Home-based motivational interviewing for late-life rural hoarding disorder: a pilot study.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Mary E Dozier, Caitlyn A Nix
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引用次数: 0

Abstract

Objectives: The primary purpose of this pilot study was to determine the feasibility and acceptability of a novel brief (six-session) motivational interviewing home-based intervention for hoarding disorder designed for rural older adults. The secondary aims were to examine the engagement of proposed mechanisms of change and the preliminary efficacy of symptom reduction.

Method: Fifteen rural-dwelling older adults were enrolled in the pilot trial for Project RECLAIM (Reduce Clutter and Increase Meaning). Engagement of proposed mechanisms of change was assessed weekly for reported engagement in sorting/discarding behaviors and from baseline to post-treatment on readiness for change and motivation. Symptom reduction was assessed from baseline to post-treatment on hoarding symptoms and general psychological functioning.

Results: Sixty percent of participants completed all six sessions of RECLAIM. Over the course of treatment, participants reported significant decreases in household clutter (d = -0.85) and object attachment (d = -1.01) and increases in positive affect (d = 0.71), readiness for change (d = 0.40) and motivation (d = 0.52), and sorting between sessions (ß = 3.82).

Conclusion: The significant reductions in hoarding symptoms after only six sessions of treatment suggest that a brief, in-home, intervention may be a viable option for symptom reduction, particularly for rural-dwelling older adults.

以家庭为基础的动机访谈法治疗晚年农村囤积症:一项试点研究。
研究目的这项试点研究的主要目的是确定针对农村老年人囤积症的新型简短(六次课)家庭动机访谈干预的可行性和可接受性。次要目的是检查所提出的改变机制的参与情况以及症状减轻的初步效果:方法:15 位居住在农村的老年人参加了 RECLAIM 项目(减少杂物、增加意义)的试点试验。每周对所报告的分类/丢弃行为的参与情况以及从基线到治疗后的改变准备情况和动机进行评估。从基线到治疗后,对囤积症状和一般心理功能进行评估:结果:60%的参与者完成了 RECLAIM 的全部六个疗程。在治疗过程中,参与者的家庭杂物(d = -0.85)和客体依恋(d = -1.01)显著减少,积极情绪(d = 0.71)、改变准备(d = 0.40)和动机(d = 0.52)以及疗程间分类(ß = 3.82)显著增加:结论:仅经过六个疗程的治疗,囤积症状就明显减少,这表明简短的居家干预可能是减少症状的可行选择,尤其是对居住在农村的老年人而言。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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