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18-03-2021 | Review

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

Auteur: Keith S. Dobson

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2021

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.

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

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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.4984 CrossRefPubMedPubMedCentral

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)80073-5 CrossRef

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/10.1037/0735-7028.39.5.546 CrossRef

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:1018703901116 CrossRef

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/s10608-020-10090-8 CrossRefPubMed

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/s10608-020-10159-4 CrossRef

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/s10608-017-9873-6 CrossRefPubMedPubMedCentral

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/pri0000061 CrossRef

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.2791 CrossRefPubMedPubMedCentral

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.x CrossRef

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.23.1.56 CrossRef

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/10.1177/2167702618772296 CrossRefPubMedPubMedCentral

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/10.1080/15374416.2012.743105 CrossRefPubMed

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.7.2.189 CrossRef

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.2006.08.003 CrossRef

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.2016.05.002 CrossRefPubMed

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/10.2196/14719 CrossRef

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.2016.09.004 CrossRef

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-z CrossRefPubMedPubMedCentral

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.0138197 CrossRefPubMedPubMedCentral

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.2010.03.011 CrossRefPubMedPubMedCentral

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.5283 CrossRef

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.10033 CrossRefPubMed

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
Auteur: Keith S. Dobson
Publicatiedatum: 18-03-2021
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-021-10217-5

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Abstract

Background

Methods

Results

Conclusions

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