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Cognitive Therapy and Research

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15.05.2019 | Original Article

Should I Keep It? Thoughts Verbalized During a Discarding Task

verfasst von: Christiana Bratiotis, Gail Steketee, JoAnn Dohn, Carole A. Calderon, Randy O. Frost, David F. Tolin

Erschienen in: Cognitive Therapy and Research | Ausgabe 6/2019

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Abstract

An essential criterion for hoarding disorder (HD) is difficulty parting with possessions, but relatively little research has been conducted on responses by people with HD during actual efforts to discard objects. Frost et al. (Behav Res Therapy 85:13–22, 2016) reported quantitative findings from a discarding task comparing those with HD to community control participants without significant hoarding symptoms (CC) on discarding behavior. The present study used qualitative data analysis of the verbal statements made by HD and CC participants while talking aloud about whether to discard or keep a personal object of low monetary value. Data were coded and analyzed using Atlas.ti software via an iterative process in order to examine thoughts reported during decision-making. Findings indicated that participants made more comments about reasons for saving than discarding and that HD participants reported more reasons to save and fewer reasons to discard than did CC participants. They also voiced more thoughts about emotions, both negative and positive, than did controls, especially for anxiety, anger and guilt and general distress. HD participants expressed more ambivalence about discarding compared to controls. Findings are discussed in relation to the cognitive and behavioural model for hoarding, previous findings regarding reasons for saving, and treatment implications.

The personal item discarding task was followed by a second task in which participants were asked to discard a magazine given to them by the experimenter. Those data are not included here.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.CrossRef

Ayers, C. R., Wetherell, J. L., Golshan, S., & Saxena, S. (2011). Cognitive-behavioral therapy for geriatric compulsive hoarding. Behaviour Research and Therapy, 49, 689–694. https://doi.org/10.1016/j.brat.2011.07.002.CrossRefPubMedPubMedCentral

Brown, T. A., Di Nardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV: Adult version. New York: Oxford University Press.

Brown, T. A., Di Nardo, P. A., Lehman, C. L., & Campbell, L. A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110, 49–58. https://doi.org/10.1037/0021-843X.110.1.49.CrossRefPubMed

Chasson, G. S., Carpenter, A., Ewing, J., Gibby, B., & Lee, N. (2014). Empowering families to help a loved one with hoarding disorder: Pilot study of family-as-motivators training. Behaviour Research and Therapy, 63, 9–16. https://doi.org/10.1016/j.brat.2014.08.016.CrossRefPubMed

DeRubeis, R. J., Evans, M. D., Hollon, S. D., Garvey, M. J., Grove, W. M., & Tuason, V. B. (1990). How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 862–869. https://doi.org/10.1037/0022-006X.58.6.862.CrossRefPubMed

Frost, R. O., & Gross, R. (1993). The hoarding of possessions. Behaviour Research and Therapy, 31, 367–382. https://doi.org/10.1016/0005-7967(93)90094-B.CrossRefPubMed

Frost, R. O., & Hartl, T. L. (1996). A cognitive-behavioral model of compulsive hoarding. Behaviour Research and Therapy, 34, 341–350. https://doi.org/10.1016/0005-7967(95)00071-2.CrossRefPubMed

Frost, R. O., Hartl, T., Christian, R., & Williams, N. (1995). The value of possessions in compulsive hoarding: Patterns of use and attachment. Behaviour Research and Therapy, 33, 897–902. https://doi.org/10.1016/0005-7967(95)00043-W.CrossRefPubMed

Frost, R. O., Kim, H. J., Morris, C., Bloss, C., Murray-Close, M., & Steketee, G. (1998). Hoarding, compulsive buying and reasons for saving. Behaviour Research and Therapy, 36, 657–664. https://doi.org/10.1016/S0005-7967(98)00056-4.CrossRefPubMed

Frost, R. O., Ong, C., Steketee, G., & Tolin, D. F. (2016). Behavioral and emotional consequences of thought listing versus cognitive restructuring during discarding decisions in hoarding disorder. Behaviour Research and Therapy, 85, 13–22. https://doi.org/10.1016/j.brat.2016.08.003.CrossRefPubMedPubMedCentral

Frost, R. O., & Shows, D. L. (1993). The nature and measurement of compulsive indecisiveness. Behaviour Research and Therapy, 31, 683–692. https://doi.org/10.1016/0005-7967(93)90121-A.CrossRefPubMed

Frost, R. O., & Steketee, G. (2010). Stuff: Hoarding and the meaning of things. New York: Houghton Mifflin Harcourt.

