Internet Supported Group Cognitive Behavior Therapy (CBT) for Hoarding Disorder (HD)
2017년 8월 15일 업데이트: Christian Rück, Karolinska Institutet
Internet Supported Group Cognitive Behavior Therapy for Hoarding Disorder - A Pilot Study
The primary aim is to develop, and test the feasibility and efficacy of, a manual based, cognitive behaviour therapy (CBT) treatment for Hoarding Disorder (HD) delivered in a group format combined with an Internet support system. The investigators' secondary aim is to investigate the neurocognitive profile of the participants before and after treatment in order to explore if the treatment might have an impact on neurocognitive functioning and if certain neurocognitive profiles predict outcome.
For the primary aim, the investigators hypothesize that the treatment will be acceptable to participants and decrease symptoms of hoarding. Regarding the secondary aim, the investigators hypothesize that deficiencies in executive functioning, as measured with a neurocognitive battery, will reduce upon completion of treatment and that baseline executive function will be associated with treatment outcome.
연구 개요
연구 유형
중재적
등록 (실제)
20
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Stockholm, 스웨덴
- Psykiatri Nordväst, Stockholms Läns Sjukvårdsområde (SLSO), Stockholms Läns Landsting
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
Inclusion criteria:
- Outpatients
- Male or female
- ≥ 18 years of age
- Currently living in Stockholm county
- Primary diagnosis of Hoarding Disorder according to DSM-5
- Signed informed consent
- Regular access to a computer with Internet and ability to use Internet
- Access to a mobile phone
- Able to participate in group sessions
Exclusion criteria:
- Current substance dependence or misuse
- Life time bipolar disorder or psychosis
- Severe self-rated depressive symptoms (score ≥ 35 on MADRS-S)
- Suicidal ideation (score > 4 on item 9 in MADRS-S)
- Psychotropic medication changes within two months prior to the treatment
- Other current psychological treatment that could affect hoarding symptoms
- Has received more than 10 CBT sessions for Hoarding Disorder
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: CBT with Internet support
16 sessions of Cognitive behavior therapy in group with Internet support between group sessions
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다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Saving Inventory - Revised (SI-R)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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The SI-R is a 23-item self-report questionnaire.
It assesses hoarding symptoms in 3 sub-scales: difficulty discarding, clutter and excessive acquisition.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Hoarding Rating Scale - Self Report (HRS-SR)
기간: Weekly change during treatment, weeks 1-15
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A 5-item self-report questionnaire assessing hoarding symptoms.
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Weekly change during treatment, weeks 1-15
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Saving Cognitions Inventory (SCI)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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The questionnaire is a 24-item self-report questionnaire assessing beliefs and attitudes participants experience when trying to discard items.
It is divided in 4 subscales:emotional attachment to objects, beliefs about objects as memory aids, responsibility for not wasting possessions, and the need for control over possessions.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Clutter Image Rating (CIR)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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This scale consists of three sets of photographs each containing nine photos of a single room with varying levels of clutter.
Study participants will select the photograph that best resembles his or her own home.
The study investigators will also conduct blinded ratings of the same photos.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Global Assessment of Functioning (GAF)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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A scale used to rate the social, occupational, and psychological functioning of the study participants.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Clinical global impression (CGI)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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A 7 point scale to rate how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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EuroQol- 5 Dimension (EQ-5D)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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A self-rating scale assessing quality of life i 5 dimensions.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Trimbos and Institute of Medical Technology Assessment Cost Questionnaire for Psychiatry (TIC-P)
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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In this questionnaire, study participants register their monthly health care consumption (e.g.
GP visits) as well as time spent in informal health enhancing activities (e.g.
self-help groups and informal care from friends).
Additionally, work loss and work cutback both at work and in the domestic realm is measured.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Hoarding disorder diagnosis
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Presence of Hoarding Disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
Assessed by the investigators using the Structured Interview for Hoarding Disorder.
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Comorbid psychiatric diagnoses
기간: Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Presence of psychiatric diagnoses other than Hoarding Disorder.
Assessed by the investigators using the M.I.N.I.
International Neuropsychiatric Interview (M.I.N.I. 6.0).
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Change from baseline to treatment week 8,16, 3- and 12-month follow-up
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Neuropsychological Test Battery (CANTAB)
기간: Change from baseline to treatment week 16
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Cambridge Automated Neuropsychological Test Battery (CANTAB) will be used to test the study participants in 3 aspects of executive function: shifting and flexibility of attention, visuospatial working memory and response inhibition
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Change from baseline to treatment week 16
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Client Satisfaction Questionnaire - 8 (CSQ-8)
기간: At treatment week 16
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An 8-item questionnaire measuring treatment satisfaction and acceptability.
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At treatment week 16
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Homework adherence
기간: Weekly change during treatment, weeks 1-15
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Self-reported time spent on homework each week.
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Weekly change during treatment, weeks 1-15
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Christian Rück, Assoc Prof, Karolinska Institutet
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2015년 10월 1일
기본 완료 (실제)
2017년 6월 1일
연구 완료 (실제)
2017년 6월 1일
연구 등록 날짜
최초 제출
2015년 10월 13일
QC 기준을 충족하는 최초 제출
2015년 10월 21일
처음 게시됨 (추정)
2015년 10월 23일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2017년 8월 18일
QC 기준을 충족하는 마지막 업데이트 제출
2017년 8월 15일
마지막으로 확인됨
2017년 8월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .