2019
Efficacy and Mediators of a Group Cognitive–Behavioral Therapy for Hoarding Disorder: A Randomized Trial
Tolin DF, Wootton BM, Levy HC, Hallion LS, Worden BL, Diefenbach GJ, Jaccard J, Stevens MC. Efficacy and Mediators of a Group Cognitive–Behavioral Therapy for Hoarding Disorder: A Randomized Trial. Journal Of Consulting And Clinical Psychology 2019, 87: 590-602. PMID: 31008633, DOI: 10.1037/ccp0000405.Peer-Reviewed Original ResearchConceptsGroup cognitive behavioral therapyCognitive behavioral therapyBrief group cognitive-behavioural therapyEmotional distress toleranceProblem-solving trainingMotivational interviewing strategiesSubjective cognitive impairmentMaladaptive beliefsDistress tolerancePsychological treatmentHoarding DisorderHypothesized mediatorsTreatment outcomesSession practiceContingency managementCognitive impairmentSymptoms of HDGroup sessionsIndependent evaluatorsPsychiatric disordersTreatment conditionsWait listAdultsAdditional researchDisorders
2018
Validation of a Behavioral Measure of Acquiring and Discarding in Hoarding Disorder
Levy HC, Stevens MC, Tolin DF. Validation of a Behavioral Measure of Acquiring and Discarding in Hoarding Disorder. Journal Of Psychopathology And Behavioral Assessment 2018, 41: 135-143. PMID: 31105379, PMCID: PMC6516472, DOI: 10.1007/s10862-018-9701-7.Peer-Reviewed Original ResearchCognitive behavioral therapyHealthy control participantsBehavioral measuresHD symptomsLonger response timesHoarding DisorderTreatment completersComputer taskEvidence-based assessmentControl participantsConvergent validityCore featuresResponse timeBehavioral assessmentSimulated decisionsMore itemsTreatment-related changesTaskHC groupReaction timeSex-matched healthy control participantsCurrent studySubset of patientsItemsDisorders
2012
Neural Mechanisms of Decision Making in Hoarding Disorder
Tolin DF, Stevens MC, Villavicencio AL, Norberg MM, Calhoun VD, Frost RO, Steketee G, Rauch SL, Pearlson GD. Neural Mechanisms of Decision Making in Hoarding Disorder. JAMA Psychiatry 2012, 69: 832-841. PMID: 22868937, PMCID: PMC3506167, DOI: 10.1001/archgenpsychiatry.2011.1980.Peer-Reviewed Original ResearchMeSH KeywordsAdultBrain MappingCerebral CortexDecision MakingDiagnostic and Statistical Manual of Mental DisordersEvoked PotentialsExpressed EmotionFemaleGyrus CinguliHoarding DisorderHospitals, VoluntaryHumansMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysObsessive BehaviorSickness Impact ProfileConceptsHealthy control subjectsObsessive-compulsive disorderAnterior cingulate cortexNeural mechanismsCingulate cortexBrain regionsNeural activityAppropriate emotional responsesFrontal brain regionsFunctional magnetic resonance imaging (fMRI) signalsPrevious neuroimaging studiesUnique diagnostic entityFunctional magnetic resonanceMagnetic resonance imaging signalsControl subjectsImpaired decisionInsula functionEmotional significanceAffective statesDepressive symptomsHoarding DisorderEmotional responsesNeuroimaging studiesPatientsPoor insightNeural mechanisms of cognitive behavioral therapy response in Hoarding Disorder: A pilot study
Tolin D, Stevens M, Nave A, Villavicencio A, Morrison S. Neural mechanisms of cognitive behavioral therapy response in Hoarding Disorder: A pilot study. Journal Of Obsessive-Compulsive And Related Disorders 2012, 1: 180-188. DOI: 10.1016/j.jocrd.2012.04.001.Peer-Reviewed Original ResearchCognitive behavioral therapyMedial frontal gyrusFrontal gyrusHemodynamic activityManualized group cognitive behavioral therapyCognitive behavioral therapy responsePosterior cingulateFunctional magnetic resonance imaging (fMRI) taskGroup cognitive behavioral therapyRight superior temporal gyrusDecision-making taskInsula/putamenRight posterior hippocampusSuperior temporal gyrusHealthy control participantsParietal lobe regionsHippocampus/parahippocampusNeural functionHoarding DisorderNeural mechanismsBehavioral therapyTemporal gyrusPosterior hippocampusHC participantsLobe regions