Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

7 results

  • Increasing secure base script knowledge among parents with Attachment and Biobehavioral Catch-up

  • K. Lee Raby, Theodore E. A. Waters, Alexandra R. Tabachnick, Lindsay Zajac, Mary Dozier
  • Journal:
    Development and Psychopathology / Volume 33 / Issue 2 / May 2021
    Published online by Cambridge University Press:
    25 January 2021, pp. 554-564
    • Article
      • You have access
      • Open access
    • PDF
    • HTML
    • Export citation

  • This study evaluated whether Attachment and Biobehavioral Catch-up (ABC), a parenting intervention, altered the attachment representations of parents (average age of 34.2 years) who had been referred to Child Protective Services (CPS) due to risk for child maltreatment when their children were infants. Approximately 7 years after completing the intervention, parents who had been randomized to receive ABC (n = 43) exhibited greater secure base script knowledge than parents who had been randomized to receive a control intervention (n = 51). Low-risk parents (n = 79) exhibited greater secure base script knowledge than CPS-referred parents who had received a control intervention. However, levels of secure base script knowledge did not differ between low-risk parents and CPS-referred parents who had received the ABC intervention. In addition, secure base script knowledge was positively associated with parental sensitivity during interactions with their 8-year-old children among low-risk and CPS-referred parents. Mediational analyses supported the idea that the ABC intervention enhanced parents’ sensitivity 7 years later indirectly via increases in parents’ secure base script knowledge.

  • Family and social functioning in adults with hoarding disorder

  • Eliza J. Davidson, Mary E. Dozier, Tina L. Mayes, Kylie A. Baer, Catherine R. Ayers
  • Journal:
    Children Australia / Volume 45 / Issue 3 / September 2020
    Published online by Cambridge University Press:
    15 June 2020, pp. 159-163
    Print publication:
    September 2020

  • Hoarding is associated with problems engaging in social activities, lower social support, increased isolation and poses substantial challenges to family functioning. The aim of this investigation was to explore the relationship between hoarding severity and family and social functioning variables in 60 treatment-seeking adults with hoarding disorder (HD). Participants completed a battery of self-report measures during a baseline assessment completed prior to treatment. Forty-seven percent of participants reported they live alone. Forty-eight percent of participants reported that family and friends never visit them in their home, and 33% indicated they never had visitors to their home, not even service workers or repair people. Twelve percent of participants indicated they never visit with family or friends outside of their home; however, 55% of participants endorsed phoning family or friends more than 9 times each month. Increased clutter and hoarding severity was associated with a lower frequency of family and friends visiting in the home. Family competence and conflict were both positively associated with hoarding severity. Our results shed light on family and social impairment in HD and their relationship with symptom severity; however, additional research should examine social dysfunction among non-treatment-seeking individuals who may be more impaired or isolated.

  • Implementation and evaluation of a community-based treatment for late-life hoarding

  • James O. E. Pittman, Eliza J. Davidson, Mary E. Dozier, Brian H. Blanco, Kylie A. Baer, Elizabeth W. Twamley, Tina L. Mayes, David H. Sommerfeld, Tiffany Lagare, Catherine R. Ayers
  • Journal:
    International Psychogeriatrics / Volume 33 / Issue 9 / September 2021
    Published online by Cambridge University Press:
    05 March 2020, pp. 977-986
  • Objectives:

    The objective of this paper was to examine the implementation and effectiveness of a community-based intervention for hoarding disorder (HD) using Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST).

    Design:

    This was a mixed-method, pre-post quasi-experimental study informed by the Practical, Robust Implementation and Sustainability Model for implementation science.

    Setting:

    Program activities took place in San Diego County, mainly within clients’ homes or community, with some activities in-office.

    Participants:

    Participants were aged 60 years or older, met eligibility for Medi-Cal or were uninsured, and met criteria for HD.

    Intervention:

    A manualized, mobile protocol that incorporated CREST was utilized.

    Measurements:

    The Clutter Image Rating and Hoarding Rating Scale were used as effectiveness outcomes. An investigator-created staff questionnaire was used to evaluate implementation.

    Results:

    Thirty-seven clients were reached and enrolled in treatment and 15 completed treatment during the initial 2 years of the program. There were significant changes in hoarding severity and clutter volume. Based on the initial 2 years of the program, funding was provided for expansion to cover additional San Diego County regions and hire more staff clinicians in year three.

    Conclusion:

    Preliminary data suggest that the CREST intervention can be successfully implemented in a community setting with positive results for older adults with HD.

