Understanding barriers to treatment and treatment delivery preferences for individuals with symptoms of hoarding disorder: A preliminary study
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The female majority limits the generalizability of findings to the community more generally.
“While this is consistent with previous research using a similar methodology (Robertson et al., 2020;Smith et al., 2021) it limits the generalizability of findings to the community more generally.”
From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Robertson et al., 2020
These results differ from recent studies for hoarding disorder and depression which identified a preference for low intensity methods in the absence of face-to-face therapy.
“However, these results differ from recent studies for other disorders such as hoarding disorder and depression which identified a preference for low intensity methods in the absence of face-to-face therapy (Robertson et al., 2020;Smith et al., 2021).”
From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Robertson et al., 2020
Cites
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The REDCap consortium: building an international community of software platform partners
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Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder
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Remote treatment of obsessive-compulsive disorder: A randomized controlled trial
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Self-citationWootton, B. M., Titov, N., Dear, B. F., Spence, J., & Kemp, A. (2011) · PLoS ONE · doi:10.1371/journal.pone.0020548 · Cited by 116 · see citing works
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Cognitive behavioral therapy for hoarding disorder: An updated meta-analysis
Rodgers, N., McDonald, S., & Wootton, B. M. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.067 · Cited by 58 · see citing works
Self-citationDavid, J., Crone, C. L., & Norberg, M. M. (2021) · Clinical Psychology and Psychotherapy · doi:10.1002/cpp.2660 · Cited by 34 · see citing works
McCausland, J., Paparo, J., & Wootton, B. M. (2021) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000843 · Cited by 30 · see citing works
“The questions in the THQ were based on previous studies that have used a similar approach (Robertson et al., 2020; Stobie et al., 2007) and aimed to elicit whether the CBT received by the participants could be considered best-practice.”
BackgroundMethodResultInfluentialSelf-citationBasile, V. T., Newton‐John, T., & Wootton, B. M. (2024) · Journal of Clinical Psychology · doi:10.1002/jclp.23665 · Cited by 15 · see citing works
Self-citationUnderstanding stigma in hoarding disorder: A systematic review
Prosser, R., Salkovskis, P. M., & Dennis, J. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100872 · Cited by 15 · see citing works
Smith, S., Paparo, J., & Wootton, B. M. (2021) · Clinical Psychologist · doi:10.1080/13284207.2021.1892453 · Cited by 13 · see citing works
Self-citationLangley, E. L., Clark, G., Murray, C., & Wootton, B. M. (2021) · Australian Psychologist · doi:10.1080/00050067.2021.1893598 · Cited by 13 · see citing works
“Despite the availability of the Better Access initiative, affordability is among the most commonly endorsed treatment barriers in several Australian studies (e.g., Gentle et al., 2014; Langley et al., 2018; Robertson et al., 2020; Spence et al., 2011).”
BackgroundMethodInfluentialSelf-citationBlack, J. A., Paparo, J., & Wootton, B. (2023) · Behaviour change · doi:10.1017/bec.2022.26 · Cited by 10 · see citing works
“Several other studies have also found that low-intensity mental health treatment services were perceived as less acceptable than traditional face-to-face interventions (McCausland et al., 2021; Robertson, Paparo, & Wootton, 2020; Smith et al., 2021).”
BackgroundMethodResultInfluentialSelf-citationKrafft, J., Petersen, J. M., Ong, C. W., Twohig, M., & Levin, M. E. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2023.100846 · Cited by 9 · see citing works
“In addition, the format of the website may have the secondary effect of circumventing treatment barriers related to affordability and beliefs about need for self-reliance (Robertson et al., 2020).”
State of the Science: Hoarding Disorder and Its Treatment.
Tolin, D. F., Worden, B. L., & Levy, H. C. (2025) · The Behavior Therapist · doi:10.1016/j.beth.2025.03.002 · Cited by 8 · see citing works
Maguire, P. N., Clark, G. I., Cosh, S., & Wootton, B. (2023) · Australian psychologist · doi:10.1080/00050067.2023.2236281 · Cited by 8 · see citing works
“…disorders would prefer face-to-face treatment, a large proportion would utilise remote treatments (Berle et al., 2015; McCausland et al., 2021; Robertson et al., 2020), and for many remote treatments during the perinatal period may be more convenient due to it minimising the barriers, such as…”
BackgroundSelf-citationMcGrath, M., Russell, A., & Masterson, C. (2023) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465823000425 · Cited by 7 · see citing works
“The variation in preferences for treatment has been noted elsewhere (Robertson et al ., 2020; Rodriguez et al ., 2016).”
