Article2007

Expectancy, homework compliance, and initial change in cognitive-behavioral therapy for anxiety.

Henny Alice Westra · David J. A. Dozois · Madalyn Marcus

200 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychotherapy Techniques and Applications Psychological Treatments and Assessments

Abstract

Belief in one's ability to change is an important cognitive variable related to treatment gains. This study investigated pretreatment expectancy for anxiety change and early homework compliance in relation to initial and total cognitive change in group cognitive-behavioral therapy (CBT) for anxiety. Participants, who met diagnostic criteria for at least 1 anxiety disorder, completed 10 sessions of group CBT. Early homework compliance mediated the relationship between expectancy for anxiety change at baseline and initial change in CBT. In addition, initial cognitive symptom improvement mediated the relationship between homework compliance and posttreatment outcome. These results suggest that expectancy for change is an important cognitive variable that may provide the initial impetus and subsequent momentum for therapeutic involvement and gains.

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1993Journal of Psychotherapy Practice and Research 1961Persuasion and Healing: A Comparative Study of Psychotherapy 2002Psychotherapy relationships that work : therapist contributions and responsiveness to patients

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