Specificity of Homework Compliance Effects on Treatment Outcome in CBT: Evidence from a Controlled Trial on Panic Disorder and Agoraphobia

被引：33

作者：

Cammin-Nowak, Sandra ^{[1
]}

Helbig-Lang, Sylvia ^{[2
,3
]}

Lang, Thomas ^{[1
,3
]}

Gloster, Andrew T. ^{[3
]}

Fehm, Lydia ^{[4
]}

Gerlach, Alexander L. ^{[5
,6
]}

Stroehle, Andreas ^{[7
]}

Deckert, Juergen ^{[8
]}

Kircher, Tilo ^{[9
]}

Hamm, Alfons O. ^{[10
]}

Alpers, Georg W. ^{[11
,12
]}

Arolt, Volker ^{[13
]}

Wittchen, H. -U. ^{[3
]}

机构：

[1] Univ Bremen, Ctr Clin Psychol & Rehabil, D-28359 Bremen, Germany

[2] Univ Hamburg, Dept Clin Psychol & Psychotherapy, Hamburg, Germany

[3] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Dresden, Germany

[4] Humboldt Univ, Dept Psychol, Berlin, Germany

[5] Univ Munster, Dept Psychol, Munster, Germany

[6] Univ Cologne, Dept Psychol, Cologne, Germany

[7] Charite Univ Med Berlin, Dept Psychol, Berlin, Germany

[8] Univ Wurzburg, Dept Psychiat Psychosomat & Psychotherapy, Wurzburg, Germany

[9] Univ Marburg, Dept Psychiat & Psychotherapy, D-35032 Marburg, Germany

[10] Ernst Moritz Arndt Univ Greifswald, Dept Psychol, Greifswald, Germany

[11] Univ Wurzburg, Dept Psychol, Wurzburg, Germany

[12] Univ Mannheim, Dept Psychol, Mannheim, Germany

[13] Univ Munster, Dept Psychiat, Munster, Germany

来源：

JOURNAL OF CLINICAL PSYCHOLOGY | 2013年 / 69卷 / 06期

关键词：

homework assignments; compliance; panic disorder; agoraphobia; in situ exposure; COGNITIVE-BEHAVIORAL-THERAPY; RANDOMIZED CONTROLLED-TRIAL; CLINICAL-PRACTICE; MOBILITY INVENTORY; DEPRESSION; PSYCHOTHERAPY; ASSIGNMENTS; ANXIETY; RECOMMENDATIONS; METAANALYSIS;

D O I：

10.1002/jclp.21975

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objectives Although homework assignments are an integral component of cognitive-behavioral therapy (CBT) and relate to positive therapy outcomes, it is unclear whether specific homework types and their completion have specific effects on outcome. Method Data from N = 292 patients (75% female, mean age 36 years) with panic disorder and agoraphobia and treated with standardized CBT were analyzed with homework compliance quality and quantity for different types of homework serving as predictors for different outcome variables. Results Quality ratings of homework completion were stronger outcome predictors than quantitative compliance ratings. Exposure homework was a better outcome predictor than homework relating to psychoeducation and self-monitoring. Conclusion Different aspects of homework compliance and specific homework types might differentially relate to CBT outcome.

引用

页码：616 / 629

页数：14

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