Benchmark Research Proposal 2
Abstract
The diagnosis for individuals having the hoarding disorder is widespread, but no known
psychiatric diagnosis prior to the DSM-5.The Cognitive behavior therapy known as the CBT is
known for showing noteworthy evidence with clients who deal with the hoarding disorder. There
are numerous amounts of research revealing the outcomes with those facing hoarding disorder.
The tools used for CBT that have shown to be effective are Savings Cognition Inventory (SCI)
and Savings Inventory-Revised (SI-R). Both of these tools are used in the research studies.
These tools are also showing that by using CBT, individuals with hoarding disorder have no
need for clinical services. Research shows that hoarders who face shame and guilt have
overcome by researchers much time with them in groups and separately.
Keywords: hoarding, disorder, Cognitive Behavior Therapy
Benchmark Research Proposal 3
Benchmark Research Proposal Assignment
Literature Review
The research conducted by Levy displays where CBT functions as a treatment for
participants with hoarding disorder. Nevertheless, Cognitive behavioral therapy is not big but
has many effects. The tools used in the research include ADIC-IV,SCI,SIR,MINI Plus, and
DIAMOND to show that cognitive change affects the consequences of the cognitive behavioral
theory of Hoarding (Levy, 2017).. According to the research study, there displayed significant
change in participants with intense hoarding disorder through treatment using the Saving
Cognitions mediate (Levt, 2017).. The research article from Moulding references Cognitive
Behavioral Therapy being a hoarding treatment for participants with an actual diagnosis of being
a hoarding disorder (Moulding, 2017). The assessments used were the Savings
Inventory-Revised (SI-R), Stress Scales, Anxiety and Depression. It was a twelve week period
with a group of 77 individuals within three years (Moulding, 2017).. The outcome of this study
was to show how reduced hoarding in a twelve week period in the group treatment. This study
showed that CBT is effective for reducing hoarding.
This study from O’Conner derives from group cognitive behavioral therapy for hoarding
disorder. There were sixteen clients in total gathered for weekly discussions held for twenty
weeks an hour and a half long including segments on reasoning and self-worth (O’Conner,
2018). Cognitive behavior therapy treatment can be very effective for hoarding disorders. This
option of therapy can be effective in cost and short time frame for follow-up. This is effective for
hoarders in helping them socialize with others, breaking silence, shame with others battling with
hoarding disorder (O’Conner, 2018). This research study was conducted by Rowa, where
sixty-four participants finished therapy, as well as thirty-eight participants finished post treatment
assessments dealing with hoarding in a cognitive behavior treatment twelve session (Rowa,
2020). The treatment was performed in outpatient hospital facilities showcasing saving
cognitions, hoarding symptoms and self tolerance. Nevertheless out of the thirty-eight hoarding
Benchmark Research Proposal 4
disordered clients, only four accomplished notable changes in severity. The assessment tools
the participants accomplished included the saving inventory revised (SRI), distress tolerance
scale (DTS), and emotion regulation questionnaire (ERQ) and saving conditions inventory (SCI)
during pretreatment and post-treatment in the two week period prior and following the session
(Rowa, 2020). The ERQ showed no big changes, SRI revealed a decrease in big effects. The
SCI and DTS revealed big changes.The added tools, DTS and ERQ were used as well. The
ERQ revealed big changes in the pre and post treatments. Nevertheless, there was much
change in the participants emotional distress tolerance. There were changes in the twelve week
period session, nevertheless; if sixteen weeks was granted, better results could have been
established (Rowa, 2020).
The research conducted by Wootton basis is using CBT as the treatment for the
hoarding disorder. The CBT treatment of the hoarding disorder, there were seventy participants
within a sixteen week time frame (Wootton, 2020). The two measures used included PEAS-H
and CCM are relevant and have validity with some participants with hoarding disorder from CBT
group (Wootton, 2020). The problem is being able to treat individuals with hoarding disorder. “In
the treatment of HD, therefore, we should address psychosocial aspects, such as familial
relationships and environmental control, while attempting CBT or pharmacotherapy and taking
comorbid conditions into considerations” (Nakab & Kamab, 2019). The purpose of this study is
to identify the effectiveness of the CBT for the hoarding disorder. This will fit into the gap by
addressing how CBT works for participants with hoarding disorder. What is the effectiveness of
CBT? What are the factors to consider when organizing the research study? These questions
are important to answer because they will help to identify how CBT works for many but not all
individuals.
