nach oben

Cognitive Therapy and Research

Erschienen in:

18.03.2021 | Review

A Commentary on the Science and Practice of Homework in Cognitive Behavioral Therapy

verfasst von: Keith S. Dobson

Erschienen in: Cognitive Therapy and Research | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

This article discusses the concept of homework in cognitive-behavioral therapy (CBT), and reviews the articles in this special issue of Cognitive Therapy and Research. The article underscores the pivotal role of between- session activities and demonstrates that this role has been recognized for many years.

Methods

This article reviews the articles from this special issue and uses them as a springboard to review other research and then discuss potential directions for future theory and research.

Results

The initial research in this area focused on documenting the magnitude of the relationship between homework adherence and outcome in CBT. Research has now advanced to incorporate studies that examine issues such as homework competence, the complicated relationship between homework and other aspects of CBT such as the therapeutic relationship, and the use of technology to try to enhance homework completion and clinical outcomes.

Conclusions

The use of homework assignments in CBT remains a critical issue for development. Limitations of the literature are addressed, and directions for future research in the field are provided.

Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016). Mental health smartphone apps: Review and evidence-based recommendations for future developments. JMIR Mental Health, 3(1), e7. https://doi.org/10.2196/mental.4984CrossRefPubMedPubMedCentral

Barlow, D. H., Craske, M. G., Cerny, J. A., & Klosko, J. S. (1989). Behavioral treatment of panic disorder. Behavior Therapy, 20(2), 261–282. https://doi.org/10.1016/S0005-7894(89)80073-5CrossRef

Beck, A. T., Rush, A. J., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.

Beck, J. (2020). Cognitive behavior therapy: Basics and beyond (3rd ed.). Guilford Press.

Boschen, M. J., & Casey, L. M. (2008). The use of mobile telephones as adjuncts to cognitive behavioral psychotherapy. Professional Psychology Research and Practice, 39(5), 546. https://doi.org/10.1037/0735-7028.39.5.546CrossRef

Bryant, M. J., Simons, A. D., & Thase, M. E. (1999). Therapist skill and patient variables in homework compliance: Controlling an uncontrolled variable in cognitive therapy outcome research. Cognitive Therapy and Research, 23(4), 381–399. https://doi.org/10.1023/A:1018703901116CrossRef

Bunnell, B. E., Nemeth, L. S., Lenert, L. A., Kazantzis, N., Deblinger, E., Higgins, K. A., & Ruggiero, K. J. (2021). Barriers associated with the implementation of homework in youth mental health treatment and potential mobile health solutions. Cognitive Therapy and Research. https://doi.org/10.1007/s10608-020-10090-8CrossRefPubMed

Callan, J. A., Sigle, G. J., Day, A., Thase, M. E., Kazantzis, N., Devito Dabbs, A. D., Rotondi, A., Sereika, S., & Dunbar Jacob, J. (2021). CBT Mobile Work: Development and testing of a mobile mental health application using patient-centered design. Cognitive Therapy and Research. https://doi.org/10.1007/s10608-020-10159-4CrossRef

Conklin, L. R., Strunk, D. R., & Cooper, A. A. (2017). Therapist behaviors as predictors of immediate homework engagement in cognitive therapy for depression. Cognitive Therapy and Research. https://doi.org/10.1007/s10608-017-9873-6CrossRefPubMedPubMedCentral

Dobson, D. J. G., & Dobson, K. S. (2017). Evidence- based practice of cognitive- behavioral therapy (2nd ed.). Guilford Press.

Dobson, D. J. G., & Dobson, K. S. (2018). Avoidance in the clinic: Strategies to conceptualize and reduce avoidant thoughts, emotions, and behaviors with cognitive-behavioral therapy. Practice Innovations, 3(1), 32–42. https://doi.org/10.1037/pri0000061CrossRef

Donker, T., Petrie, K., Proudfoot, J., Clarke, J., Birch, M. R., & Christensen, H. (2013). Smartphones for smarter delivery of mental health programs: A systematic review. Journal of Medical Internet Research, 15(11), e247. https://doi.org/10.2196/jmir.2791CrossRefPubMedPubMedCentral

Dozois, D. J. A. (2010). Understanding and enhancing the effects of homework in cognitive-behavioral therapy. Clinical Psychology Science and Practice, 17(2), 157–161. https://doi.org/10.1111/j.1468-2850.2010.01205.xCrossRef

Falloon, I. R., Lindley, P., McDonald, R., & Marks, I. M. (1977). Social skills training of out-patient groups. A controlled study of rehearsal and homework. The British Journal of Psychiatry, 131(6), 599–609.CrossRefPubMed

Haller, E., & Watzke, B. (2021). The role of homework engagement, homework-related therapist behaviors, and their association with depressive symptoms in telephone-based CBT for depression. Cognitive Therapy and Research, this issue.

Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 12, 52–62. https://doi.org/10.1136/jnnp.23.1.56CrossRef

Hofmann, S. G., & Hayes, S. C. (2018). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7(1), 37–50. https://doi.org/10.1177/2167702618772296CrossRefPubMedPubMedCentral

Jungbluth, N. J., & Shirk, S. R. (2013). Promoting homework adherence in cognitive-behavioral therapy for adolescent depression. Journal of Clinical Child and Adolescent Psychology, 42(4), 545–553. https://doi.org/10.1080/15374416.2012.743105CrossRefPubMed

Kazantzis, N., Dattilio, F. M., & Dobson, K. S. (2017). The therapeutic relationship in cognitive-behavioral therapy: A clinician’s guide. Guilford Press.

Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis. Clinical Psychology Science and Practice, 7, 189–202. https://doi.org/10.1093/clipsy.7.2.189CrossRef

Kazantzis, N., Deane, F. P., Ronan, K. R., & L’Abate, L. (Eds.). (2005). Using homework assignments in cognitive behavioral therapy. Routledge.

Kazantzis, N., & Shinkfield, G. (2007). Conceptualizing patient barriers to nonadherence with homework assignments. Cognitive and Behavioral Practice, 14, 317–324. https://doi.org/10.1016/j.cbpra.2006.08.003CrossRef

Kazantzis, N., Wedge, P., & Dobson, K. S. (2005). Homework adherence and competence scale (HAACS). Massey University.

Kazantzis, N., Whittington, C. J., & Dattilio, F. M. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology Science and Practice, 17, 144–156.CrossRef

Kazantzis, N., Whittington, C. J., Zelencich, L., Norton, P. J., Kyrios, M., & Hofmann, S. G. (2016). Quantity and quality of homework compliance: A meta-analysis of relations with outcome in cognitive behavior therapy. Behavior Therapy, 47, 755–772. https://doi.org/10.1016/j.beth.2016.05.002CrossRefPubMed

Kraepelien, M., Blom, K., Jernelöv, S., & Kaldo, V. (2021). Weekly self-ratings of treatment involvement and their relation to symptom reduction in internet cognitive behavioral therapy for insomnia. Cognitive Therapy and Research, this issue.

LaMonica, H. M., Davenport, T. A., Braunstein, K., Ottavio, A., Piper, S., Martin, C., et al. (2019). Technology-enabled person-centered mental health services reform: Strategy for implementation science. Journal of Medical Internet Research Mental Health, 6(9), 14719. https://doi.org/10.2196/14719CrossRef

Lotte, H. J. M., Lemmens, V., Müller, N. L. S., Arntz, A., & Huibers, M. J. H. (2016). Mechanisms of change in psychotherapy for depression: An empirical update and evaluation of research aimed at identifying psychological mediators. Clinical Psychology Review, 50, 95–107. https://doi.org/10.1016/j.cpr.2016.09.004CrossRef

Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research, 34, 429–438. https://doi.org/10.1007/s10608-010-9297-zCrossRefPubMedPubMedCentral

Ruggiero, K. J., Saunders, B. E., Davidson, T. M., Cook, D. L., & Hanson, R. (2017). Leveraging technology to address the quality chasm in children’s evidence-based psychotherapy. Psychiatric Services, 68, 650–652.CrossRefPubMed

Sanbonmatsu, D. M., Posavac, S. S., Behrends, A. A., Moore, S. M., & Uchino, B. N. (2015). Why a confirmation strategy dominates psychological science. PLoS ONE, 10(9), e0138197. https://doi.org/10.1371/journal.pone.0138197CrossRefPubMedPubMedCentral

Startup, M., & Edmonds, J. (1994). Compliance with homework assignments in cognitive-behavioral psychotherapy for depression: Relation to outcome and methods of enhancement. Cognitive Therapy and Research, 18, 567–579.CrossRef

Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2010). The process of change in cognitive therapy for depression: Predictors of early inter-session symptom gains. Behaviour Research and Therapy, 48(7), 599–606. https://doi.org/10.1016/j.brat.2010.03.011CrossRefPubMedPubMedCentral

Tang, W., & Kreindler, D. (2017). Supporting homework compliance in cognitive behavioural therapy: Essential features of mobile apps. Journal of Medical Internet Research Mental Health, 4(2), 20. https://doi.org/10.2196/mental.5283CrossRef

Ter Avest, M., Greven, C. U., Huijbers, M. J., Wilderjans, T. F., Speckens, A. E. M., & Spinhoven, P. (2021). Prospective associations between home practice and depressive symptoms in mindfulness-based cognitive therapy for recurrent depression: A 15 months follow-up study. Cognitive Therapy and Research, this issue.

