Cognitive Rehabilitation and Exposure-based Class for Compulsive Hoarding

NCT02306174 | Completed

• 1 other identifier: 20140644
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this protocol is to investigate the effectiveness of a manualized, 20-week group cognitive rehabilitation (CR) and exposure therapy (ET) course for compulsive hoarding. The overarching aim is to understand whether this course will decrease the core symptoms of hoarding and associated features.

Conditions

Hoarding Disorder

Keywords

Hoarding

Outcome Measures

Primary Outcomes (2)

• Hoarding Rating Scale Interview

  The Hoarding Rating scale has a total score ranging from 0 -40 with the higher score indicating higher symptoms of hoarding. This will be used to assess whether hoarding symptoms decrease as a result of treatment.

  22 weeks

• Clinician's Global Impression Improvement and Severity ratings

  The CGI has a score range of 0-7 with the higher score indicating more severe symptoms.This will be used to assess whether hoarding symptoms decrease as a result of treatment.

  22 weeks

Study Arms (1)

Cognitive Rehabilitation and Exposure-based Class for Compulsi

EXPERIMENTAL

Cognitive training is to improve thinking by learning new skills and strategies. The class begins with cognitive training to increase ability to carry out the skills learned later in treatment. Exposure therapy for discarding and acquiring helps to improve ability to make choices about possessions and learn to tolerate anxiety. Participants will face making difficult choices about items and potentially letting them go. Through repeated exposure to decisions about discarding and acquiring, distress about letting go or making choices about items will decrease over time.

Behavioral: Cognitive Rehabilitation and Exposure-based Class for Compulsive Hoarding

Interventions

Cognitive Rehabilitation and Exposure-based Class for Compulsive Hoarding BEHAVIORAL

The group sessions consists of 20 classes, each lasting approximately 90 minutes and may consist of some or all of the following: * A group agreement and a confidentiality contract * Homework assignments * Viewing informational videos about hoarding * Behavioral experiments including sorting and discarding exercises * Non-acquisition exposures This course is based on the Manual Cognitive Rehabilitation and Exposure/Sorting Therapy for Compulsive Hoarding (Ayers et al., 2014).

Cognitive Rehabilitation and Exposure-based Class for Compulsi

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Include:
• Individuals who exhibit subclinical and clinical levels of hoarding disorder, as determined by the SCID interview conducted at the screening assessment, will be eligible to participate in the study. Individuals may also display clinically relevant symptoms of hoarding as indicated by scores on the Hoarding Rating Scale Interview (HRS-I) and/or on the Saving Inventory-Revised (SIR).
• Comorbid mood and anxiety disorders are permitted.
• English-speaking
• Pregnant women

You may not qualify if:

• Adults unable to consent
• Individuals who are not yet adults (infants, children, teenagers)
• Individuals who are over the age of 85
• Individuals with cognitive or physical impairments that would interfere with their participation (e.g., Dementia, uncorrected hearing)
• Participants who have current or past psychotic symptoms or current or past alcohol/substance abuse/dependence may also be excluded.
• Participants may also be excluded if they are currently in other forms of psychotherapy.
• Participants may be excluded if they have had a change in psychotropic medications within three months of the baseline assessment/first class.
• Participants may be excluded if hoarding is not their primary diagnosis.
• Prisoners

Sponsors & Collaborators

• University of Miami: lead

Study Sites (1)

University of Miami

Coral Gables, Florida, 33146, United States

Location

MeSH Terms

Conditions

Hoarding Disorder; Hoarding

Interventions

Cognitive Training

Condition Hierarchy (Ancestors)

Obsessive-Compulsive Disorder; Anxiety Disorders; Mental Disorders; Behavior

Intervention Hierarchy (Ancestors)

Neurological Rehabilitation; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Kiara Timpano, PhD

  University of Miami

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 1, 2014
• First Posted: December 3, 2014
• Study Start: September 1, 2014
• Primary Completion: June 26, 2025
• Study Completion: June 26, 2025
• Last Updated: July 29, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)