Research Design
Benchmark Research Proposal 5
Quantitative research will be conducted. The HD Rating Scale is “test-retest reliability
was also adequate for each item (ICC = 0.72- 0.94) and good for the total score (ICC = 0.85)”
(Clinical Assessment, 2021). This instrument will be used pre and post treatment.
Method
Population and Sampling
Those who have hoarding disorder is the population that will be treated by using the
CBT. In a twenty-four week time frame, forty participants were women and men, 25 through 60
years old were recruited from the Mental Health of Central Carolinas.They participated at the
Mental Health classroom in a twenty four week group Cognitive Behavioral Therapy that will for
ninety minutes every week. The outcome will result in the participants being able to
communicate with others with the hoarding disorder helping them to not feel alone, shame and
guilt. Those who experience the severity of hoarding will have home visits and photos of living
conditions. After examination of the home visits, a decision of treatment will occur. This will be
used to measure how effective CBT treatment reflects on the participants. The scale will be
used between one through eight examining the symptoms of the participants changing following
the treatment. The following results will reflect on what steps need to be taken with the
participant. This will help in enhancing the trustworthiness of the data.
Implications for the Counseling Field
My research study helps benefit the effectiveness of treating the hoarding disorder with
CBT.
Integration
The scripture that comes to mind is Romans chapter 12 and verse 2, “Do not be
conformed to this world, but be transformed by the renewal of your mind, that by testing you
may discern what the will of God is, what is good and acceptable and perfect (ESV, 2020). This
scripture aligns perfectly with CBT by having to transform the mind of thinking. According to the
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References
Clinical Assessment. (n.d.). Hoarding.
https://hoarding.iocdf.org/professionals/clinical-assessment/
Levy, H. C., Worden, B. L., Giliam, C. M., D’Urso, C., Stekeee, G., Frost, R. O., & Tolin, D. F.
(2017). Changes in saving cognitions mediate hoarding symptom change in cognitive
behavioral therapy for hoarding disorder. Journal of Obsessive-Compulsive and Related
Disorders, 14, 112-118. http://doi.org/10.1016/j.jocrd.2017.06.008
Moulding, R., Nedeljkovic, M., Kyrios, M., Osborne, D., & Mogan, C. (2017). Short Term
Cognitive-Behavioral Group Treatment for Hoarding Disorder: A Naturalistic treatment
outcome study. Cinicati Psychology & Psychotherapy, 24(1), 235-244.
http://doi.org/10.1002/cpp.2001
O’Conner, K., Bodryzlova, Y., Audet, J.-S., Koszegi, N., Bergeron, K., & Guitard, A. (2018).
Group cognitive-behavioral treatment with long term follow-up and targeting self - identity
for hoarding disorder: An open trial. Clinical Psychology & Psychotherapy, 25(5),
701-709. http://doi.org/10.1002/cpp.2304
Romans 12:2. NIV. Bible Gateway. (n.d.). www.bibgateway.com
Rowa, K., Cameron, D., Soreni, N., LeMoult, J., McCabe, R. (2020). Outcome of CBT for
Problematic Hoarding in a Naturalistic Setting: Impact on Symptoms and Distress
Tolerance. Behavior Change, 37(1), 13-21. http://doi.org/10.1017/bec.2019.17
The CBT Therapist in Us All - Association of Certified Biblical Counselors (n.d.).
https://biblicalcounseling.com/resource-library/essays/the-cbt-therapist-in-us-all-a-biblical
-evaluation-of-cognitive-behavioral-therapy/
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Wootton, B. M., Bragdon, L. B., Worden, B. L., Diefenbach, G. J., Stevens, M. C., & Tolin, D. F.
(2020). Measuring Within-Session and Between-Session Compliance in Hoarding
Disorder: A Preliminary Investigation of the Psychometric Properties of the CBT
Compliance Measure (CCM) and Patient Exposure/Response Prevention Adherence
Scale for Hoarding (PEAS-H). Assessment, 10319112091802.
http://doi.org/10.1177/1073191120918024
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