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Catherine Ayers

Title(s)Professor Of Clinical, Psychiatry
SchoolVc-health Sciences-schools
Address9500 Gilman Drive #
La Jolla CA 92093
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    Biography

    Catherine R. Ayers, Ph.D., ABPP is the Division Director of the VA San Diego Healthcare System (VASDHS) La Jolla Mental Health Outpatient Clinics, Assistant Professor in the University of California San Diego (UCSD) Department of Psychiatry, and faculty member in the SDSU/UCSD Joint Doctoral Program in Clinical Psychology. Her research is focused on treatment outcomes for geriatric hoarding disorder and the neuropsychiatric characterization of hoarding disorder in late life. Her research on psychotherapy for geriatric hoarding disorder has been funded by the International OCD Foundation (PI). She received a Career Development Award from the Department of Veterans Affairs entitled “Treatment of Late Life Hoarding” (PI). Dr. Ayers has 5 active research investigations at the VA and UCSD and has recently received a CSR&D grant from the Department of Veterans Affairs entitled “Cognitive Rehabilitation and Exposure Therapy for Veterans with Hoarding Disorder.”

    Research Interests

    Dr. Ayers investigates treatment outcome for anxiety disorders, particularly geriatric hoarding. Additionally, she is interested in the neuropsychiatric characterization of late life hoarding. Her research on psychotherapy for hoarding has been funded by the International OCD Foundation (PI). She recently received a Career Development Award from the Department of Veterans Affairs entitled “Treatment of Late Life Hoarding” (PI). Dr. Ayers has 6 active investigations at the VA and UCSD.

    Dr. Ayers is licensed by the state of California with clinical privileges at the VASDHS. She is board certified in clinical psychology by the American Board of Professional Psychology. Her area of clinical specialization is in the treatment of anxiety disorders, particularly obsessive-compulsive disorder and hoarding. Dr. Ayers is the Program Director of the VASDHS Anxiety Disorders Clinic where she oversees the clinic and supervises residents, practicum students, interns, and postdoctoral fellows. As Co-Director of the Evidence Based Psychotherapy Fellowship, she provides mentorship fellows. Additionally, Dr. Ayers serves as a guest lecturer in the UCSD OCD Clinic.

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    1. Object attachment as we grow older. Curr Opin Psychol. 2020 Aug 25; 39:105-108. Dozier ME, Ayers CR. PMID: 32971323.
      View in: PubMed   Mentions:    Fields:    
    2. Personality traits in adults with hoarding disorder. J Affect Disord. 2020 Nov 01; 276:191-196. Dozier ME, Davidson EJ, Pittman JOE, Ayers CR. PMID: 32697698.
      View in: PubMed   Mentions:    Fields:    
    3. Cognitive Rehabilitation and Exposure/Sorting Therapy for Late-Life Hoarding: Effects on Neuropsychological Performance. J Gerontol B Psychol Sci Soc Sci. 2020 Jun 02; 75(6):1193-1198. Ayers CR, Davidson EJ, Dozier ME, Twamley EW. PMID: 31246258.
      View in: PubMed   Mentions:    Fields:    
    4. The Association between Age and Experienced Emotions in Hoarding Disorder. Clin Gerontol. 2020 Mar 16; 1-5. Dozier ME, Wetherell JL, Amir N, Weersing VR, Taylor CT, Ayers CR. PMID: 32175823.
      View in: PubMed   Mentions:    Fields:    
    5. Implementation and evaluation of a community-based treatment for late-life hoarding. Int Psychogeriatr. 2020 Mar 05; 1-10. Pittman JOE, Davidson EJ, Dozier ME, Blanco BH, Baer KA, Twamley EW, Mayes TL, Sommerfeld DH, Lagare T, Ayers CR. PMID: 32131916.
      View in: PubMed   Mentions:    Fields:    
    6. Efficacy and safety of pharmacotherapies for smoking cessation in anxiety disorders: Subgroup analysis of the randomized, active- and placebo-controlled EAGLES trial. Depress Anxiety. 2020 03; 37(3):247-260. Ayers CR, Heffner JL, Russ C, Lawrence D, McRae T, Evins AE, Anthenelli RM. PMID: 31850603.
