Cited by 143Psychotherapy Techniques and ApplicationsPsychological Treatments and AssessmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

PROBLEMS WITH HOMEWORK IN CBT: RARE EXCEPTION OR RATHER FREQUENT?

Helbig, Sylvia, Fehm, Lydia·2004·Behavioural and Cognitive Psychotherapy

DOI 10.1017/s1352465804001365

Open this paper in CoChat — free account

Abstract

Homework assignments are an essential part of cognitive-behavioural therapy, and are included in the majority of therapy manuals and frequently used in therapeutic practice. Despite this, little is known about problems with homework completion or possible influences on homework compliance. The aim of the present practitioner survey was to provide data on problems related to homework use and compliance. Furthermore, the relationships between different variables and homework compliance were examined. Data were collected by asking 77 cognitive-behavioural therapists to recall two individual patients. Therapists described homework tasks assigned to these patients and procedures of assignment as well as problems that arose during assignment and completion. The results suggested that problems during the assignation of a task as well as during completion regularly occur. Homework compliance was positively associated both with patients' motivation for therapy, outcome at a later stage of therapy, and the provision of a written note or homework sheets on the task. Regression analyses pointed to patient variables as most crucial for homework compliance. Implications for effective homework use in clinical practice are discussed.

Integrity signals

Registry

Crossref · 10.1017/s1352465804001365

Cites

12 of 12 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Homework assignments in cognitive and behavioral therapy: a meta-analysis
Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.7.2.189 · Cited by 412
Distinctive activities of cognitive–behavioral therapy
Blagys, M. D., & Hilsenroth, M. J. (2002) · Clinical Psychology Review · doi:10.1016/s0272-7358(01)00117-9 · Cited by 222
Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy.
Burns, D. D., & Nolen–Hoeksema, S. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.2.305 · Cited by 199
Therapist skill and patient variables in homework compliance: controlling an uncontrolled variable in cognitive therapy outcome research
Bryant, M. J., Simons, A. D., & Thase, M. E. (1999) · Cognitive Therapy and Research · doi:10.1023/a:1018703901116 · Cited by 183
Does psychotherapy homework lead to improvements in depression in cognitive-behavioral therapy or does improvement lead to increased homework compliance?
Burns, D. D., & Spangler, D. L. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.1.46 · Cited by 180
The effects of treatment compliance on outcome in cognitive-behavioral therapy for panic disorder: Quality versus quantity.
Schmidt, N. B., & Woolaway-Bickel, K. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.1.13 · Cited by 169
Homework compliance, perceptions of control, and outcome of cognitive-behavioral treatment of social phobia
Leung, A. W., & Heimberg, R. G. (1996) · Behaviour Research and Therapy · doi:10.1016/0005-7967(96)00014-9 · Cited by 168
Psychologists' use of homework assignments in clinical practice.
Kazantzis, N., & Deane, F. P. (1999) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.30.6.581 · Cited by 112
Power to detect homework effects in psychotherapy outcome research.
Kazantzis, N. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.1.166 · Cited by 101
The role of homework assignments in cognitive therapy for depression: Potential methods for enhancing adherence.
Detweiler, J. B., & Whisman, M. A. (1999) · Clinical Psychology Science and Practice · doi:10.1093/clipsy.6.3.267 · Cited by 97

