Trial Outcomes & Findings for Imaginal Exposure for Hoarding Disorder (NCT NCT03734705)

NCT ID: NCT03734705

Last Updated: 2025-05-29

Results Overview

Gold-standard 23-item self-report measure of hoarding disorder symptoms. Scale scores range from 0 to 92, with higher scores indicating more severe hoarding symptoms. More severe hoarding symptoms are considered a worse outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

Baseline (Pre Writing) and Follow Up (week 1)

Results posted on

2025-05-29

Participant Flow

Participant milestones

Participant milestones
Measure
Imaginal Exposure Writing
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about their worst-case scenario regarding discarding a possession (i.e., imaginal exposure). Imaginal Exposure Writing: Imaginal exposure is a psychotherapy strategy that has been studied and shown to be helpful in the improvement of symptoms (e.g., anxiety, worry) for other psychiatric conditions, including excessive worry and obsessive-compulsive disorder symptoms.
Neutral Writing
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about what they would do if they had a day off work or school. Neutral Writing: Used in prior research as a control condition for imaginal exposure. Neutral writing will involve writing about what one would do on a day off work or school.
Overall Study
STARTED
17
15
Overall Study
COMPLETED
17
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Imaginal Exposure for Hoarding Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Imaginal Exposure Writing
n=17 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about their worst-case scenario regarding discarding a possession (i.e., imaginal exposure). Imaginal Exposure Writing: Imaginal exposure is a psychotherapy strategy that has been studied and shown to be helpful in the improvement of symptoms (e.g., anxiety, worry) for other psychiatric conditions, including excessive worry and obsessive-compulsive disorder symptoms.
Neutral Writing
n=15 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about what they would do if they had a day off work or school. Neutral Writing: Used in prior research as a control condition for imaginal exposure. Neutral writing will involve writing about what one would do on a day off work or school.
Total
n=32 Participants
Total of all reporting groups
Age, Continuous
56.94 years
STANDARD_DEVIATION 10.74 • n=5 Participants
48.33 years
STANDARD_DEVIATION 15.71 • n=7 Participants
52.91 years
STANDARD_DEVIATION 13.79 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
White
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
East Asian
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Southeast Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Latin American
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Mixed Race
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Other ethnicity
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Employment Status
Not working (including student)
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Employment Status
Employed (full or part-time)
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Employment Status
Retired
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Pre Writing) and Follow Up (week 1)

Gold-standard 23-item self-report measure of hoarding disorder symptoms. Scale scores range from 0 to 92, with higher scores indicating more severe hoarding symptoms. More severe hoarding symptoms are considered a worse outcome.

Outcome measures

Outcome measures
Measure
Imaginal Exposure Writing
n=17 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about their worst-case scenario regarding discarding a possession (i.e., imaginal exposure). Imaginal Exposure Writing: Imaginal exposure is a psychotherapy strategy that has been studied and shown to be helpful in the improvement of symptoms (e.g., anxiety, worry) for other psychiatric conditions, including excessive worry and obsessive-compulsive disorder symptoms.
Neutral Writing
n=15 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about what they would do if they had a day off work or school. Neutral Writing: Used in prior research as a control condition for imaginal exposure. Neutral writing will involve writing about what one would do on a day off work or school.
Savings Inventory Revised (Frost, Steketee & Grisham, 2004; Tolin, Meunier, Frost & Steketee, 2011)
Pre Writing
62.41 score on a scale
Standard Deviation 13.22
62.60 score on a scale
Standard Deviation 11.97
Savings Inventory Revised (Frost, Steketee & Grisham, 2004; Tolin, Meunier, Frost & Steketee, 2011)
Follow Up
53.41 score on a scale
Standard Deviation 16.87
52.00 score on a scale
Standard Deviation 14.05

SECONDARY outcome

Timeframe: Baseline (Pre Writing) and Follow Up (week 1)

Self-report 18-item measure of behaviors associated with hoarding disorder (i.e., acquiring).Scale scores range from 18 to 126, with higher scores indicating more severe hoarding behaviors. More severe hoarding behaviors are considered a worse outcome.

