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
Hauptverfasser: 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.
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container_title Journal of psychiatric research
container_volume 176
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
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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 &lt; .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 &lt; .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. 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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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