  • Enhancing executive functioning among toddlers in foster care with an attachment-based intervention

  • Teresa Lind, K. Lee Raby, E. B. Caron, Caroline K. P. Roben, Mary Dozier
  • Journal:
    Development and Psychopathology / Volume 29 / Issue 2 / May 2017
    Published online by Cambridge University Press:
    12 April 2017, pp. 575-586

  • Young children in foster care often experience adversity, such as maltreatment and lack of stability in early caregiving relationships. As a result, these children are at risk for a range of problems, including deficits in executive functioning. The Attachment and Biobehavioral Catch-up for Toddlers (ABC-T) intervention was designed to help foster parents behave in ways that promote the development of young children's emerging self-regulatory capabilities. Participants included 173 parent–toddler dyads in three groups: foster families that were randomly assigned to receive either the ABC-T intervention (n = 63) or a control intervention (n = 58), as well as low-risk parent–toddler dyads from intact families (n = 52). At a follow-up conducted when children were approximately 48 months old, children's executive functioning abilities were assessed with the attention problems scale of the Child Behavior Checklist (Achenbach & Rescorla, 2000) and a graded version of the Dimensional Change Card Sort developed for preschoolers (Beck, Schaefer, Pang, & Carlson, 2011). Results showed that foster children whose parents received the ABC-T intervention and low-risk children never placed in foster care had fewer parent-reported attention problems and demonstrated greater cognitive flexibility during the Dimensional Change Card Sort than foster children whose parents received the control intervention. These results indicate that an attachment-based intervention implemented among toddlers in foster care is effective in enhancing children's executive functioning capabilities.

  • Validation of the clutter image rating in older adults with hoarding disorder

  • Mary E. Dozier, Catherine R. Ayers
  • Journal:
    International Psychogeriatrics / Volume 27 / Issue 5 / May 2015
    Published online by Cambridge University Press:
    13 November 2014, pp. 769-776
  • Background:

    The Clutter Image Rating (CIR) was created to meet a gap in the research on compulsive hoarding: how to ascertain clutter level in an individual's home without a home visit, as not all clinicians have the ability to conduct a home visit. The CIR has proven itself to be both reliable and valid for use in adults with compulsive hoarding symptoms. However, there is currently a dearth of information on performance of the CIR in older adults diagnosed with hoarding disorder (HD). Because older adults have increased medical issues, including fall risks, evaluating the level of clutter in the house is especially critical in geriatric populations.

    Method:

    The current study was an investigation of the reliability and validity of the CIR in assessing late life HD. The internal consistency, convergent and divergent validity, and norms of the CIR were investigated in a large geriatric HD sample and compared with a midlife sample of individuals with HD. Criterion validity of the CIR was investigated through the comparison of participant ratings conducted in the clinic and clinician ratings conducted in the home.

    Results:

    The current study found similar levels of reliability and validity in a late life sample as in previous studies conducted in mid-life adults.

    Conclusions:

    Unlike previous studies, the current study did not find a significant relationship between the CIR and the non-clutter related subscales of the Savings Inventory-Revised. The CIR appears to be both reliable and valid for assessing clutter levels in older adults diagnosed with HD.

  • Predictors of hoarding severity in older adults with hoarding disorder

  • Catherine R. Ayers, Mary E. Dozier
  • Journal:
    International Psychogeriatrics / Volume 27 / Issue 7 / July 2015
    Published online by Cambridge University Press:
    13 August 2014, pp. 1147-1156
  • Background:

    The recent addition of hoarding disorder (HD) to the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition, has highlighted the dearth of information about the demographic, sociologic, and medical predictors of HD severity, particularly in older adults. Although there have been several previous studies examining the characteristics of older adults with HD, and one investigation of psychiatric correlates of hoarding symptom severity in non-clinical older adults, there has been little investigation about which characteristics predict hoarding symptom severity in older adults with HD.

    Methods:

    Participants were 71 older adults who were enrolled for one of the two studies of HD at the VA San Diego Healthcare System between January 2010 and January 2014.

    Results:

    There were multiple differences in the predictive ability of patient characteristics between the more cognition-related symptoms of HD and the more concrete measure of clutter, including gender-based differences and anxiety severity. Further, married participants were more likely to report lower hoarding severity, and there was no significant relationship between hoarding severity and intervention attempts or hoarding and reported falls in the past three years.

    Conclusions:

    Multiple predictive factors have been presented, which may result in further studies to investigate possible predictive differences in cognition and clutter symptoms of HD. Future studies should examine the possibility of the predictive factors also identified to be moderators of treatment outcomes.