{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:09:44Z","timestamp":1790716184466,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,7,4]],"date-time":"2019-07-04T00:00:00Z","timestamp":1562198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      Hoarding disorder (\n                      <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\n                      ) was recognized as a psychiatric disorder in 2013. Existing literature suggests room for improvement in its treatment. The current pilot study aimed to provide an initial evaluation on the potential of compassion\u2010focused therapy (CFT) as an intervention for\n                      <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\n                      , with the primary aim being assessing its feasibility and acceptability, and the secondary being evaluating its effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      Both\n                      <jats:styled-content style=\"fixed-case\">CFT<\/jats:styled-content>\n                      and a second round of the current standard of treatment and cognitive behavioural therapy (\n                      <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                      ) were investigated in the current study as follow\u2010up treatment options for individuals who had completed\n                      <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                      but were still significantly symptomatic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Forty eligible individuals were enrolled (20 in each treatment). Treatment feasibility and acceptability were assessed by quantitative and qualitative measures. To explore treatment effects,\n                      <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\n                      symptom severity,\n                      <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\n                      \u2010related dysfunctions, and their underlying mechanisms were assessed pre\u2010treatment and post\u2010treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Retention rates were 72% for CFT and 37% for CBT. All participants and 79% of the participants rated\n                      <jats:styled-content style=\"fixed-case\">CFT<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                      , respectively, as good or excellent. After receiving\n                      <jats:styled-content style=\"fixed-case\">CFT<\/jats:styled-content>\n                      as a follow\u2010up treatment, HD symptom severity dropped below the cut\u2010off point for clinically significant HD for\u00a077% of the treatment completers, and 62% achieved clinically significant reduction in symptom severity. In contrast, after completing a second course of\n                      <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                      , 23% had\n                      <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\n                      symptom severity dropped below the cut\u2010off threshold, and 29% achieved clinically significant symptom reduction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The current study showed satisfactory feasibility and acceptability of\n                      <jats:styled-content style=\"fixed-case\">CFT<\/jats:styled-content>\n                      . Moreover, it also found promising effects of\n                      <jats:styled-content style=\"fixed-case\">CFT<\/jats:styled-content>\n                      in addressing hoarding\u2010related mechanisms that may not have been sufficiently addressed by\n                      <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>\n                      . The results suggest promising potential of\n                      <jats:styled-content style=\"fixed-case\">CFT<\/jats:styled-content>\n                      as a treatment for\n                      <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>\n                      . Further investigation on this intervention is needed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>CFT may be a promising treatment option, particularly for those who do not respond well to CBT.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Improving emotion regulation and negative self\u2010perception by applying CFT interventions may help relieve hoarding symptoms.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Generalization of the findings should be applied with caution given the small convenience sample of the current study.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Statistical comparison on treatment effect measures between CFT and CBT as follow\u2010up treatments was not available due to small sample size. Therefore, the comparative conclusions based on this pilot study should be made with caution.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12228","type":"journal-article","created":{"date-parts":[[2019,7,4]],"date-time":"2019-07-04T13:22:31Z","timestamp":1562246551000},"page":"1-21","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Treating hoarding disorder with compassion\u2010focused therapy: A pilot study examining treatment feasibility, acceptability, and exploring treatment effects"],"prefix":"10.1111","volume":"59","author":[{"given":"Chia\u2010Ying","family":"Chou","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of California, San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice 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