BackgroundMethodJones, M., Weir, B., & Yap, K. (2025) · Clinical Psychology and Psychotherapy · doi:10.1002/cpp.70146 · Cited by 6 · see citing works
“While previous research shows that individual therapy has good acceptability among patients with HD (Robertson et al. 2020 and Rodriguez et al. 2016), these studies are based on participant responses to questions about their preferences if they were to seek treatment in the future.”
Help-seeking and treatment delivery preferences for women experiencing perinatal anxiety symptoms
Maguire, P. N., Bhullar, N., Cosh, S., & Wootton, B. (2023) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465823000012 · Cited by 6 · see citing works
“Treatment Preferences Questionnaire The Treatment Preferences Questionnaire (TPQ) has been used in previous studies (Robertson et al., 2020; Smith et al., 2021) and assesses cognitive behavioural treatment delivery preferences.”
MethodResultInfluentialSelf-citationPsychosocial interventions for hoarding disorder: a systematic review
Twigger, D., Gregory, J. D., Bowers, E., & Millar, J. (2024) · Cognitive Behaviour Therapy · doi:10.1017/s1754470x24000357 · Cited by 4 · see citing works
“Approximately 58% of individuals felt that they would prefer to resolve their hoarding difficulties without psychological support, while 28% of individuals with HD believed their hoarding difficulties did not require psychological intervention (Robertson et al ., 2020).”
Basile, V. T., Newton-John, T., McDonald, S., & Wootton, B. M. (2024) · British Journal of Clinical Psychology · doi:10.1111/bjc.12482 · Cited by 4 · see citing works
Self-citationClark, L. H., Murphy-Morgan, C., Neave, N., Punton, G., Rivers, H., & Sillence, E. (2025) · Clinical Psychology · doi:10.1080/13284207.2025.2579009 · Cited by 3 · see citing works
Reasons for seeking internet-delivered treatment for individuals with obsessive-compulsive disorder.
Melkonian, M., McDonald, S., Karin, E., Titov, N., Dear, B., & Wootton, B. M. (2024) · British Journal of Clinical Psychology · doi:10.1111/bjc.12524 · Cited by 2 · see citing works
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Murphy-Morgan, C., Hodgson, P., Pollet, T. V., & Neave, N. (2024) · Health & Social Care in the Community · doi:10.1155/2024/5513833 · Cited by 1 · see citing works
Identifying predictors of treatment response in Hoarding Disorder using machine learning.
Zakrzewski, J. J., Williams, S., Hashemian, T., Brunson, J. C., & Mathews, C. A. (2026) · Behaviour Research and Therapy · doi:10.1016/j.brat.2026.105177
A thematic analysis of an online discussion forum for people with problematic hoarding behaviours.
Sillence, E., & Murphy-Morgan, C. (2026) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465826101295
“…include service gaps, perceived stigma, a belief one should work out their own problems, a lack of knowledge regarding available treatment, a need for control over services and support and treatment costs (Clark et al ., 2025; McGrath et al ., 2024; Ryninks et al ., 2019; Robertson et al ., 2020).”
Zakrzewski, J. J., Appelbaum, L., Weissman, C. R., Sun, Y.-M., Ayers, C., Daskalakis, Z. J., & Twamley, E. W. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121814
“Due to the lack of evidence-based treatments and clinicians experienced in treating HD, individuals and clinicians often struggle to find and provide adequate care (McGrath et al., 2024; Robertson et al., 2020; Stanley et al., 2017).”
Henderson, R. R., Parker, G., Cooke, D., Downing, S. T., Fernandez, A. M. P., Schultz, I., Nielsen, A. M., Garcia, A., Uddin, R., Scrabis, A., et al. (2024) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2024.100499
Maguire, P. N., Bhullar, N., Cosh, S., & Wootton, B. (2023) · Women's Health · doi:10.1177/17455057231175800
Self-citationMoses, K., & Wootton, B. (2022) · Clinical Psychology · doi:10.1080/13284207.2021.2023488
Self-citation
- Authors
- Robertson, L., Paparo, J., & Wootton, B. M.
- Affiliations
- University of Technology Sydney (AU)
- Corresponding author
- Wootton, Bethany M.
- Venue
- Journal of Obsessive-Compulsive and Related Disorders
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 26
- Pages
- 100560
- ISSN
- 2211-3649 (ISSN-L)
- OpenAlex
- W3043458164
- Cited by
- 25
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 1 · 2021: 4 · 2020: 1
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obsessive-Compulsive and Related Disorders (publishedVersion)
- UTS ePRESS (University of Technology Sydney) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Keywords
- hoarding disorder, barriers to treatment, help-seeking, treatment preferences, treatment costs, self-reliance, self-stigma, group therapy, individual psychotherapy
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