist control on hoarding symptoms after 18 weeks. Within group analyses examined pre-post effects for all BIT+ participants combined after 18 weeks.
After 18 weeks, BIT+ participants benefited significantly more than waitlist controls on hoarding severity with large effect size (Cohen's d = 1.5, p < .001). BIT+ was also associated with improvement reductions in hoarding symptoms, clutter, and functional impairment.
The BIT+ intervention offers promise as a treatment option for hoarding. Adding in-home uncluttering practice may incrementally improve discarding practices. Future controlled trials are warranted.
•We examined changes in hoarding symptoms during an 18-week structured group and in-home uncluttering intervention (BIT+) versus waitlist.•The BIT + intervention produced more symptom improvement than the waitlist.•The BIT + intervention resulted in more change in clutter and functional impairment than the waitlist.•BIT + appears feasible and promising for reducing hoarding symptoms.</description><subject>Adult</subject><subject>Aged</subject><subject>BIT</subject><subject>Buried in treasures</subject><subject>CBT</subject><subject>Clutter</subject><subject>Female</subject><subject>Hoarding disorder</subject><subject>Hoarding Disorder - drug therapy</subject><subject>Hoarding Disorder - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment, Health Care</subject><subject>Self-Help Groups</subject><subject>Uncluttering</subject><subject>Waiting Lists</subject><issn>0022-3956</issn><issn>1879-1379</issn><issn>1879-1379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUduKFDEQDaK44-ovSB5XpMdKp9PdeXQXLwsLgqzPIZNU72RId9pcVtZv8KPNMKs-CgVFTp2cQ9UhhDLYMmD9u8P2sKYHs3cR07aFttuCqCWekA0bB9kwPsinZAPQtg2Xoj8jL1I6AMDQsu45OePj2HExwob8-qoXG2b3Ey39oV32LuXGhCXH4H3FcnTa0zDRXYmuvt1SIdSpVGc6aeO8yzrXQSrrGmKmdzGUNdGqWrnNPsxIy2J8yRmjW-7oxeX17ds3dAqR7oOO9ohZl0K0GF-SZ5P2CV899nPy7eOH26vPzc2XT9dX728aw5nMDefjTnfWdnowvdGcW6kNGyXodmp7hH4wUvaTAFEHk9UMJws7RAGDHjor-Dm5OOmuMXwvmLKaXTLovV4wlKQ49EKOHYyyUscT1cSQUsRJrdHNOj4oBuqYhTqof1moYxYKRK2jy-tHl7Kb0f79-Of4lXB5ImDd9d5hVMk4XAzaqmWyssH93-U3l0ekaA</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Wheaton, Michael G.</creator><creator>Varias, Andrea D.</creator><creator>Sandhu, Thasveen</creator><creator>Muñoz Rodríguez, Paula A.</creator><creator>Mukunda, Pavithra</creator><creator>Filippou-Frye, Maria</creator><creator>Millen, Andrea</creator><creator>Lombardi, Anthony</creator><creator>van Roessel, Peter</creator><creator>Raila, Hannah</creator><creator>Anderson, Kelley</creator><creator>Linkovski, Omer</creator><creator>Mahnke, Amanda</creator><creator>Sanchez, Catherine</creator><creator>McCarthy, Elizabeth</creator><creator>Wright, Brianna</creator><creator>Mibenge, Chiseche</creator><creator>Rico, Yvette</creator><creator>Righi, Sarah</creator><creator>Halsey, Camilla</creator><creator>Torio, Lilleana</creator><creator>Asgari, Sepehr</creator><creator>Qiu, Tori</creator><creator>Garcia, Geronimo</creator><creator>Jo, Booil</creator><creator>Belofsky, Becca</creator><creator>Shuer, Lee J.</creator><creator>Frost, Randy O.</creator><creator>Rodriguez, Carolyn I.