Tompkins, M. A. (2002). Guidelines for enhancing homework compliance. Journal of Clinical Psychology, 58(5), 565–576. https://doi.org/10.1002/jclp.10033CrossRefPubMed

Wheaton, M. G., & Chen, S. C. (2021). Homework completion in treating obsessive-compulsive disorder with exposure and ritual prevention: A review of the empirical literature. Cognitive Therapy and Research, this issue.

Yew, R. Y., Dobson, K. S., Zypher, M., & Kazantzis, N. (2021). Mediators and moderators of homework-outcome relations in CBT for depression: A study of engagement, therapist skill, and client factors. Cognitive Therapy and Research, this issue.

Titel: A Commentary on the Science and Practice of Homework in Cognitive Behavioral Therapy
verfasst von: Keith S. Dobson
Publikationsdatum: 18.03.2021
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 2/2021
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-021-10217-5

Homework Completion in Treating Obsessive–Compulsive Disorder with Exposure and Ritual Prevention: A Review of the Empirical Literature

Review

Original Article

The Role of Homework Engagement, Homework-Related Therapist Behaviors, and Their Association with Depressive Symptoms in Telephone-Based CBT for Depression

Open Access
Original Article

Early Life Adversity as a Moderator of Symptom Change following Selective Serotonin Reuptake Inhibitors and Cognitive Behavioral Therapy

Original Article

Self-Reported Cognitive Functions Predict the Trajectory of Paranoid Ideation Over a 15-Year Prospective Follow-Up

Open Access
Original Article

Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions

Original Article

Neu im Fachgebiet Psychiatrie

Medikamente verändern wohl Nährstoffzusammensetzung der Muttermilch

Medikamente in Schwangerschaft und Stillzeit
Nachrichten

Einige Medikamente wie selektive Serotonin-Wiederaufnahmehemmer können offenbar die Makronährstoffzusammensetzung der Muttermilch verändern. Das birgt möglicherweise gesundheitliche Risiken für manche gestillte Kinder.

Psychologische Interventionen können Depressionen oft verhindern

16.12.2024
Depressive Störungen
Nachrichten

Gespräche, Telefonate, internetbasierte Verfahren: Mit solchen Methoden lässt sich der Beginn einer Depression bei gefährdeten Personen oft vermeiden. Sie funktionieren vor allem dann, wenn die Betroffenen deutliche Symptome aufweisen und noch keine Psychotherapie hatten.

Die beste Medizin gegen Altersdepression: Laufen, Lernen, Lachen, Lieben

13.12.2024
Altersdepression
Nachrichten

Depressionen im Alter haben vielfältige Ursachen und verlaufen anders als bei jungen Menschen. Ohne einen multimodalen Ansatz kommt man oft nicht weit: Neben Medikamenten und Psychotherapien ist die physische, kognitive und soziale Aktivierung entscheidend.

Wir sozio-emotionalen Blobs

13.12.2024
DGPPN 2024
Nachrichten

Entscheidungen sollten rational erfolgen – in der Politik wie im Leben. So wünschen wir uns das. Letztlich werden sie aber von Emotionen bestimmt. Wer das nicht versteht und anerkennt, wird kaum Wege aus Krisen finden. Die Neurowissenschaftlerin Maren Urner fordert daher eine „Reifeprüfung“ zur Krisenbewältigung.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

A Commentary on the Science and Practice of Homework in Cognitive Behavioral Therapy

Abstract

Background

Methods

Results

Conclusions

Weitere Artikel der Ausgabe 2/2021

Homework Completion in Treating Obsessive–Compulsive Disorder with Exposure and Ritual Prevention: A Review of the Empirical Literature

CBT MobileWork©: User-Centered Development and Testing of a Mobile Mental Health Application for Depression

The Role of Homework Engagement, Homework-Related Therapist Behaviors, and Their Association with Depressive Symptoms in Telephone-Based CBT for Depression

Early Life Adversity as a Moderator of Symptom Change following Selective Serotonin Reuptake Inhibitors and Cognitive Behavioral Therapy

Self-Reported Cognitive Functions Predict the Trajectory of Paranoid Ideation Over a 15-Year Prospective Follow-Up

Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions

Neu im Fachgebiet Psychiatrie

Medikamente verändern wohl Nährstoffzusammensetzung der Muttermilch

Psychologische Interventionen können Depressionen oft verhindern

Die beste Medizin gegen Altersdepression: Laufen, Lernen, Lachen, Lieben

Wir sozio-emotionalen Blobs

Update Psychiatrie

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten