Article1999

The role of homework assignments in cognitive therapy for depression: Potential methods for enhancing adherence.

97 citations0/0 files storedClinical Psychology Science and Practice

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

Abstract

Homework assignments are an integral part of most cognitive therapy treatments for depression. Although investigations of the association between homework adherence and outcome are relatively few in number, recent studies suggest that clients who adhere to homework assignments show greater improvement than those who do not. Following our assessment of the potential impact of homework adherence on outcome, we explore some of the reasons for client nonadherence and attempt to describe characteristics of those individuals who do cany out the assigned work. Given that adherence with homework appears to lead to better outcomes, yet many clients fall to carry out their assignments, we next explore methods for enhancing adherence. Finally, we propose a model of homework adherence and suggest directions for future research.

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References

1977Self-efficacy: Toward a unifying theory of behavioral change.1977Self-efficacy: Toward a unifying theory of behavioral change.1985Intrinsic Motivation and Self-Determination in Human Behavior 1981The Framing of Decisions and the Psychology of Choice 1980Cognitive Therapy in Depression 1975Intrinsic Motivation 1981Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation.1988Handbook of Psychotherapy and Behavior Change

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2004The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.2006Measuring Homework Compliance in Cognitive-Behavioral Therapy for Adolescent Depression 2012Severity of mental health impairment and trajectories of improvement in an integrated primary care clinic.2002Guidelines for enhancing homework compliance

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