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4284-1644</orcidid><orcidid>https://orcid.org/0000-0003-2927-3160</orcidid><orcidid>https://orcid.org/0009-0007-4598-3687</orcidid><orcidid>https://orcid.org/0000-0001-6697-1692</orcidid><orcidid>https://orcid.org/0000-0002-7465-7879</orcidid><orcidid>https://orcid.org/0009-0000-7798-1394</orcidid><orcidid>https://orcid.org/0000-0002-9477-604X</orcidid><orcidid>https://orcid.org/0000-0002-9868-0088</orcidid><orcidid>https://orcid.org/0000-0001-9341-6547</orcidid></search><sort><creationdate>202408</creationdate><title>Randomized waitlist-controlled trial of buried in treasures facilitated support groups and in-home uncluttering (BIT+) for hoarding disorder</title><author>Wheaton, Michael G. ; Varias, Andrea D. ; Sandhu, Thasveen ; Muñoz Rodríguez, Paula A. ; Mukunda, Pavithra ; Filippou-Frye, Maria ; Millen, Andrea ; Lombardi, Anthony ; van Roessel, Peter ; Raila, Hannah ; Anderson, Kelley ; Linkovski, Omer ; Mahnke, Amanda ; Sanchez, Catherine ; McCarthy, Elizabeth ; Wright, Brianna ; Mibenge, Chiseche ; Rico, Yvette ; Righi, Sarah ; Halsey, Camilla ; Torio, Lilleana ; Asgari, Sepehr ; Qiu, Tori ; Garcia, Geronimo ; Jo, Booil ; Belofsky, Becca ; Shuer, Lee J. ; Frost, Randy O. ; Rodriguez, Carolyn I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-338ba4dd4a7c6ca33d9ac1890a2f26e067c996f505d9afda1efd0bee507a74d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>BIT</topic><topic>Buried in treasures</topic><topic>CBT</topic><topic>Clutter</topic><topic>Female</topic><topic>Hoarding disorder</topic><topic>Hoarding Disorder - drug therapy</topic><topic>Hoarding Disorder - therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Outcome Assessment, Health Care</topic><topic>Self-Help Groups</topic><topic>Uncluttering</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wheaton, Michael G.</creatorcontrib><creatorcontrib>Varias, Andrea D.</creatorcontrib><creatorcontrib>Sandhu, Thasveen</creatorcontrib><creatorcontrib>Muñoz Rodríguez, Paula A.</creatorcontrib><creatorcontrib>Mukunda, Pavithra</creatorcontrib><creatorcontrib>Filippou-Frye, Maria</creatorcontrib><creatorcontrib>Millen, Andrea</creatorcontrib><creatorcontrib>Lombardi, Anthony</creatorcontrib><creatorcontrib>van Roessel, Peter</creatorcontrib><creatorcontrib>Raila, Hannah</creatorcontrib><creatorcontrib>Anderson, Kelley</creatorcontrib><creatorcontrib>Linkovski, Omer</creatorcontrib><creatorcontrib>Mahnke, Amanda</creatorcontrib><creatorcontrib>Sanchez, Catherine</creatorcontrib><creatorcontrib>McCarthy, Elizabeth</creatorcontrib><creatorcontrib>Wright, Brianna</creatorcontrib><creatorcontrib>Mibenge, Chiseche</creatorcontrib><creatorcontrib>Rico, Yvette</creatorcontrib><creatorcontrib>Righi, Sarah</creatorcontrib><creatorcontrib>Halsey, Camilla</creatorcontrib><creatorcontrib>Torio, Lilleana</creatorcontrib><creatorcontrib>Asgari, Sepehr</creatorcontrib><creatorcontrib>Qiu, Tori</creatorcontrib><creatorcontrib>Garcia, Geronimo</creatorcontrib><creatorcontrib>Jo, Booil</creatorcontrib><creatorcontrib>Belofsky, Becca</creatorcontrib><creatorcontrib>Shuer, Lee J.</creatorcontrib><creatorcontrib>Frost, Randy O.</creatorcontrib><creatorcontrib>Rodriguez, Carolyn I.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychiatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wheaton, Michael G.</au><au>Varias, Andrea D.</au><au>Sandhu, Thasveen</au><au>Muñoz Rodríguez, Paula A.</au><au>Mukunda, Pavithra</au><au>Filippou-Frye, Maria</au><au>Millen, Andrea</au><au>Lombardi, Anthony</au><au>van Roessel, Peter</au><au>Raila, Hannah</au><au>Anderson, Kelley</au><au>Linkovski, Omer</au><au>Mahnke, Amanda</au><au>Sanchez, Catherine</au><au>McCarthy, Elizabeth</au><au>Wright, Brianna</au><au>Mibenge, Chiseche</au><au>Rico, Yvette</au><au>Righi, Sarah</au><au>Halsey, Camilla</au><au>Torio, Lilleana</au><au>Asgari, Sepehr</au><au>Qiu, Tori</au><au>Garcia, Geronimo</au><au>Jo, Booil</au><au>Belofsky, Becca</au><au>Shuer, Lee J.