A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting

Journal article


Grisham, Jessica R., Yap, Keong, Isemann, Simone, Svehla, Jeanettte, Briggs, Nancy and Norberg, Melissa M.. (2022). A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting. Journal of Affective Disorders Reports. 10, p. Article 100450. https://doi.org/10.1016/j.jadr.2022.100450
AuthorsGrisham, Jessica R., Yap, Keong, Isemann, Simone, Svehla, Jeanettte, Briggs, Nancy and Norberg, Melissa M.
Abstract

Background
Cognitive-behavioral group therapy for hoarding disorder (HD) is efficacious, but outcomes are modest and dropout rates are generally high. Clinical challenges in this population include high rates of comorbidity and difficulty regulating and tolerating negative emotions, which may reduce engagement with discarding exposures and lead to increased dropout.

Methods
In the current naturalistic study, we evaluated standard group cognitive-behavioral therapy enhanced with a three-session emotion regulation module in a large sample of individuals (N = 115) seeking treatment for HD at a community mental health clinic. We evaluated outcomes for distress tolerance, as well as hoarding symptoms and comorbid depression and anxiety symptoms.

Results
Distress tolerance was significantly improved at post-treatment, Hoarding symptoms, anxiety, and depression were also significantly decreased. Distress tolerance predicted more severe hoarding symptoms at baseline, but improvement in distress tolerance was not significantly associated with improvement in hoarding symptoms.

Limitations
The primary limitation was the absence of a control treatment condition, but HD is known to be a chronic condition which tends not to improve in waitlist control conditions.

Conclusions
Integrating emotion regulation strategies may provide an important pathway to improving treatment outcomes for hoarding disorder.

Keywordshoarding; emotion regulation; distress tolerance; cognitive-behavioral therapy
Year2022
JournalJournal of Affective Disorders Reports
Journal citation10, p. Article 100450
PublisherElsevier B.V.
ISSN2666-9153
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jadr.2022.100450
Scopus EID2-s2.0-85142456443
Open accessPublished as ‘gold’ (paid) open access
Page range1-7
FunderUniversity of New South Wales (UNSW)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online22 Nov 2022
Publication process dates
Accepted19 Nov 2022
Deposited02 Aug 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8z712/a-naturalistic-study-of-emotion-regulation-enhanced-cognitive-behavioral-group-therapy-for-hoarding-disorder-in-a-community-setting

Download files


Publisher's version
OA_Grisham_2022_A_naturalistic_study_of_emotion_regulation.pdf
License: CC BY-NC-ND 4.0
File access level: Open