Show all 12 references

Sorted by citations

Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes
Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.05.004 · Cited by 550
“Other factors implicated in CBT homework completion, namely motivation to change (Helbig & Fehm, 2004), teacher competence and reviewing of home assignments (Weck, Richtberg, Esch, H€ofling, & Stangier, 2013) might be investigated in MBCT/ MBSR. Study level factors including therapist adherence…”
Background
Clinical effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment-resistant depression in primary care: the CoBalT randomised controlled trial
Wiles, N., Thomas, L., Abel, A., Barnes, M., Carroll, F., Ridgway, N., Sherlock, S., Turner, N., Button, K., Odondi, L., et al. (2014) · Health Technology Assessment · doi:10.3310/hta18310 · Cited by 127
Technological adjuncts to increase adherence to therapy: A review
Clough, B. A., & Casey, L. M. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.03.006 · Cited by 125
Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps
Tang, W., & Kreindler, D. M. (2017) · JMIR Mental Health · doi:10.2196/mental.5283 · Cited by 120
Group Cognitive Behavioural Therapy for Depression Outcomes Predicted by Willingness to Engage in Homework, Compliance with Homework, and Cognitive Restructuring Skill Acquisition
Neimeyer, R. A., Kazantzis, N., Kassler, D. M., Baker, K. D., & Fletcher, R. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070801981240 · Cited by 113
The impact of motivational interviewing on resistance in cognitive behavioural therapy for generalized anxiety disorder
Aviram, A., & Alice Westra, H. (2011) · Psychotherapy Research · doi:10.1080/10503307.2011.610832 · Cited by 109
Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences
Williams, M. J., McManus, F., Muse, K., & Williams, J. M. G. (2011) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2010.02000.x · Cited by 96
Perceptions of the feasibility and acceptability of a smartphone application for the treatment of binge eating disorders: Qualitative feedback from a user population and clinicians
Juarascio, A. S., Goldstein, S. P., Manasse, S. M., Forman, E. M., & Butryn, M. L. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.06.004 · Cited by 81
Blended care-cognitive behavioral therapy for depression and anxiety in real-world settings: Pragmatic retrospective study
Lungu, A., Jun, J. J., Azarmanesh, O., Leykin, Y., & Chen, C. E.-J. (2020) · Journal of Medical Internet Research · doi:10.2196/18723 · Cited by 75
Extending Motivational Interviewing to the Treatment of Major Mental Health Problems: Current Directions and Evidence
Westra, H. A., Aviram, A., & Doell, F. K. (2011) · The Canadian Journal of Psychiatry · doi:10.1177/070674371105601102 · Cited by 81
Nature adventure rehabilitation for combat-related posttraumatic chronic stress disorder: A randomized control trial
Gelkopf, M., Hasson‐Ohayon, I., Bikman, M., & Kravetz, S. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.01.026 · Cited by 86
Brief Report: Problem Solving Therapy in College Students with Autism Spectrum Disorders: Feasibility and Preliminary Efficacy
Pugliese, C. E., & White, S. W. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1914-8 · Cited by 88
Intelligent real-time therapy: Harnessing the power of machine learning to optimise the delivery of momentary cognitive–behavioural interventions
Kelly, J., Gooding, P., Pratt, D., Ainsworth, J., Welford, M., & Tarrier, N. (2012) · Journal of Mental Health · doi:10.3109/09638237.2011.638001 · Cited by 73
The Impact of Motivational Interviewing on Client Experiences of Cognitive Behavioral Therapy for Generalized Anxiety Disorder
Kertes, A., Westra, H. A., Angus, L., & Marcus, M. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2009.06.005 · Cited by 71
Therapist emotional reactions and client resistance in cognitive behavioral therapy.
Westra, H. A., Aviram, A., Connors, L., Kertes, A., & Ahmed, M. S. (2011) · Psychotherapy · doi:10.1037/a0023200 · Cited by 83
No pain, no gain: Depressed clients' experiences of cognitive behavioural therapy
Barnes, M., Sherlock, S., Thomas, L., Kessler, D. S., Kuyken, W., Owen‐Smith, A., Lewis, G., Wiles, N., & Turner, K. M. (2013) · British Journal of Clinical Psychology · doi:10.1111/bjc.12021 · Cited by 72
Homework in Cognitive Behavioral Therapy
Kazantzis, N., Brownfield, N. R., Mosely, L., Usatoff, A. S., & Flighty, A. J. (2017) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2017.08.001 · Cited by 66
