Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Cognitive Therapy and Research 3/2018

06-01-2018 | Original Article

Homework Completion via Telephone and In-Person Cognitive Behavioral Therapy Among Latinos

Auteurs: Adrian Aguilera, Zorangeli Ramos, Diana Sistiva, Ye Wang, Margarita Alegria

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Homework completion in cognitive behavioral therapy (CBT) for depression is an integral ingredient in treatment that often goes unreported. Furthermore, many studies of homework completion focus on patient adherence without considering the therapists’ role in reviewing and reinforcing this behavior. No studies to date have assessed the relationship between homework variables and outcomes among Latinos receiving CBT for depression. Since this population has often been difficult to engage in CBT, this study aims to assess whether homework completion and therapist review of homework are related to improved outcomes in a CBT intervention (telephone or in person) for Latinos with depression. We found that higher homework completion was significantly related to lower depression scores at the end of final treatment (as measured by PHQ-9) (B = − 1.38, p < .01). However, the significant association of homework with depression went away when clinician review of homework was included in a subsequent step of the model (B = − 0.42, p = .45). The number of times a clinician actively reviewed homework was still significantly related to a decrease in PHQ-9 when controlling for demographic factors (B = − 1.23, p < .01). This study found that homework is a predictor of improved outcomes in CBT for depression but highlights the role of therapists reviewing homework as a predictor of lower depression symptoms among Spanish speaking Latinos from low socioeconomic backgrounds.
Literatuur
go back to reference Aguilera, A., Schueller, S. M., & Leykin, Y. (2015). Daily mood ratings via text message as a proxy for clinic based depression assessment. Journal of Affective Disorders, 175, 471–474. CrossRefPubMedPubMedCentral Aguilera, A., Schueller, S. M., & Leykin, Y. (2015). Daily mood ratings via text message as a proxy for clinic based depression assessment. Journal of Affective Disorders, 175, 471–474. CrossRefPubMedPubMedCentral
go back to reference Becker, M. A., Martinez-Tyson, D., DiGennaro, J., & Ochshorn, E. (2011). Do Latino and non-Latino White Medicaid-enrolled adults differ in utilization of evidence-based treatment for major depressive disorder? Journal of Immigrant and Minority Health/Center for Minority Public Health, 13(6), 1048–1054. https://​doi.​org/​10.​1007/​s10903-011-9508-z. CrossRef Becker, M. A., Martinez-Tyson, D., DiGennaro, J., & Ochshorn, E. (2011). Do Latino and non-Latino White Medicaid-enrolled adults differ in utilization of evidence-based treatment for major depressive disorder? Journal of Immigrant and Minority Health/Center for Minority Public Health, 13(6), 1048–1054. https://​doi.​org/​10.​1007/​s10903-011-9508-z. CrossRef
go back to reference 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, 381–399. 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, 381–399. CrossRef
go back to reference Chavira, D. A., Golinelli, D., Sherbourne, C., Stein, M. B., Sullivan, G., Bystritsky, A., Rose, R. D., Lang, A. J., Campbell-Sills, L., Welch, S., Bumgardner, K., Glenn, D., Barrios, V., Roy-Byrne, P., Craske, M. (2014). Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care. Journal of Consulting and Clinical Psychology, 82(3):392–403. CrossRefPubMedPubMedCentral Chavira, D. A., Golinelli, D., Sherbourne, C., Stein, M. B., Sullivan, G., Bystritsky, A., Rose, R. D., Lang, A. J., Campbell-Sills, L., Welch, S., Bumgardner, K., Glenn, D., Barrios, V., Roy-Byrne, P., Craske, M. (2014). Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care. Journal of Consulting and Clinical Psychology, 82(3):392–403. CrossRefPubMedPubMedCentral
go back to reference Cowan, M. J., Freedland, K. E., Burg, M. M., Saab, P. G., Youngblood, M. E., Cornell, C. E., … Czajkowski, S. M. (2008). Predictors of treatment response for depression and inadequate social support—The ENRICHD randomized clinical trial. Psychotherapy and Psychosomatics, 77(1), 27–37. https://​doi.​org/​10.​1159/​000110057. CrossRefPubMed Cowan, M. J., Freedland, K. E., Burg, M. M., Saab, P. G., Youngblood, M. E., Cornell, C. E., … Czajkowski, S. M. (2008). Predictors of treatment response for depression and inadequate social support—The ENRICHD randomized clinical trial. Psychotherapy and Psychosomatics, 77(1), 27–37. https://​doi.​org/​10.​1159/​000110057. CrossRefPubMed
go back to reference Cutrona, C. E., Wallace, G., & Wesner, K. A. (2006). Neighborhood characteristics and depression an examination of stress processes. Current Directions in Psychological Science, 15(4), 188–192. CrossRefPubMedPubMedCentral Cutrona, C. E., Wallace, G., & Wesner, K. A. (2006). Neighborhood characteristics and depression an examination of stress processes. Current Directions in Psychological Science, 15(4), 188–192. CrossRefPubMedPubMedCentral
go back to reference Dichter, G. S. (2010). Anhedonia in unipolar major depressive disorder: A review. The Open Psychiatry Journal, 4, 1–9. CrossRef Dichter, G. S. (2010). Anhedonia in unipolar major depressive disorder: A review. The Open Psychiatry Journal, 4, 1–9. CrossRef
