Specificity of Homework Compliance Effects on Treatment Outcome in CBT: Evidence from a Controlled Trial on Panic Disorder and Agoraphobia: Homework Effects in CBT for Panic Disorder
Abstract
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.
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Homework compliance has been found to predict positive psychological outcomes in self-administered and online interventions.
“Since homework compliance has been found to predict positive psychological outcomes in self-administered and online interventions [45–47]”
From Acceptance and commitment therapy adapted for women with infertility: a pilot study of the Infertility ACTion program. (2024) · cites this paper as [45]
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- Authors
- Cammin-Nowak, S., Helbig-Lang, S., Lang, T., Gloster, A. T., Fehm, L., Gerlach, A. L., Ströhle, A., Deckert, J., Kircher, T., Hamm, A. O., Alpers, G. W., Arolt, V., & Wittchen, H.-U.
- Affiliations
- University of Bremen (DE)
- Technische Universität Dresden (DE)
- Humboldt-Universität zu Berlin (DE)
- University of Cologne (DE)
- Charité – Universitätsmedizin Berlin (DE)
- University of Würzburg (DE)
- Philipps University of Marburg (DE)
- Universität Greifswald (DE)
- University of Mannheim (DE)
- University of Münster (DE)
- Technical University of Dresden - Institute of Clinical Psychology and Psychotherapy
- ORCID
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2013-03-15
- Volume
- 69
- Issue
- 6
- Pages
- 616-629
- ISSN
- 0021-9762 (ISSN-L)
- OpenAlex
- W1938481354
- Cited by
- 50
- References
- 30
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 3 · 2013: 2
- FWCI
- 7.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- MADOC (University of Mannheim) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- homework compliance, cognitive behavioral therapy, panic disorder, agoraphobia, treatment outcomes, psychoeducation, self-monitoring, homework quality, prognostic factors
- MeSH terms
- Adolescent, Adult, Aged, Agoraphobia, Cooperative Behavior, Female, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, Cognitive Behavioral Therapy, Panic Disorder, Outcome Assessment, Health Care, Young Adult
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