Homework “Dose,” Type, and Helpfulness as Predictors of Clinical Outcomes in Prolonged Exposure for PTSD
Cooper, A. A., Kline, A. C., Graham, B., Bedard‐Gilligan, M. A., Mello, P. G., Feeny, N. C., & Zoellner, L. A. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.02.013 · Cited by 63
One more time with less jargon: An introduction to “Rupture Repair in Practice”
Muran, J. C., Eubanks, C. F., & Samstag, L. W. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23105 · Cited by 51
The Relationship Between Therapist Competence and Homework Compliance in Maintenance Cognitive Therapy for Recurrent Depression: Secondary Analysis of a Randomized Trial
Weck, F., Richtberg, S., Esch, S., Höfling, V., & Stangier, U. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.09.004 · Cited by 54
Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions
Bunnell, B. E., Nemeth, L. S., Lenert, L. A., Kazantzis, N., Deblinger, E., Higgins, K. A., & Ruggiero, K. J. (2020) · Cognitive Therapy and Research · doi:10.1007/s10608-020-10090-8 · Cited by 47
Predictors and Correlates of Homework Completion and Treatment Outcomes in Parent–Child Interaction Therapy
Danko, C. M., Brown, T. M., Schoick, L. V., & Budd, K. S. (2015) · Child & Youth Care Forum · doi:10.1007/s10566-015-9339-5 · Cited by 47
Differences in motivation and adherence to a prescribed assignment after face-to-face and online psychoeducation: an experimental study
Alfonsson, S., Johansson, K., Uddling, J., & Hursti, T. J. (2017) · BMC Psychology · doi:10.1186/s40359-017-0172-5 · Cited by 46
Conceptualizing Patient Barriers to Nonadherence with Homework Assignments
Kazantzis, N., & Shinkfield, G. (2007) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2006.08.003 · Cited by 44
A Preliminary, Qualitative Exploration of the Influences Associated with Drop-Out from Cognitive-Behavioural Therapy for Problem Gambling: An Australian Perspective
Dunn, K. I., Delfabbro, P., & Harvey, P. W. (2011) · Journal of Gambling Studies · doi:10.1007/s10899-011-9257-x · Cited by 40
Using ambulatory assessment to measure dynamic risk processes in affective disorders
Stange, J. P., Kleiman, E. M., Mermelstein, R. J., & Trull, T. J. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.08.060 · Cited by 42
Smartphone-assisted psychoeducation in adult attention-deficit/hyperactivity disorder: A randomized controlled trial
Selaskowski, B., Steffens, M., Schulze, M., Lingen, M., Aslan, B., Rosén, H., Kannen, K., Wiebe, A., Wallbaum, T., Boll, S., et al. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114802 · Cited by 45
Understanding and enhancing the effects of homework in cognitive-behavioral therapy.
Dozois, D. J. A. (2010) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2010.01205.x · Cited by 34
Measuring Homework Completion in Behavioral Activation
Busch, A. M., Uebelacker, L. A., Kalibatseva, Z., & Miller, I. W. (2010) · Behavior Modification · doi:10.1177/0145445510373384 · Cited by 33
Disentangling the Impact of Resistance and Ambivalence on Therapy Outcomes in Cognitive Behavioural Therapy for Generalized Anxiety Disorder
Button, M. L., Westra, H. A., Hara, K. M., & Aviram, A. (2014) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2014.959038 · Cited by 40
Therapist empathy, homework compliance, and outcome in cognitive behavioral therapy for generalized anxiety disorder: partitioning within- and between-therapist effects
Hara, K. M., Aviram, A., Constantino, M. J., Westra, H. A., & Antony, M. M. (2017) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2016.1253605 · Cited by 31
In-Session Stuck Points and Pitfalls of Community Clinicians Learning CBT: Qualitative Investigation
Waltman, S. H., Hall, B. C., McFarr, L. M., Beck, A. T., & Creed, T. A. (2016) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2016.04.002 · Cited by 33
Barriers to Cognitive Behavioral Therapy Homework Completion Scale–Depression Version: Development and Psychometric Evaluation
Callan, J. A., Dunbar‐Jacob, J. M., Sereika, S. M., Stone, C. A., Fasiczka, A. L., Jarrett, R. B., & Thase, M. E. (2012) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2012.5.2.219 · Cited by 31
A Taxonomy for Homework Used by Mental Health Case Managers When Working with Individuals Diagnosed with Severe Mental Illness
Kelly, P. J., Deane, F. P., King, R., Kazantzis, N., & Crowe, T. P. (2007) · Community Mental Health Journal · doi:10.1007/s10597-007-9097-4 · Cited by 28