Frost, R. O., Steketee, G., & Grisham, J. (2004). Measurement of compulsive hoarding: Saving Inventory-Revised. Behaviour Research and Therapy, 42, 1163–1182. https://doi.org/10.1016/j.brat.2003.07.006.CrossRefPubMed

Frost, R. O., Steketee, G., & Tolin, D. F. (2011a). Comorbidity in hoarding disorder. Depression and Anxiety, 28, 876–884. https://doi.org/10.1002/da.20861.CrossRefPubMedPubMedCentral

Frost, R. O., Steketee, G., Tolin, D. F., Sinopoli, N., & Ruby, D. (2015). Motives for acquiring and saving in hoarding disorder, OCD, and community controls. Journal of Obsessive-Compulsive and Related Disorders, 4, 54–59. https://doi.org/10.1016/j.jocrd.2014.12.006.CrossRefPubMedPubMedCentral

Frost, R. O., Tolin, D. F., & Maltby, N. (2010). Insight-related challenges in the treatment of hoarding. Cognitive and Behavioral Practice, 17, 404–413. https://doi.org/10.1016/j.cbpra.2009.07.004.CrossRef

Frost, R. O., Tolin, D. F., Steketee, G., & Oh, M. (2011b). Indecisiveness and hoarding. International Journal of Clinical Psychotherapy, 4, 253–262. https://doi.org/10.1521/ijct.2011.4.3.253.CrossRef

Furby, L. (1978). Possessions: Toward a theory of their meaning and function throughout the life cycle. In P. B. Baltes (Ed.), Life span development and behavior (pp. 297–336). New York: Academic Press.

Grisham, J. R., Brown, T. A., Savage, C. R., Steketee, G., & Barlow, D. H. (2007). Neuropsy- hological impairment associated with compulsive hoarding. Behaviour Research and Therapy, 45, 1471–1483. https://doi.org/10.1016/j.brat.2006.12.008.CrossRefPubMed

Grisham, J. R., Norberg, M. M., Williams, A. D., Certoma, S. P., & Kadib, R. (2010). Categorization and cognitive deficits in compulsive hoarding. Behaviour Research and Therapy, 48, 866–872. https://doi.org/10.1016/j.brat.2010.05.011.CrossRefPubMed

Hartl, T. L., Frost, R. O., Allen, G. J., Deckersbach, T., Steketee, G., Duffany, S. R., et al. (2004). Actual and perceived memory deficits in individuals with compulsive hoarding. Depression and Anxiety, 20, 59–69. https://doi.org/10.1002/da.20010.CrossRefPubMed

Hofmann, S. G., Meuret, A. E., Rosenfield, D., Suvak, M. K., Barlow, D. H., Gorman, J. M., et al. (2007). Preliminary evidence for cognitive mediation during cognitive-behavioral therapy of panic disorder. Journal of Consulting and Clinical Psychology, 75, 374–379. https://doi.org/10.1037/0022-006X.75.3.374.CrossRefPubMedPubMedCentral

Kyrios, M. (2014). Psychological models of hoarding. In R. O. Frost & G. Steketee (Eds.), Handbook of hoarding and acquiring (pp. 206–220). New York: Oxford University Press.

Meyer, J. F., Frost, R. O., Brown, T. A., Steketee, G., & Tolin, D. F. (2013). A multitrait-multimethod matrix investigation of hoarding. Journal of Obsessive-Compulsive and Related Disorders, 2, 273–280. https://doi.org/10.1016/j.jocrd.2013.03.002.CrossRefPubMedPubMedCentral

Muroff, J., Steketee, G., Bratiotis, C., & Ross, A. (2012). Group cognitive and behavioral therapy and bibliotherapy for hoarding: A pilot trial. Depression and Anxiety, 29, 597–604. https://doi.org/10.1002/da.21923.CrossRefPubMed

Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Thousand Oaks, CA: Sage.