go back to reference Kazantzis, N., Brownfield, N., Mosely, L., Usatoff, A., & Flighty, A. (2017). Homework in CBT: A systematic review of adherence assessment in anxiety and depression treatment (2011-2016). Psychiatric Clinics of North America, 40(4), 625–639. CrossRefPubMed Kazantzis, N., Brownfield, N., Mosely, L., Usatoff, A., & Flighty, A. (2017). Homework in CBT: A systematic review of adherence assessment in anxiety and depression treatment (2011-2016). Psychiatric Clinics of North America, 40(4), 625–639. CrossRefPubMed
go back to reference 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(2), 189–202. 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(2), 189–202.
go back to reference 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. CrossRefPubMed 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. CrossRefPubMed
go back to reference Keyes, K. M., Martins, S. S., Hatzenbuehler, M. L., Blanco, C., Bates, L. M., & Hasin, D. S. (2012). Mental health service utilization for psychiatric disorders among Latinos living in the United States: the role of ethnic subgroup, ethnic identity, and language/social preferences. Social Psychiatry and Psychiatric Epidemiology, 47(3), 383–394. https://​doi.​org/​10.​1007/​s00127-010-0323-y. CrossRefPubMed Keyes, K. M., Martins, S. S., Hatzenbuehler, M. L., Blanco, C., Bates, L. M., & Hasin, D. S. (2012). Mental health service utilization for psychiatric disorders among Latinos living in the United States: the role of ethnic subgroup, ethnic identity, and language/social preferences. Social Psychiatry and Psychiatric Epidemiology, 47(3), 383–394. https://​doi.​org/​10.​1007/​s00127-010-0323-y. CrossRefPubMed
go back to reference Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. CrossRef Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. CrossRef
go back to reference Löwe, B., Unützer, J., Callahan, C. M., Perkins, A. J., & Kroenke, K. (2004). Monitoring depression treatment outcomes with the patient health questionnaire-9. Medical Care, 42(12), 1194–1201. CrossRefPubMed Löwe, B., Unützer, J., Callahan, C. M., Perkins, A. J., & Kroenke, K. (2004). Monitoring depression treatment outcomes with the patient health questionnaire-9. Medical Care, 42(12), 1194–1201. CrossRefPubMed
go back to reference Mohr, D. C., Vella, L., Hart, S., Heckman, T., & Simon, G. (2008). The effect of telephone-administered psychotherapy on symptoms of depression and attrition: A meta-analysis. Clinical Psychology: Science and Practice, 15, 243–253. Mohr, D. C., Vella, L., Hart, S., Heckman, T., & Simon, G. (2008). The effect of telephone-administered psychotherapy on symptoms of depression and attrition: A meta-analysis. Clinical Psychology: Science and Practice, 15, 243–253.
go back to reference Ngo, V. K., Centanni, A., Wong, E., Wennerstrom, A., & Miranda, J. (2011). Building capacity for cognitive behavioral therapy delivery for depression in disaster impacted contexts. Ethnicity & Disease, 21(3 0 1), S1-S38-44. Ngo, V. K., Centanni, A., Wong, E., Wennerstrom, A., & Miranda, J. (2011). Building capacity for cognitive behavioral therapy delivery for depression in disaster impacted contexts. Ethnicity & Disease, 21(3 0 1), S1-S38-44.
go back to reference Paykel, E. S., Myers, J. K., Lindenthal, J. J., & Tanner, J. (1974). Suicidal feelings in the general population: A prevalence study. The British Journal of Psychiatry: The Journal of Mental Science, 124(0), 460–469. CrossRef Paykel, E. S., Myers, J. K., Lindenthal, J. J., & Tanner, J. (1974). Suicidal feelings in the general population: A prevalence study. The British Journal of Psychiatry: The Journal of Mental Science, 124(0), 460–469. CrossRef
go back to reference Santiago, C. D., Wadsworth, M. E., & Stump, J. (2011). Socioeconomic status, neighborhood disadvantage, and poverty-related stress: Prospective effects on psychological syndromes among diverse low-income families. Journal of Economic Psychology, 32(2), 218–230. CrossRef Santiago, C. D., Wadsworth, M. E., & Stump, J. (2011). Socioeconomic status, neighborhood disadvantage, and poverty-related stress: Prospective effects on psychological syndromes among diverse low-income families. Journal of Economic Psychology, 32(2), 218–230. CrossRef
go back to reference Simon, G. E., Ludman, E. J., & Operskalski, B. H. (2006). Randomized trial of a telephone care management program for outpatients starting antidepressant treatment. Psychiatric Services, 57(10), 1441–1445. CrossRefPubMed Simon, G. E., Ludman, E. J., & Operskalski, B. H. (2006). Randomized trial of a telephone care management program for outpatients starting antidepressant treatment. Psychiatric Services, 57(10), 1441–1445. CrossRefPubMed
go back to reference Simon, G. E., Ludman, E. J., Tutty, S., Operskalski, B., & Von Korff, M. (2004). Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: A randomized controlled trial. Journal of the American Medical Association, 292(8), 935–942. CrossRefPubMed Simon, G. E., Ludman, E. J., Tutty, S., Operskalski, B., & Von Korff, M. (2004). Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: A randomized controlled trial. Journal of the American Medical Association, 292(8), 935–942. CrossRefPubMed
go back to reference Tutty, S., Simon, G., & Ludman, E. (2000). Telephone counseling as an adjunct to antidepressant treatment in the primary care system. A pilot study. Effective Clinical Practice, 3(4), 170–178. PubMed Tutty, S., Simon, G., & Ludman, E. (2000). Telephone counseling as an adjunct to antidepressant treatment in the primary care system. A pilot study. Effective Clinical Practice, 3(4), 170–178. PubMed
Metagegevens
Titel
Homework Completion via Telephone and In-Person Cognitive Behavioral Therapy Among Latinos
Auteurs
Adrian Aguilera
Zorangeli Ramos
Diana Sistiva
Ye Wang
Margarita Alegria
Publicatiedatum
06-01-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-017-9884-3