An Ecological Momentary Intervention Study of Emotional Responses to Smartphone-Prompted CBT Skills Practice and the Relationship to Clinical Outcomes
Bernstein, E. E., Bentley, K. H., Nock, M. K., Stein, M. B., Beck, S., & Kleiman, E. M. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.09.001 · Cited by 29
Parent-Endorsed Reasons for Not Completing Homework in Group-Based Behavioural Parent Training for High-Risk Families of Youth With ADHD
Chacko, A., Anderson, L., Wymbs, B. T., & Wymbs, F. A. (2013) · Behaviour Change · doi:10.1017/bec.2013.25 · Cited by 26
Mediators and Moderators of Homework–Outcome Relations in CBT for Depression: A Study of Engagement, Therapist Skill, and Client Factors
Yew, R. Y., Dobson, K. S., Zyphur, M. J., & Kazantzis, N. (2019) · Cognitive Therapy and Research · doi:10.1007/s10608-019-10059-2 · Cited by 26
Toward Tailoring Just-in-Time Adaptive Intervention Systems for Workplace Stress Reduction: Exploratory Analysis of Intervention Implementation
Suh, J., Howe, E. S., Lewis, R., Hernandez, J., Saha, K., Althoff, T., & Czerwinski, M. P. (2024) · JMIR Mental Health · doi:10.2196/48974 · Cited by 26
An Initial Investigation of Neural Changes in Overweight Adults with Food Cravings after Emotional Freedom Techniques
Stapleton, P., Buchan, C., MItchell, I., McGrath, Y., Gorton, P., & Carter, B. (2019) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.1901010 · Cited by 25
Psychological Interventions for Pediatric Headache Disorders: A 2021 Update on Research Progress and Needs
Knestrick, K. E., Gibler, R. C., Reidy, B. L., & Powers, S. W. (2022) · Current Pain and Headache Reports · doi:10.1007/s11916-022-01007-z · Cited by 24
Motivation and Changes in Depression
Burns, D. D., Westra, H. A., Trockel, M., & Fisher, A. J. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9458-3 · Cited by 25
Self-Administered Optimism Training: Mechanisms of Change in a Minimally Supervised Psychoeducational Intervention
Fresco, D., Moore, M. T., Walt, L., & Craighead, L. (2009) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.23.4.350 · Cited by 25
Randomized controlled study of a digital data driven intervention for depressive and generalized anxiety symptoms
Fatouros, P., Tsirmpas, C., Andrikopoulos, D., Kaplow, S., Kontoangelos, K. A., & Papageorgiou, C. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01511-7 · Cited by 27
Imagery rescripting and negative self-imagery in social anxiety disorder: a systematic literature review
Lloyd, J., & Marczak, M. (2022) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246582200008x · Cited by 27
Use of homework by mental health case managers in the rehabilitation of persistent and recurring psychiatric disability
Kelly, P. J., Deane, F. P., Kazantzis, N., Crowe, T. P., & Oades, L. G. (2006) · Journal of Mental Health · doi:10.1080/09638230500513100 · Cited by 22
Patient and therapist expectations for a blended cognitive behavioral therapy program for depression: qualitative exploratory study
Atik, E., Schückes, M., & Apolinário-Hagen, J. (2022) · JMIR Mental Health · doi:10.2196/36806 · Cited by 22
Developing Self-determined Motivation and Performance with an Elite Athlete: Integrating Motivational Interviewing with Rational Emotive Behavior Therapy
Wood, A. G., Mack, R., & Turner, M. J. (2020) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-020-00351-6 · Cited by 24
Integrating the Digital and the Traditional to Deliver Therapy for Depression
Stawarz, K., Preist, C., Tallon, D., Thomas, L., Turner, K. M., Wiles, N., Kessler, D. S., Shafran, R., & Coyle, D. (2020) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3313831.3376510 · Cited by 27
Unresolved Issues Regarding Homework Assignments in Cognitive and Behavioural Therapies: An Expert Panel Discussion at AACBT
Kazantzis, N., Arntz, A. R., Borkovec, T. D., Holmes, E. A., & Wade, T. D. (2010) · Behaviour Change · doi:10.1375/bech.27.3.119 · Cited by 22
Der Einsatz von Hausaufgaben in der Psychotherapie
Helbig, S., & Fehm, L. (2004) · Psychotherapeut · doi:10.1007/s00278-004-0374-1 · Cited by 19
Self-citation
Developing an Unguided Internet-Delivered Intervention for Emotional Distress in Primary Care Patients: Applying Common Factor and Person-Based Approaches
Geraghty, A. W. A., Muñoz, R. F., Yardley, L., McSharry, J., Little, P. S., & Moore, M. V. (2016) · JMIR Mental Health · doi:10.2196/mental.5845 · Cited by 22