      View in: PubMed   Mentions:    Fields:    
    7. Recent Advances in Research on Hoarding. Curr Psychiatry Rep. 2019 08 13; 21(9):91. Davidson EJ, Dozier ME, Pittman JOE, Mayes TL, Blanco BH, Gault JD, Schwarz LJ, Ayers CR. PMID: 31410591.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Safety and efficacy of first-line smoking cessation pharmacotherapies in bipolar disorders: Subgroup analysis of a randomized clinical trial. J Affect Disord. 2019 09 01; 256:267-277. Heffner JL, Evins AE, Russ C, Lawrence D, Ayers CR, McRae T, Aubin LS, Krishen A, West R, Anthenelli RM. PMID: 31195244.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansCTClinical Trials
    9. Saving inventory - Revised: Psychometric performance across the lifespan. J Affect Disord. 2019 06 01; 252:358-364. Kellman-McFarlane K, Stewart B, Woody S, Ayers C, Dozier M, Frost RO, Grisham J, Isemann S, Steketee G, Tolin DF, Welsted A. PMID: 30999092.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    10. Intolerance of uncertainty in hoarding disorder. J Obsessive Compuls Relat Disord. 2019 Apr; 21:97-101. Castriotta N, Dozier ME, Taylor CT, Mayes T, Ayers CR. PMID: 32670782.
      View in: PubMed   Mentions:
    11. A description of 17 animal hoarding case files from animal control and a humane society. Psychiatry Res. 2019 02; 272:365-368. Dozier ME, Bratiotis C, Broadnax D, Le J, Ayers CR. PMID: 30599440.
      View in: PubMed   Mentions:    Fields:    Translation:HumansAnimals
    12. Predictors of treatment outcome and attrition in adults with hoarding disorder. J Obsessive Compuls Relat Disord. 2018 Aug 09; 23. Ayers CR, Pittman JOE, Davidson EJ, Dozier ME, Mayes TL, Almklov E. PMID: 32670783.
      View in: PubMed   Mentions:
    13. Comparing clinical characteristics and treatment outcomes between Veterans and non-Veterans with hoarding disorder. Compr Psychiatry. 2018 10; 86:1-5. Ayers CR, Dozier ME, Pittman JOE, Mayes TL, Twamley EW. PMID: 30041076.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    14. Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) for Hoarding Disorder in Older Adults: A Randomized Clinical Trial. J Clin Psychiatry. 2018 Mar/Apr; 79(2). Ayers CR, Dozier ME, Twamley EW, Saxena S, Granholm E, Mayes TL, Wetherell JL. PMID: 28541646.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    15. Group Cognitive Rehabilitation and Exposure/Sorting Therapy: A Pilot Program. Cognit Ther Res. 2017 Nov 11; 42:315-327. Ayers CR, Dozier ME, Taylor CT, Mayes TL, Pittman JOE, Twamley EW. PMID: 32669748.
      View in: PubMed   Mentions:
    16. The Etiology of Hoarding Disorder: A Review. Psychopathology. 2017; 50(5):291-296. Dozier ME, Ayers CR. PMID: 28810245.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    17. A Preliminary Investigation of the Measurement of Object Interconnectedness in Hoarding Disorder. Cognit Ther Res. 2017 Mar 22; 41:799-805. Dozier ME, Taylor CT, Castriotta N, Mayes TL, Ayers CR. PMID: 32669747.
      View in: PubMed   Mentions:
    18. Age-Specific Prevalence of Hoarding and Obsessive Compulsive Disorder: A Population-Based Study. Am J Geriatr Psychiatry. 2017 Mar; 25(3):256-257. Ayers CR. PMID: 28189427.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    19. An Exploratory Investigation of Animal Hoarding Symptoms in a Sample of Adults Diagnosed With Hoarding Disorder. J Clin Psychol. 2017 Sep; 73(9):1114-1125. Ung JE, Dozier ME, Bratiotis C, Ayers CR. PMID: 27922721.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansAnimals
    20. Psychometric Evaluation of the Saving Inventory-Revised in Older Adults. Clin Gerontol. 2017 May-Jun; 40(3):191-196. Ayers CR, Dozier ME, Mayes TL. PMID: 28452663.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    21. The relationship between age and neurocognitive and daily functioning in adults with hoarding disorder. Int J Geriatr Psychiatry. 2016 12; 31(12):1329-1336. Dozier ME, Wetherell JL, Twamley EW, Schiehser DM, Ayers CR. PMID: 26876803.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    22. Executive Functioning in Participants Over Age of 50 with Hoarding Disorder. Am J Geriatr Psychiatry. 2016 05; 24(5):342-9. Ayers CR, Dozier ME, Wetherell JL, Twamley EW, Schiehser DM. PMID: 26809603.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    23. Latent dimensions of social anxiety disorder: A re-evaluation of the Social Phobia Inventory (SPIN). J Anxiety Disord. 2015 Dec; 36:84-91. Campbell-Sills L, Espejo E, Ayers CR, Roy-Byrne P, Stein MB. PMID: 26454660.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    24. A pilot study of transdiagnostic group cognitive-behavioral therapy for anxiety in a veteran sample. Psychol Serv. 2016 05; 13(2):162-9. Espejo EP, Castriotta N, Bessonov D, Kawamura M, Werdowatz EA, Ayers CR. PMID: 26349072.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    25. Treatment Recruitment and Retention of Geriatric Participants With Hoarding Disorder. Clin Gerontol. 2015; 38(4):235-250. Ayers CR, Dozier ME, Mayes TL, Espejo EP, Wilson A, Iqbal Y, Strickland K. PMID: 29386745.