Outcome measures

Outcome measures
Measure
Imaginal Exposure Writing
n=17 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about their worst-case scenario regarding discarding a possession (i.e., imaginal exposure). Imaginal Exposure Writing: Imaginal exposure is a psychotherapy strategy that has been studied and shown to be helpful in the improvement of symptoms (e.g., anxiety, worry) for other psychiatric conditions, including excessive worry and obsessive-compulsive disorder symptoms.
Neutral Writing
n=15 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about what they would do if they had a day off work or school. Neutral Writing: Used in prior research as a control condition for imaginal exposure. Neutral writing will involve writing about what one would do on a day off work or school.
Compulsive Acquisitions Scale (Frost et al. 2002)
Pre Writing
62.88 score on a scale
Standard Deviation 29.59
57.93 score on a scale
Standard Deviation 27.68
Compulsive Acquisitions Scale (Frost et al. 2002)
Follow Up
56.76 score on a scale
Standard Deviation 30.47
47.47 score on a scale
Standard Deviation 23.52

SECONDARY outcome

Timeframe: Baseline (Pre Writing) and Follow Up (week 1)

Self-report 27-item measure of a cognitive process related to hoarding called intolerance of uncertainty. Scale scores range from 27 to 135 (some items are reverse scored), with higher scores indicating more severe intolerance of uncertainty. More severe intolerance of uncertainty is considered a worse outcome.

Outcome measures

Outcome measures
Measure
Imaginal Exposure Writing
n=17 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about their worst-case scenario regarding discarding a possession (i.e., imaginal exposure). Imaginal Exposure Writing: Imaginal exposure is a psychotherapy strategy that has been studied and shown to be helpful in the improvement of symptoms (e.g., anxiety, worry) for other psychiatric conditions, including excessive worry and obsessive-compulsive disorder symptoms.
Neutral Writing
n=15 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about what they would do if they had a day off work or school. Neutral Writing: Used in prior research as a control condition for imaginal exposure. Neutral writing will involve writing about what one would do on a day off work or school.
Intolerance of Uncertainty Scale (Buhr & Dugas, 2002)
Pre Writing
68.47 score on a scale
Standard Deviation 31.63
72.27 score on a scale
Standard Deviation 28.86
Intolerance of Uncertainty Scale (Buhr & Dugas, 2002)
Follow Up
65.06 score on a scale
Standard Deviation 33.27
65.47 score on a scale
Standard Deviation 30.21

SECONDARY outcome

Timeframe: Baseline (Pre Writing) and Follow Up (week 1)

Self-report 7-item measure of a cognitive process related to hoarding called experiential avoidance. Scale scores range from 7 to 49, with higher scores indicating more severe experiential avoidance. More severe hoarding behaviors are considered a worse outcome.

Outcome measures

Outcome measures
Measure
Imaginal Exposure Writing
n=17 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about their worst-case scenario regarding discarding a possession (i.e., imaginal exposure). Imaginal Exposure Writing: Imaginal exposure is a psychotherapy strategy that has been studied and shown to be helpful in the improvement of symptoms (e.g., anxiety, worry) for other psychiatric conditions, including excessive worry and obsessive-compulsive disorder symptoms.
Neutral Writing
n=15 Participants
People with hoarding disorder will write for 20 minutes on each of 3 consecutive days about what they would do if they had a day off work or school. Neutral Writing: Used in prior research as a control condition for imaginal exposure. Neutral writing will involve writing about what one would do on a day off work or school.
Acceptance and Action Questionnaire - II (Hayes, Luoma, Bond, Masuda and Lillis, 2006)
Pre Writing
24.94 score on a scale
Standard Deviation 12.40
28.33 score on a scale
Standard Deviation 10.93
Acceptance and Action Questionnaire - II (Hayes, Luoma, Bond, Masuda and Lillis, 2006)
Follow Up
22.06 score on a scale
Standard Deviation 12.47
22.13 score on a scale
Standard Deviation 11.87

Adverse Events

Imaginal Exposure Writing

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Neutral Writing

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Katie Fracalanza, PhD

Stanford University

Phone: 408-769-0589

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place