Rodriguez, C. I., Hermon, D., Alcon, J., Chen, S., Tannen, A., Essock, S., et al. (2012). Prevalence of hoarding disorder in individuals at potential risk of eviction in New York City: A pilot study. Journal of Nervous and Mental Disease, 200, 91–94. https://doi.org/10.1097/NMD.0b013e31823f678b.CrossRefPubMed

Saxena, S. (2008). Neurobiology and treatment of compulsive hoarding. CNS Spectrums, 13(Suppl 14), 29–36. https://doi.org/10.1017/S1092852900026912.CrossRefPubMed

Smits, J. A., Rosenfield, D., McDonald, R., & Telch, M. J. (2006). Cognitive mechanisms of social anxiety reduction: An examination of specificity and temporality. Journal of Consulting and Clinical Psychology, 74, 1203–1212. https://doi.org/10.1037/0022-006X.74.6.1203.CrossRefPubMed

Steketee, G., & Frost, R. O. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23, 905–927. https://doi.org/10.1016/j.cpr.2003.08.002.CrossRefPubMed

Steketee, G., & Frost, R. O. (2014). Treatment for hoarding disorder: Therapist guide (2nd ed.). New York: Oxford University Press.

Steketee, G., Frost, R. O., Tolin, D. F., Rasmussen, J., & Brown, T. A. (2010). Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder. Depression and Anxiety, 27, 476–484. https://doi.org/10.1002/da.20673.CrossRefPubMedPubMedCentral

Timpano, K. R., Broman-Fulks, J. J., Glaesmer, H., Exner, C., Rief, W., Olatunji, B. O., et al. (2013). A taxometric exploration of the latent structure of hoarding. Psychological Assessment, 25, 194–203. https://doi.org/10.1037/a0029966.CrossRefPubMed

Timpano, K. R., & Shaw, A. M. (2013). Conferring humanness: The role of anthropomorphism in hoarding. Personality and Individual Differences, 54, 383–388. https://doi.org/10.1016/j.paid.2012.10.007.CrossRef

Tolin, D. F., Fitch, K. E., Frost, R. O., & Steketee, G. (2010a). Family informants’ perception of insight in compulsive hoarding. Cognitive Therapy and Research, 34, 69–81. https://doi.org/10.1007/s10608-008-9217-7.CrossRef

Tolin, D., Frost, R., & Steketee, G. (2010b). A brief interview for assessing compulsive hoarding: The Hoarding Rating Scale. Psychiatry Research, 178, 147–152. https://doi.org/10.1016/j.psychres.2009.05.001.CrossRefPubMedPubMedCentral

Tolin, D. F., Frost, R. O., Steketee, G., Gray, K. D., & Fitch, K. E. (2008). The economic and social burden of compulsive hoarding. Psychiatry Research, 160, 200–211. https://doi.org/10.1016/j.psychres.2007.08.008.CrossRefPubMedPubMedCentral

Tolin, D. F., Frost, R. O., Steketee, G., & Muroff, J. (2015). Cognitive behavioral therapy for hoarding disorder: A meta-analysis. Depression and Anxiety, 32, 158–166. https://doi.org/10.1002/da.22327.CrossRefPubMed

Tolin, D. F., Kiehl, K. A., Worhunsky, P., Book, G. A., & Maltby, N. (2009). An exploratory study of the neural mechanisms of decision making in compulsive hoarding. Psychological Medicine, 39, 325–336. https://doi.org/10.1017/S0033291708003371.CrossRefPubMed

Tolin, D. F., Stevens, M. C., Villavicencio, A. L., Norberg, M. M., Calhoun, V. D., Frost, R. O., et al. (2012). Neural mechanisms of decision making in hoarding disorder. Archives of General Psychiatry, 69, 832–841. https://doi.org/10.1001/archgenpsychiatry.2011.1980.CrossRefPubMedPubMedCentral

Tolin, D. F., & Villavicencio, A. (2011). An exploration of economic reasoning in hoarding disorder patients. Behaviour Research and Therapy, 49, 914–919. https://doi.org/10.1016/j.brat.2011.09.005.CrossRefPubMedPubMedCentral

Tolin, D. F., Villavicencio, A., Umbach, A., & Kurtz, M. M. (2011). Neuropsychological functioning in hoarding disorder. Psychiatry Research, 189, 413–418. https://doi.org/10.1016/j.psychres.2011.06.022.CrossRefPubMedPubMedCentral

Warren, L. W., & Ostrom, J. C. (1988). Pack rats: World class savers. Psychology Today, 22, 58–62.

Wincze, J. P., Steketee, G., & Frost, R. O. (2007). Categorization in compulsive hoarding. Behaviour Research and Therapy, 45, 63–72. https://doi.org/10.1016/j.brat.2006.01.012.CrossRefPubMed

Titel: Should I Keep It? Thoughts Verbalized During a Discarding Task
verfasst von: Christiana Bratiotis
Gail Steketee
JoAnn Dohn
Carole A. Calderon
Randy O. Frost
David F. Tolin
Publikationsdatum: 15.05.2019
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 6/2019
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-019-10025-y

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