Homework Use in Cognitive Therapy for Psychosis: A Case Formulation Approach
Rector, N. A. (2007) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2006.10.008 · Cited by 19
A mixed-methods approach to understanding the perspectives, experiences, and attitudes of a culturally tailored cognitive behavioral therapy/motivational interviewing intervention for African American patients with type 2 diabetes: a randomized parallel design pilot study
Cornely, R. M., Subramanya, V., Owen, A., McGee, R. E., & Kulshreshtha, A. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-01066-4 · Cited by 18
Evaluation of perceived usefulness of activity scheduling in an inpatient depression group
IQBAL, S., & BASSETT, M. (2008) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2007.01245.x · Cited by 18
Effects of Mind-Body Training as a Mental Health Therapy in Adults with Diabetes Mellitus Type II: A Systematic Review
Ruiz-Ariza, B., Hita‐Contreras, F., Rodríguez-López, C., Rivas-Campo, Y., Aibar‐Almazán, A., Carcelén‐Fraile, M. D. C., Castellote‐Caballero, Y., & Afanador-Restrepo, D. F. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12030853 · Cited by 17
Utilizing placebos to leverage effects of cognitive-behavioral therapy in patients with depression
Jurinec, N., & Schienle, A. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.087 · Cited by 20
Use of skills learned in CBT for fear of flying: Managing flying anxiety after September 11th
Kim, S., Palin, F. L., Anderson, P. L., Edwards, S. M., Lindner, G. K., & Rothbaum, B. O. (2007) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.02.006 · Cited by 16
Does the theoretical perspective of exposure framing matter? Acceptance, fear reduction/cognitive reappraisal, and values-framing of exposure for social anxiety
Bluett, E. J., Landy, L. L., Twohig, M. P., & Arch, J. J. (2016) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.30.2.77 · Cited by 13
A brief emotion regulation training in children and adolescents with obesity: A feasibility study
Boelens, E., Braet, C., Debeuf, T., Wante, L., Volkaert, B., & Verbeken, S. (2022) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2022.07.006 · Cited by 23
A Qualitative Study of Women’s Experiences with Cognitive-Behavioral and Mindfulness-Based Online Interventions for Low Sexual Desire
Meyers, M., Margraf, J., & Velten, J. (2022) · The Journal of Sex Research · doi:10.1080/00224499.2022.2056565 · Cited by 14
Barriers and facilitators to engagement with between-session work for low-intensity Cognitive Behavioural Therapy (CBT)-based interventions: a qualitative exploration of practitioner perceptions
Bennion, M., Blakemore, A., Lovell, K., & Bee, P. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06501-3 · Cited by 13
Enhancing Integrative Cognitive‐Affective Therapy with ecological momentary interventions: A pilot trial
Juarascio, A. S., Hunt, R. A., Lantz, E. L., Engel, S. G., Pisetsky, E. M., Peterson, C. B., & Wonderlich, S. A. (2020) · European Eating Disorders Review · doi:10.1002/erv.2800 · Cited by 14
Acceptability of a novel suicide prevention psychological therapy for people who experience non‐affective psychosis
Harris, K., Gooding, P. A., Awenat, Y. F., Haddock, G., Cook, L., Huggett, C., Jones, S. H., Lobban, F. A., Peeney, E., Pratt, D., et al. (2023) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12456 · Cited by 12
The development of a change model of “exits” during cognitive analytic therapy for the treatment of depression
Sandhu, S. K., Kellett, S., & Hardy, G. E. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2090 · Cited by 13
Enhancing the effectiveness of CBT for patients with unipolar depression by integrating digital interventions into treatment: A pilot randomized controlled trial
Kalde, J., Atik, E., Stricker, J., Schückes, M., Neudeck, P., Pittig, A., & Pietrowsky, R. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2277866 · Cited by 14
A Blended Intervention Targeting Emotion Dysregulation in Adults With Attention-Deficit/Hyperactivity Disorder: Development and Feasibility Study
Nordby, E. S., Guribye, F., Schønning, V., Andersen, S. L., Kuntsi, J., & Lundervold, A. J. (2024) · JMIR Formative Research · doi:10.2196/53931 · Cited by 16
Predictors of Homework Engagement in CBT Adapted for Traumatic Brain Injury: Pre/post-Injury and Therapy Process Factors