  • 34
    total views
  • 15
    total downloads
  • 5
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Perceived Parenting Style and Adolescent Self-Compassion : A Longitudinal, Within-Person Approach
Kaufmann, Sorcha, Ciarrochi, Joseph, Yap, Ann Keong and Fraser, Madeleine. (2023). Perceived Parenting Style and Adolescent Self-Compassion : A Longitudinal, Within-Person Approach. Mindfulness. 14(11), pp. 2745-2756. https://doi.org/10.1007/s12671-023-02232-2
The role of insight, social rank, mindfulness and self-compassion in depression following first episode psychosis
Hardman, Jamie R., Gleeson, John F. M., González-Blanch, César, Álvarez-Jiménez, Mario, Fraser, Madeleine I. and Yap, Keong. (2023). The role of insight, social rank, mindfulness and self-compassion in depression following first episode psychosis. Clinical Psychology and Psychotherapy. pp. 1-14. https://doi.org/10.1002/cpp.2881
High levels of loneliness in people with hoarding disorder
Yap, Keong, Timpano, Kiara R., Isemann, Simone, Svehla, Jeanettte and Grisham, Jessica R.. (2023). High levels of loneliness in people with hoarding disorder. Journal of Obsessive-Compulsive and Related Disorders. 37, p. Article 100806. https://doi.org/10.1016/j.jocrd.2023.100806
The compassion balance : Understanding the interrelation of self- and other-compassion for optimal well-being
Sahdra, Baljinder K., Ciarrochi, Joseph, Fraser, Madeleine I., Yap, Keong, Haller, Elisa, Hayes, Steven C., Hofmann, Stefan G. and Gloster, Andrew T.. (2023). The compassion balance : Understanding the interrelation of self- and other-compassion for optimal well-being. Mindfulness. 14, pp. 1997-2013. https://doi.org/10.1007/s12671-023-02187-4
Paternal pregnancy-related anxiety : Systematic review of men's concerns and experiences during their partners' pregnancies
Dabb, Carol, Dryer, Rachel, Brunton, Robyn J., Yap, Keong and Roach, Vijay J.. (2023). Paternal pregnancy-related anxiety : Systematic review of men's concerns and experiences during their partners' pregnancies. Journal of Affective Disorders. 323, pp. 640-658. https://doi.org/10.1016/j.jad.2022.11.092
The association between OCD and shame : A systematic review and meta-analysis
Laving, Michelle, Foroni, Francesco, Ferrari, Madeleine, Turner, Cynthia and Yap, Ann Keong. (2023). The association between OCD and shame : A systematic review and meta-analysis. British Journal of Clinical Psychology. 62(1), pp. 28-52. https://doi.org/10.1111/bjc.12392
Letting go, creating meaning : The role of acceptance and commitment therapy in helping people confront existential concerns and lead a vital life
Ciarrochi, Joseph, Hayes, Louise, Quinlan, Gareth, Sahdra, Baljinder, Fraser, Madeleine and Yap, Keong. (2022). Letting go, creating meaning : The role of acceptance and commitment therapy in helping people confront existential concerns and lead a vital life. In In Menzies, Ross G., Menzies, Rachel E. and Dingle, Genevieve A. (Ed.). Existential concerns and cognitive-behavioral procedures : An integrative approach to mental health pp. 283-302 Springer. https://doi.org/10.1007/978-3-031-06932-1_17
Is it as good as being in person? The effectiveness of a modified clinician facilitated buried in treasures group for hoarding disorder using video teleconferencing
Yap, Keong, Chen, Wenting, Wong, Shiu Fung, Isemann, Simone, Svehla, Jeanettte and Grisham, Jessica R.. (2022). Is it as good as being in person? The effectiveness of a modified clinician facilitated buried in treasures group for hoarding disorder using video teleconferencing. Psychiatry Research. 314, p. Article 114631. https://doi.org/10.1016/j.psychres.2022.114631
From package to process : An evidence-based approach to processes of change in psychotherapy
