Sofia Jägholm talks about hoarding on TV4 Nyhetsmorgon

Sofia Jägholm participated in TV4 Nyhetsmorgon, Swedish morning news and talk show, and talked about the on-going recruitment to the Joining Forces randomized controlled trial.

The study aims to determine the clinical efficacy of in-home decluttering (delivered by a team from a social service unit) augmentation of group CBT for reducing hoarding severity in adults with hoarding disorder. 

Participants will receive protocol-driven group CBT for HD for 12 weeks. After group CBT, participants are immediately randomized to one of two trial arms. In the experimental arm, participants receive 10 weeks of in-home decluttering. In the waitlist arm, participants receive no intervention but fill out questionnaires with identical procedures as in the intervention group. 

Hoarding disorder is a mental disorder on the OCD-spectrum. It is characterized by significant difficulties of discarding or parting with possessions and strong urges to save and often also strong desires to acquire items. Together, these symptoms result in the accumulation of large amounts of items that are kept in a disorganized manner at home, to the degree that normal use of the space is difficult, causing significant impairment in function. 

Click here to watch the clip online at tv4play (in Swedish).

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New study: Adapted CBT for adults with OCD and ASD

We have just released a pre-print1 where we describe an adapted cognitive behavior therapy for adults with obsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD). You can find the full paper here.

OCD and ASD often co-occur but effective treatment options for this patient group are sorely lacking. We extended an adapted CBT protocol developed in the UK at our specialist clinic for OCD and related disorders (OCD-programmet).

Our results show that OCD-symptoms (both when rated by a clinician and by the participants themselves) decrease over the course of treatment, but that few participants were completely symptom free.

Results on the main outcome: Yale-Brown Obsessive-compulsive Scale (YBOCS) rated by clinicians.

We discuss three ways to develop the treatment further: adding more support in between sessions to help participants do exposure exercises on their own, including interventions to help participants find meaningful daily activities, and intensifying the treatment over a shorter time span.

If you are interested in learning more, you can find the pre-print at the pre-print server PsyArXiv.

  1. A pre-print is a manuscript that has been read and approved by all authors but has not gone through peer-review yet. It’s a popular way to quickly disseminate results in fields like genetics, physics and mathematics. It is gaining popularity in other fields as well. Wikipedia article ↩︎

Visit from Blake Dear of eCentreClinic, Australia

Dr. Blake F. Dear, Co-Director of the eCentreClinic in Australia, recently visited Karolinska Institutet to partake in the dissertation of Marianne Bonnert. While in Sweden, he also gave a talk on recent updates from the Australian eCentreClinic. They develop internet-delivered psychological treatments for common mental health and physical health conditions.


Continue reading “Visit from Blake Dear of eCentreClinic, Australia”

New study: internet-based treatment for BDD

We have just launched our first study of a English-language version of our BDD treatment that has been shown to be effective in Swedish studies.

It is a 12-week internet-based CBT treatment that is open for adults with Body Dysmorhic Disorder (BDD). Read more about BDD and how to register for the study at

At this time, the study is open to residents of Sweden only. We are hoping that it will open to international participants in the future.

Internet-based CBT for Body Dysmorphic Disorder!

We recently published the worlds first trial of Internet-based CBT for body dysmorphic disorder. A vast majority (82%) of the patients were responders and the treatment was deemed highly acceptable. Results were sustained at the 3-month follow-up.

As the results from the pilot trial were really promising we are moving on to conduct a RCT.

Read the article by clicking the link below (it’s open access):

Enander, J., Ivanov Z. V., Andersson, E., Mataix-Cols, D., Rück C. Therapist-guided, Internet-based cognitive-behavioural therapy for body dysmorphic disorder (BDD-NET): a feasibility study. BMJ Open 2014

Erik Andersson now a PhD, first to come out of our lab.

Erik Andersson today defended his thesis in the best of ways and is now a PhD from the Karolinska Institutet. Opponent was Prof Sabine Wilhelm, Harvard and she said “this is the best dissertation I have come across, by far”. The dissertation committee consisted of Prof Bo Runeson, Prof Christina Hultman and Professor Mats Fredriksson. Main supervisor was Christian Rück and Viktor Kaldo, Nils Lindefors and Gerhard Andersson were co-supervisors. Let’s celebrate!

Erik Andersson, new PhD, adimired by Sabine Wilhelm and Christian Rück.