Cognitive Behavioral Therapy for Hoarding Disorder: A Systematic Review

Abstract

Although hoarding has been considered as a type of obsessive-compulsive disorder before, some differences that were found lead to reclassify hoarding as a separate disorder under obsessive-compulsive disorder and related disorders in DSM-5. Patients with hoarding disorder have negative feelings like strong fear when considering getting rid of items and exaggerate the importance of possessions. Different cognitive behavioral therapy protocols including individual, group and self-help treatments are used for treating hoarding disorder. The aim of this study is to review empirical studies that were carried out to evaluate the effectiveness of cognitive behavioral therapy for the treatment of hoarding disorder. The 12 studies fitting the search criteria were included in this review and were summarized in terms of their methods used and their therapy characteristic. The studies included in this review suggested that cognitive behavioral therapy for hoarding disorder is effective in decreasing the symptoms of the disorder and/or the accompanying problems like depression and anxiety.

Keywords

• hoarding disorder,cognitive behavioral therapy,effectiveness

Biriktirme Bozukluğunda Bilişsel Davranışçı Terapi: Sistematik bir Gözden Geçirme

Öz

Biriktirme bozukluğu önceleri obsesif-kompulsif bozukluğun bir türü olarak değerlendirilmesine rağmen, son yıllarda bulunan bazı farklılıklar biriktirmenin DSM-5’te obsesif-kompulsif bozukluk ve ilişkili bozukluklar altında ayrı bir bozukluk olarak yeniden sınıflandırılmasını sağlamıştır. Biriktirme bozukluğu olan hastalar eşyalarını elden çıkarmaya ilişkin yoğun korku gibi güçlü olumsuz duygular yaşar ve sahip oldukları şeylerin önemini abartırlar. Biriktirme bozukluğu için bireysel, grup ve kendine yardım tedavilerini içeren farklı bilişsel davranışçı terapi protokolleri olduğu görülmektedir. Bu çalışmada biriktirme bozukluğu tedavisinde uygulanan bilişsel davranışçı terapinin etkililiğini değerlendirmek için yapılmış ampirik çalışmaların gözden geçirilmesi amaçlanmıştır. Ölçütleri karşılayan 12 çalışmanın yöntem ve terapi özellikleri karşılaştırılarak sunulmuştur. Biriktirme bozukluğu olan kişilere uygulanan bilişsel davranışçı terapilerin, bozukluğa ilişkin belirtileri ve/veya bozukluğa eşlik eden sorunları (depresyon, anksiyete vb.) azaltmada etkili olduğu görülmektedir.

Anahtar Kelimeler

• biriktirme bozukluğu,bilişsel davranışçı terapi,etkililik

Kaynakça

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