Ciarrochi, Joseph, Hayes, Steven C., Hayes, Louise, Sahdra, Baljinder, Fraser, Madeleine, Yap, Keong and Hofmann, Stefan G.. (2022). From package to process : An evidence-based approach to processes of change in psychotherapy. In In Asmundson, Gordon J. G. and Hofmann, Stefan G. (Ed.). Comprehensive clinical psychology ; volume 1 pp. 26-44 Elsevier Ltd. https://doi.org/10.1016/B978-0-12-818697-8.00085-6
Embracing the complexity of our inner worlds : Understanding the dynamics of self-compassion and self-criticism [Commentary]
Ferrari, Madeleine, Ciarrochi, Joseph, Yap, Keong, Sahdra, Baljinder Kaur and Hayes, Steven C.. (2022). Embracing the complexity of our inner worlds : Understanding the dynamics of self-compassion and self-criticism [Commentary]. Mindfulness. 13, pp. 1652-1661. https://doi.org/10.1007/s12671-022-01897-5
Gender differences in self-compassion: a latent profile analysis of compassionate and uncompassionate self-relating in a large adolescent sample
Ferrari, Madeleine, Beath, Alissa P., Einstein, Danielle A., Yap, Ann Keong and Hunt, Caroline. (2022). Gender differences in self-compassion: a latent profile analysis of compassionate and uncompassionate self-relating in a large adolescent sample. Current Psychology. pp. 1-16. https://doi.org/10.1007/s12144-022-03408-0
A new reality : The role of simulated learning activities in postgraduate psychology training programs
Australian Postgraduate Psychology Simulation Education Working Group (APPESWG), Hammond, Sabine* and Yap, Ann Keong*. (2021). A new reality : The role of simulated learning activities in postgraduate psychology training programs. Frontiers in Education. 6, p. Article 653269. https://doi.org/10.3389/feduc.2021.653269
Assessing clinical competencies using the Objective Structured Clinical Examination (OSCE) in psychology training
Yap, Keong, Sheen, Jade, Nedeljkovic, Maja, Milne, Lisa, Lawrence, Katherine and Hay, Margaret. (2021). Assessing clinical competencies using the Objective Structured Clinical Examination (OSCE) in psychology training. Clinical Psychologist. 25(3), pp. 260-270. https://doi.org/10.1080/13284207.2021.1932452
Group climate in online group cognitive behaviour therapy predicts treatment outcomes
Arrow, Kerry, Yap, Keong and Chester, Andrea. (2021). Group climate in online group cognitive behaviour therapy predicts treatment outcomes. Clinical Psychologist. 25(2), pp. 153-163. https://doi.org/10.1080/13284207.2020.1829944
Mindfulness and empathy among counseling and psychotherapy professionals : A systematic review and meta-analysis
Cooper, David, Yap, Keong, O’Brien, Maureen and Scott, India. (2021). Mindfulness and empathy among counseling and psychotherapy professionals : A systematic review and meta-analysis. Mindfulness. 11(10), pp. 2243-2257. https://doi.org/10.1007/s12671-020-01425-3
Measuring possessions as extensions of self and links to significant others in hoarding : The possessions as others and self inventory
Kings, Christopher, Moulding, Richard, Yap, Keong, Gazzola, Rachael and Knight, Tess. (2021). Measuring possessions as extensions of self and links to significant others in hoarding : The possessions as others and self inventory. Journal of Psychopathology and Behavioral Assessment. 43(2), pp. 441-453.
Object attachment in hoarding disorder and its role in a compensatory process
Yap, Keong and Grisham, Jessica R.. (2021). Object attachment in hoarding disorder and its role in a compensatory process. Current Opinion in Psychology. 39, pp. 76-81. https://doi.org/10.1016/j.copsyc.2020.07.022
Should personal practice be part of cognitive behaviour therapy training? Results from two self-practice/self-reflection cohort control pilot studies
Scott, Jane, Yap, Keong, Bunch, Katie, Haarhoff, Beverly, Perry, Helen and Bennett-Levy, James. (2021). Should personal practice be part of cognitive behaviour therapy training? Results from two self-practice/self-reflection cohort control pilot studies. Clinical Psychology and Psychotherapy: an international journal of theory and practice. 28(1), pp. 150-158. https://doi.org/10.1002/cpp.2497