      View in: PubMed   Mentions: 3     Fields:    
    26. Age of onset and progression of hoarding symptoms in older adults with hoarding disorder. Aging Ment Health. 2016 07; 20(7):736-42. Dozier ME, Porter B, Ayers CR. PMID: 25909628.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    27. The UCLA Hoarding Severity Scale: development and validation. J Affect Disord. 2015 Apr 01; 175:488-93. Saxena S, Ayers CR, Dozier ME, Maidment KM. PMID: 25681559.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    28. Validation of the Clutter Image Rating in older adults with hoarding disorder. Int Psychogeriatr. 2015 May; 27(5):769-76. Dozier ME, Ayers CR. PMID: 25391419.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    29. The effects of cognitive load on attention control in subclinical anxiety and generalised anxiety disorder. Cogn Emot. 2015; 29(7):1210-23. Najmi S, Amir N, Frosio KE, Ayers C. PMID: 25355423.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    30. Predictors of hoarding severity in older adults with hoarding disorder. Int Psychogeriatr. 2015 Jul; 27(7):1147-56. Ayers CR, Dozier ME. PMID: 25115688.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    31. The predictive value of different reasons for saving and acquiring on hoarding disorder symptoms. J Obsessive Compuls Relat Disord. 2014 Jul; 3(3):220-227. Dozier ME, Ayers CR. PMID: 32670784.
      View in: PubMed   Mentions:
    32. Testing the psychometric properties of the Cognitions Checklist, a measure to differentiate anxiety and depression among older adults. Geriatr Nurs. 2014 Sep-Oct; 35(5):370-3. Ayers CR, Riskind JH. PMID: 24910292.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    33. Hoarding disorder in older adulthood. Am J Geriatr Psychiatry. 2015 Apr; 23(4):416-422. Ayers CR, Najmi S, Mayes TL, Dozier ME. PMID: 24953872.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    34. Behavioral and experiential avoidance in patients with hoarding disorder. J Behav Ther Exp Psychiatry. 2014 Sep; 45(3):408-14. Ayers CR, Castriotta N, Dozier ME, Espejo EP, Porter B. PMID: 24828750.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    35. Hoarding severity predicts functional disability in late-life hoarding disorder patients. Int J Geriatr Psychiatry. 2014 Jul; 29(7):741-6. Ayers CR, Ly P, Howard I, Mayes T, Porter B, Iqbal Y. PMID: 24343998.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    36. Illness conceptualizations among older rural Mexican-Americans with anxiety and depression. J Cross Cult Gerontol. 2013 Dec; 28(4):421-33. Letamendi AM, Ayers CR, Ruberg JL, Singley DB, Wilson J, Chavira D, Palinkas L, Wetherell JL. PMID: 24077906.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    37. Medical conditions in geriatric hoarding disorder patients. Aging Ment Health. 2014 Mar; 18(2):148-51. Ayers CR, Iqbal Y, Strickland K. PMID: 23863040.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    38. Novel treatment for geriatric hoarding disorder: an open trial of cognitive rehabilitation paired with behavior therapy. Am J Geriatr Psychiatry. 2014 Mar; 22(3):248-52. Ayers CR, Saxena S, Espejo E, Twamley EW, Granholm E, Wetherell JL. PMID: 23831173.
