英文原文
Objectives: Hoarding disorder (HD) 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-focused therapy (CFT) as an intervention for HD, with the primary aim being assessing its feasibility and acceptability, and the secondary being evaluating its effects. Design: Both CFT and a second round of the current standard of treatment and cognitive behavioural therapy (CBT) were investigated in the current study as follow-up treatment options for individuals who had completed CBT but were still significantly symptomatic. Methods: Forty eligible individuals were enrolled (20 in each treatment). Treatment feasibility and acceptability were assessed by quantitative and qualitative measures. To explore treatment effects, HD symptom severity, HD-related dysfunctions, and their underlying mechanisms were assessed pre-treatment and post-treatment. Results: Retention rates were 72% for CFT and 37% for CBT. All participants and 79% of the participants rated CFT and CBT, respectively, as good or excellent. After receiving CFT as a follow-up treatment, HD symptom severity dropped below the cut-off point for clinically significant HD for 77% of the treatment completers, and 62% achieved clinically significant reduction in symptom severity. In contrast, after completing a second course of CBT, 23% had HD symptom severity dropped below the cut-off threshold, and 29% achieved clinically significant symptom reduction. Conclusions: The current study showed satisfactory feasibility and acceptability of CFT. Moreover, it also found promising effects of CFT in addressing hoarding-related mechanisms that may not have been sufficiently addressed by CBT. The results suggest promising potential of CFT as a treatment for HD. Further investigation on this intervention is needed. Practitioner points: CFT may be a promising treatment option, particularly for those who do not respond well to CBT. Improving emotion regulation and negative self-perception by applying CFT interventions may help relieve hoarding symptoms. Generalization of the findings should be applied with caution given the small convenience sample of the current study. Statistical comparison on treatment effect measures between CFT and CBT as follow-up treatments was not available due to small sample size. Therefore, the comparative conclusions based on this pilot study should be made with caution.
中文翻译
目的：囤积障碍（HD）于2013年被确认为一种精神障碍。现有文献表明其治疗仍有改进空间。本试点研究旨在初步评估慈悲聚焦疗法（CFT）作为HD干预措施的潜力，主要目标是评估其可行性和可接受性，次要目标是评估其效果。设计：本研究调查了CFT和第二轮当前标准治疗认知行为疗法（CBT）作为已完成CBT但仍存在显著症状的个体的后续治疗选择。方法：招募了40名符合条件的个体（每种治疗各20名）。通过定量和定性措施评估治疗可行性和可接受性。为探索治疗效果，在治疗前和治疗后评估了HD症状严重程度、HD相关功能障碍及其潜在机制。结果：CFT的保留率为72%，CBT为37%。所有参与者和79%的参与者分别将CFT和CBT评为良好或优秀。在接受CFT作为后续治疗后，77%的治疗完成者的HD症状严重程度降至临床显著HD的临界点以下，62%实现了症状严重程度的临床显著降低。相比之下，在完成第二轮CBT后，23%的参与者HD症状严重程度降至临界阈值以下，29%实现了临床显著症状减轻。结论：本研究显示了CFT令人满意的可行性和可接受性。此外，还发现CFT在解决囤积相关机制方面具有良好效果，这些机制可能未被CBT充分解决。结果表明CFT作为HD治疗具有良好潜力。需要进一步研究该干预措施。实践要点：CFT可能是一种有前景的治疗选择，特别是对于那些对CBT反应不佳的人。通过应用CFT干预改善情绪调节和负面自我认知可能有助于缓解囤积症状。鉴于本研究样本量小且为便利样本，应谨慎推广研究结果。由于样本量小，无法对CFT和CBT作为后续治疗的治疗效果测量进行统计比较。因此，基于本试点研究的比较结论应谨慎做出。
文章概要
本研究探讨了慈悲聚焦疗法（CFT）治疗囤积障碍（HD）的可行性、可接受性及效果。研究招募了40名已完成认知行为疗法（CBT）但仍有症状的HD患者，分别接受CFT或第二轮CBT治疗。结果显示，CFT在保留率（72% vs 37%）、参与者满意度（100%好评）及症状改善方面均优于CBT，77%的CFT完成者症状降至临床显著水平以下。研究表明CFT通过改善情绪调节和负面自我认知，有效针对囤积机制，为HD治疗提供了新方向。
高德明老师的评价
用12岁初中生可以听懂的语音来重复翻译的内容
这个研究就像是在帮助那些喜欢收集太多东西、家里变得很乱的人。科学家们试了一种叫“慈悲聚焦疗法”的新方法，就是教人们对自己更友好、更温柔。他们发现，用了这个方法后，很多人不再那么爱囤东西了，而且更愿意坚持治疗。这就像你学习时，如果老师鼓励你而不是批评你，你会更想学一样。
焦点解决心理学理论评价
从焦点解决视角看，这项研究展现了目标导向的积极转变。CFT通过培养自我慈悲，帮助个体从“问题聚焦”转向“资源建构”，这与焦点解决疗法强调的“例外寻找”和“小步前进”高度契合。研究数据显示，当人们学会以慈悲心态面对囤积行为时，他们不仅减少了症状，更提升了治疗参与度，这体现了焦点解决中“解决方案已在系统中”的理念。CFT的成功验证了通过强化内在资源而非纠正缺陷，可以激发个体改变的自然动力。
在实践上可以应用的领域和可以解决人们的十个问题
CFT的应用领域广泛，包括心理健康咨询、社区支持项目、学校心理教育及家庭干预等。它可以解决人们的十个问题：1. 帮助囤积者建立更有序的生活空间；2. 减轻因囤积带来的焦虑情绪；3. 改善自我批评和低自尊心态；4. 增强情绪调节能力；5. 提升治疗依从性和持久性；6. 改善家庭关系和社交互动；7. 减少因囤积导致的健康安全隐患；8. 帮助个体发现内在改变动力；9. 培养自我接纳和成长心态；10. 为传统疗法效果不佳者提供新选择。