Acceptance and commitment therapy for hoarding disorder : A proposed treatment protocol for individuals
Eppingstall, Jan, Xenos, Sophia and Yap, Keong. (2020). Acceptance and commitment therapy for hoarding disorder : A proposed treatment protocol for individuals. Australian Psychologist. 55(3), pp. 183-195. https://doi.org/10.1111/ap.12438
The role of nonattachment in the development of adolescent mental health : A three-year longitudinal study
Ciarrochi, Joseph, Sahdra, Baljinder K., Yap, Keong and Dicke, Theresa. (2020). The role of nonattachment in the development of adolescent mental health : A three-year longitudinal study. Mindfulness. 11(9), pp. 2131-2139. https://doi.org/10.1007/s12671-020-01421-7
Emotion-oriented coping style predicts self-harm in response to acute psychiatric hospitalization
Frei, Jacqueline M., Sazhin, Vladimir, Fick, Melissa and Yap, Keong. (2020). Emotion-oriented coping style predicts self-harm in response to acute psychiatric hospitalization. Crisis. 42(3), pp. 232-238. https://doi.org/10.1027/0227-5910/a000713
Object attachment and emotions in hoarding disorder
Yap, Keong and Grisham, Jessica R.. (2020). Object attachment and emotions in hoarding disorder. Comprehensive Psychiatry. 100, pp. 1 - 7. https://doi.org/10.1016/j.comppsych.2020.152179
Emotional attachment to objects mediates the relationship between loneliness and hoarding symptoms
Yap, Keong, Eppingstall, Jan, Brennan, Catherine, Le, Brandon and Grisham, Jessica R.. (2020). Emotional attachment to objects mediates the relationship between loneliness and hoarding symptoms. Journal of Obsessive-Compulsive and Related Disorders. 24, pp. 1 - 6. https://doi.org/10.1016/j.jocrd.2019.100487
Meta-analysis of the effects of third-wave behavioural interventions on disordered eating and body image concerns: Implications for eating disorder prevention
Linardon, Jake, Gleeson, John, Yap, Keong, Murphy, Kylie and Brennan, Leah. (2019). Meta-analysis of the effects of third-wave behavioural interventions on disordered eating and body image concerns: Implications for eating disorder prevention. Cognitive Behaviour Therapy. 48(1), pp. 15 - 38. https://doi.org/10.1080/16506073.2018.1517389
Unpacking the construct of emotional attachment to objects and its association with hoarding symptoms
Yap, Keong and Grisham, Jessica. (2019). Unpacking the construct of emotional attachment to objects and its association with hoarding symptoms. Journal of Behavioral Addictions. 8(2), pp. 249 - 258. https://doi.org/10.1556/2006.8.2019.15
Mindfulness-based interventions and their effects on emotional clarity: A systematic review and meta-analysis
Cooper, David, Yap, Keong and Batalha, Luisa. (2018). Mindfulness-based interventions and their effects on emotional clarity: A systematic review and meta-analysis. Journal of Affective Disorders. 235, pp. 265 - 276. https://doi.org/10.1016/j.jad.2018.04.018
Self-compassion moderates the link between perfectionism and depression link in both adolescence and adulthood
Ferrari, Madeleine, Yap, Keong, Scott, Nicole, Einstein, Danielle A. and Ciarrochi, Joseph. (2018). Self-compassion moderates the link between perfectionism and depression link in both adolescence and adulthood. PLoS ONE. 13(2), pp. 1 - 19. https://doi.org/10.1371/journal.pone.0192022
Emotion regulation difficulties in obsessive-compulsive disorder
Yap, Keong, Mogan, Christopher, Moriarty, Anna, Dowling, Nathan, Blair-West, Scott, Gelgec, Celin and Moulding, Richard. (2018). Emotion regulation difficulties in obsessive-compulsive disorder. Journal of Clinical Psychology. 74(4), pp. 695 - 709. https://doi.org/10.1002/jclp.22553
The cognitive–behavioural model of hoarding disorder: Evidence from clinical and non-clinical cohorts
Kyrios, Michael, Mogan, Christopher, Moulding, Richard, Frost, Randy O., Yap, Keong and Fassnacht, Daniel B.. (2018). The cognitive–behavioural model of hoarding disorder: Evidence from clinical and non-clinical cohorts. Clinical Psychology and Psychotherapy. 25(2), pp. 311 - 321. https://doi.org/10.1002/cpp.2164