      View in: PubMed   Mentions: 20     Fields:    Translation:HumansCTClinical Trials
    39. Which treatment worked better for whom? Moderators of group cognitive behavioral therapy versus adapted mindfulness based stress reduction for anxiety disorders. Behav Res Ther. 2013 Aug; 51(8):434-42. Arch JJ, Ayers CR. PMID: 23747582.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    40. Executive functioning in older adults with hoarding disorder. Int J Geriatr Psychiatry. 2013 Nov; 28(11):1175-81. Ayers CR, Wetherell JL, Schiehser D, Almklov E, Golshan S, Saxena S. PMID: 23440720.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    41. Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders. Behav Res Ther. 2013 May; 51(4-5):185-96. Arch JJ, Ayers CR, Baker A, Almklov E, Dean DJ, Craske MG. PMID: 23419887.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    42. A meta-analysis of cognitive functioning in older adults with PTSD. J Anxiety Disord. 2013 Aug; 27(6):550-8. Schuitevoerder S, Rosen JW, Twamley EW, Ayers CR, Sones H, Lohr JB, Goetter EM, Fonzo GA, Holloway KJ, Thorp SR. PMID: 23422492.
      View in: PubMed   Mentions: 29     Fields:    Translation:Humans
    43. VA-academic partnerships: challenges and rewards for new VA mental health investigators. Community Ment Health J. 2013 Dec; 49(6):709-13. Ayers C, Arch J. PMID: 23292305.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    44. Validation of the Modified Fatigue Impact Scale in Parkinson's disease. Parkinsonism Relat Disord. 2013 Mar; 19(3):335-8. Schiehser DM, Ayers CR, Liu L, Lessig S, Song DS, Filoteo JV. PMID: 23246138.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    45. Therapist and patient perspectives on cognitive-behavioral therapy for older adults with hoarding disorder: a collective case study. Aging Ment Health. 2012; 16(7):915-21. Ayers CR, Bratiotis C, Saxena S, Wetherell JL. PMID: 22548463.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    46. Cognitive-behavioral therapy for geriatric compulsive hoarding. Behav Res Ther. 2011 Oct; 49(10):689-94. Ayers CR, Wetherell JL, Golshan S, Saxena S. PMID: 21784412.
      View in: PubMed   Mentions: 24     Fields:    Translation:HumansCTClinical Trials
    47. Acceptance and Commitment Therapy for generalized anxiety disorder in older adults: a preliminary report. Behav Ther. 2011 Mar; 42(1):127-34. Wetherell JL, Afari N, Ayers CR, Stoddard JA, Ruberg J, Sorrell JT, Liu L, Petkus AJ, Thorp SR, Kraft A, Patterson TL. PMID: 21292059.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    48. Quality of life and functional impairment in compulsive hoarding. J Psychiatr Res. 2011 Apr; 45(4):475-80. Saxena S, Ayers CR, Maidment KM, Vapnik T, Wetherell JL, Bystritsky A. PMID: 20822778.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    49. Medical conditions and depressive, anxiety, and somatic symptoms in older adults with and without generalized anxiety disorder. Aging Ment Health. 2010 Aug; 14(6):764-8. Wetherell JL, Ayers CR, Nuevo R, Stein MB, Ramsdell J, Patterson TL. PMID: 20635235.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    50. Age at onset and clinical features of late life compulsive hoarding. Int J Geriatr Psychiatry. 2010 Feb; 25(2):142-9. Ayers CR, Saxena S, Golshan S, Wetherell JL. PMID: 19548272.
      View in: PubMed   Mentions: 45     Fields:    Translation:Humans
    51. Modular psychotherapy for anxiety in older primary care patients. Am J Geriatr Psychiatry. 2009 Jun; 17(6):483-92. Wetherell JL, Ayers CR, Sorrell JT, Thorp SR, Nuevo R, Belding W, Gray E, Stanley MA, Areán PA, Donohue M, Unützer J, Ramsdell J, Xu R, Patterson TL. PMID: 19461257.
      View in: PubMed   Mentions: 21     Fields:    Translation:Humans
    52. Meta-analysis comparing different behavioral treatments for late-life anxiety. Am J Geriatr Psychiatry. 2009 Feb; 17(2):105-15. Thorp SR, Ayers CR, Nuevo R, Stoddard JA, Sorrell JT, Wetherell JL. PMID: 19155744.
      View in: PubMed   Mentions: 25     Fields:    Translation:Humans
    53. Evidence-based psychological treatments for late-life anxiety. Psychol Aging. 2007 Mar; 22(1):8-17. Ayers CR, Sorrell JT, Thorp SR, Wetherell JL. PMID: 17385978.
      View in: PubMed   Mentions: 28     Fields:    Translation:Humans
    54. Psychometric properties and factor structure of an expanded CERAD neuropsychological battery in an elderly VA sample. Arch Clin Neuropsychol. 2006 May; 21(4):359-65. Jones SN, Ayers CR. PMID: 16766158.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
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