Behavioral and emotional consequences of thought listing versus cognitive restructuring during discarding decisions in hoarding disorder
Open accessAbstract
An essential criterion for hoarding disorder (HD) is difficulty discarding or parting with possessions, yet few studies have examined reactions to actual discarding behaviors. The present study examined whether individuals with HD differed from non-hoarding community controls (CC) in discarding behavior and emotional reactions to discarding. A second purpose was to examine the course of experienced distress following discarding. A third purpose was to determine whether HD participants responded differently to a simple thought listing (TL) instruction or to a cognitive restructuring (CR) protocol. Participants were asked to decide whether to keep or discard (a) a personal possession and (b) a newly acquired object (magazine). HD participants anticipated more and longer distress and reported stronger attachment motives than community controls, but they did not differ significantly from community controls in actual discarding behavior. TL was somewhat more effective than CR in improving discarding behavior and reducing negative emotions and attachments to discarded objects among HD participants. Reductions in distress were observed for both HD-TL and HD-CR groups. Thought listing may have reduced avoidance of decision-making about discarding or perhaps CR, but not TL, provoked therapeutic reactance. Discarding was not related to reductions in distress or hoarding-related beliefs.
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Because many individuals with hoarding disorder experience intense distress and negative emotions during decision-making, refusal to discard or make decisions about items may represent avoidance of negative emotions that are difficult to manage.
“Because many individuals with HD experience intense distress and negative emotions during decision-making (Frost et al., 2016;Tolin et al., 2012), refusal to discard or make decisions about items may represent avoidance of negative emotions that are difficult to manage.”
From A naturalistic study of emotion regulation-enhanced cognitive-behavioral group therapy for hoarding disorder in a community setting (2022) · cites this paper as Frost et al., 2016
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- Authors
- Frost, R. O., Ong, C., Steketee, G., & Tolin, D. F.
- Affiliations
- Smith College (US)
- Boston University (US)
- Yale University (US)
- Corresponding author
- Frost, Randy O.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 85
- Pages
- 13-22
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC5026965
- OpenAlex
- W2510110752
- Cited by
- 32
- References
- 60
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 2
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Smith ScholarWorks (Smith College) (submittedVersion)
- Funders
- NIMH (MH068008, MH068007)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Keywords
- hoarding disorder, thought listing, cognitive restructuring, attachment to objects
- MeSH terms
- Hoarding Disorder, Adult, Aged, Aged, 80 and over, Decision Making, Emotions, Female, Humans, Male, Middle Aged, Object Attachment, Stress, Psychological, Thinking, Cognitive Behavioral Therapy, Young Adult
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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