Scrupulosity and hoarding
Frost, Randy O., Gabrielson, Isabella, Deady, Sophia, Dernbach, Kathryn Bonner, Guevera, Greta, Peebles-Dorin, Maggie, Yap, Keong and Grisham, Jessica R.. (2018). Scrupulosity and hoarding. Comprehensive Psychiatry. 86, pp. 19 - 24. https://doi.org/10.1016/j.comppsych.2018.06.011
The effectiveness of an outpatient Acceptance and Commitment Therapy Group programme for a transdiagnostic population
Pinto, Richelle Anne, Kienhuis, Mandy, Slevison, Monique, Chester, Andrea, Sloss, Annie and Yap, Keong. (2017). The effectiveness of an outpatient Acceptance and Commitment Therapy Group programme for a transdiagnostic population. Clinical Psychologist. 21(1), pp. 33 - 43. https://doi.org/10.1111/cp.12057
Testing the bivalent fear of evaluation model of social anxiety: The relationship between fear of positive evaluation, social anxiety, and perfectionism
Yap, Keong, Gibbs, Amy L., Francis, Andrew J. P. and Schuster, Sharynn E.. (2016). Testing the bivalent fear of evaluation model of social anxiety: The relationship between fear of positive evaluation, social anxiety, and perfectionism. Cognitive Behaviour Therapy. 45(2), pp. 136 - 149. https://doi.org/10.1080/16506073.2015.1125941
Mindfulness-based stress reduction for restless legs syndrome: A proof of concept trial
Bablas, Vicky, Yap, Keong, Cunnington, David, Swieca, John and Greenwood, Kenneth Mark. (2016). Mindfulness-based stress reduction for restless legs syndrome: A proof of concept trial. Mindfulness. 7(2), pp. 396 - 408. https://doi.org/10.1007/s12671-015-0457-9
Self-compassion mediates the relationship between parental criticism and social anxiety
Potter, Rob F., Yap, Ann Keong, Francis, Andrew James Peter and Schuster, Sharynn. (2014). Self-compassion mediates the relationship between parental criticism and social anxiety. International Journal of Psychology and Psychological Therapy. 14(1), pp. 33 - 43.
Perfectionism and its relationship with anticipatory processing in social anxiety
Scott, Jessica H., Yap, Ann, Francis, Andrew James Peter and Schuster, Sharynn. (2014). Perfectionism and its relationship with anticipatory processing in social anxiety. Australian Journal of Psychology. 66(3), pp. 187 - 196. https://doi.org/10.1111/ajpy.12045
Does Chinese medicine consultation share features and effects of cognitive-behavioural therapy? Using traditional acupuncture as an example
Zheng, Zhen, Paterson, Charlotte and Yap, Ann Keong. (2013). Does Chinese medicine consultation share features and effects of cognitive-behavioural therapy? Using traditional acupuncture as an example. Australian Journal of Acupuncture and Chinese Medicine. 8(2), pp. 6 - 15.
Clinical psychology students' experiences of a pilot Objective Structured Clinical Examination (OSCE)
Yap, Keong, Bearman, Margaret, Thomas, Neil and Hay, Margaret. (2012). Clinical psychology students' experiences of a pilot Objective Structured Clinical Examination (OSCE). Australian Psychologist. 47(3), pp. 165 - 173. https://doi.org/10.1111/j.1742-9544.2012.00078.x
The impact of financial management practices and financial attitudes on the relationship between materialism and compulsive buying
Pham, Thi H., Yap, Keong and Downling, Nicki A.. (2012). The impact of financial management practices and financial attitudes on the relationship between materialism and compulsive buying. Journal of Economic Psychology. 33(3), pp. 461 - 470. https://doi.org/10.1016/j.joep.2011.12.007
An examination of gambling behaviour in relation to financial management behaviour, financial attitudes, and money attitudes
Chen, Effie Z., Dowling, Nicki A. and Yap, Ann Keong. (2012). An examination of gambling behaviour in relation to financial management behaviour, financial attitudes, and money attitudes. International Journal of Mental Health and Addiction. 10(2), pp. 231 - 242. https://doi.org/10.1007/s11469-011-9311-z