</au><au>Frost, Randy O.</au><au>Rodriguez, Carolyn I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Randomized waitlist-controlled trial of buried in treasures facilitated support groups and in-home uncluttering (BIT+) for hoarding disorder</atitle><jtitle>Journal of psychiatric research</jtitle><addtitle>J Psychiatr Res</addtitle><date>2024-08</date><risdate>2024</risdate><volume>176</volume><spage>58</spage><epage>67</epage><pages>58-67</pages><issn>0022-3956</issn><issn>1879-1379</issn><eissn>1879-1379</eissn><abstract>The Buried in Treasures (BIT) workshop is a promising treatment for hoarding disorder (HD), though many participants struggle with home uncluttering. This randomized waitlist-controlled trial investigated the efficacy of a version of BIT, augmented with in-home uncluttering practice (BIT+).
Adults (N = 41) with hoarding disorder were recruited from the community and randomly assigned to BIT+ or waitlist. BIT+ consisted of 16 sessions of the BIT workshop and 10 uncluttering home visits over 18 weeks. Outcome measures included the Saving Inventory-Revised (self-report) and the Clutter Image Rating Scale (self and independent evaluator rated). Between group repeated measures analyses using general linear modeling examined the effect of BIT+ vs waitlist control on hoarding symptoms after 18 weeks. Within group analyses examined pre-post effects for all BIT+ participants combined after 18 weeks.
After 18 weeks, BIT+ participants benefited significantly more than waitlist controls on hoarding severity with large effect size (Cohen's d = 1.5, p < .001). BIT+ was also associated with improvement reductions in hoarding symptoms, clutter, and functional impairment.
The BIT+ intervention offers promise as a treatment option for hoarding. Adding in-home uncluttering practice may incrementally improve discarding practices. Future controlled trials are warranted.
•We examined changes in hoarding symptoms during an 18-week structured group and in-home uncluttering intervention (BIT+) versus waitlist.•The BIT + intervention produced more symptom improvement than the waitlist.•The BIT + intervention resulted in more change in clutter and functional impairment than the waitlist.•BIT + appears feasible and promising for reducing hoarding symptoms.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38843580</pmid><doi>10.1016/j.jpsychires.2024.05.055</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4284-1644</orcidid><orcidid>https://orcid.org/0000-0003-2927-3160</orcidid><orcidid>https://orcid.org/0009-0007-4598-3687</orcidid><orcidid>https://orcid.org/0000-0001-6697-1692</orcidid><orcidid>https://orcid.org/0000-0002-7465-7879</orcidid><orcidid>https://orcid.org/0009-0000-7798-1394</orcidid><orcidid>https://orcid.org/0000-0002-9477-604X</orcidid><orcidid>https://orcid.org/0000-0002-9868-0088</orcidid><orcidid>https://orcid.org/0000-0001-9341-6547</orcidid></addata></record> |
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subjects | Adult Aged BIT Buried in treasures CBT Clutter Female Hoarding disorder Hoarding Disorder - drug therapy Hoarding Disorder - therapy Humans Male Middle Aged Outcome Assessment, Health Care Self-Help Groups Uncluttering Waiting Lists |
title | Randomized waitlist-controlled trial of buried in treasures facilitated support groups and in-home uncluttering (BIT+) for hoarding disorder |
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