Zelencich, L. M., Kazantzis, N., Wong, D. K., McKenzie, D. P., Downing, M. G., & Ponsford, J. L. (2019) · Cognitive Therapy and Research · doi:10.1007/s10608-019-10036-9 · Cited by 13
Does perfectionism impact adherence to homework assignment? A preliminary pilot study of perfectionism and procrastination of CBT homework
Kobori, O., Dighton, G., & Hunter, R. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465819000547 · Cited by 15
Modifying a cognitive behavioral suicide prevention treatment for adults with schizophrenia spectrum disorders in community mental health
Bornheimer, L. A., Verdugo, J. L., Holzworth, J., Im, V., Smith, F. N., Sliwa, H., Taylor, S. F., King, C. A., Florence, T., Tarrier, N., et al. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114505 · Cited by 15
Introduction
Westra, H. A., & Arkowitz, H. S. (2010) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2009.11.005 · Cited by 12
Use of self-help materials for anxiety and depression in mental health services: A national survey of psychologists in Norway.
Nordgreen, T., & Havik, O. E. (2011) · Professional Psychology Research and Practice · doi:10.1037/a0022729 · Cited by 13
Homework Assignments and Self‐Monitoring
Kazantzis, N., Dattilio, F. M., Cummins, A., & Clayton, X. (2013) · Wiley eBooks · doi:10.1002/9781118528563.wbcbt14 · Cited by 10
A feasibility study of a cognitive behavioral based stress management intervention for nursing students: results, challenges, and implications for research and practice
Terp, U., Bisholt, B. K. M., & Hjärthag, F. (2022) · BMC Nursing · doi:10.1186/s12912-021-00761-6 · Cited by 10
Cognitive therapy for depression
Dozois, D. J. A., & Bieling, P. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511781919.003 · Cited by 10
Efficacy of Online Group Counseling with Mindfulness-Based Cognitive Approach to Enhance Students’ Humility
Naini, R., Wibowo, M. E., & Mulawarman, M. (2021) · Islamic Guidance and Counseling Journal · doi:10.25217/igcj.v4i1.1280 · Cited by 10
Hausaufgaben in der Psychotherapie
Fehm, L., & Helbig-Lang, S. (2009) · Psychotherapeut · doi:10.1007/s00278-009-0686-2 · Cited by 10
Self-citation
Case Managers' Attitudes Toward the Use of Homework for People Diagnosed With a Severe Psychiatric Disability
Kelly, P. J., Deane, F. P., Kazantzis, N., & Crowe, T. P. (2007) · Rehabilitation Counseling Bulletin · doi:10.1177/00343552070510010601 · Cited by 10
Clinical Effects of Asynchronous Provider-Guided Practice Sessions During Blended Care Therapy for Anxiety and Depression: Pragmatic Retrospective Cohort Study
Espel-Huynh, H. M., Wang, L., Lattie, E. G., Wickham, R. E., Varra, A., Chen, C. E., Lungu, A., & Lee, J. L. (2024) · Journal of Medical Internet Research · doi:10.2196/60502 · Cited by 9
“In the traditional model, clients often struggle to complete homework independently, with less than 40% of homework typically completed as assigned [8,9].”
Therapeutische Hausaufgaben in der klinischen Praxis: Einsatz, Erledigung und Beziehungen zum Therapieverlauf
Helbig-Lang, S., Hagestedt, D., Lang, T., & Petermann, F. (2012) · Zeitschrift für Psychiatrie, Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000106 · Cited by 9
Provision of Care by “Real World” Telemental Health Providers
Bunnell, B. E., Kazantzis, N., Paige, S. R., Barrera, J. F., Thakkar, R. N., Turner, D., & Welch, B. M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.653652 · Cited by 9
Generative artificial intelligence in posttraumatic stress disorder treatment: Exploring five different use cases
Held, P., Stade, E. C., Dondanville, K. A., & Stirman, S. W. (2025) · Journal of Traumatic Stress · doi:10.1002/jts.23188 · Cited by 8
Tailored Text Message Prompts to Increase Therapy Homework Adherence: A Single-Case Randomised Controlled Study
Alfonsson, S., Englund, J., & Parling, T. (2019) · Behaviour Change · doi:10.1017/bec.2019.10 · Cited by 9
Enthusiasm for homework and improvement of psychological distress in subthreshold depression during behavior therapy: secondary analysis of data from a randomized controlled trial
On behalf of the GENKI Project, Hayasaka, Y., Furukawa, T. A., Sozu, T., Imai, H., Kawakami, N., & Horikoshi, M. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0687-3 · Cited by 7
Does homework improve outcomes for individuals diagnosed with severe mental illness
Kelly, P. J., & Deane, F. P. (2007) · Research Online (University of Wollongong) · Cited by 8
An exploration of homework completion in cognitive behavioral treatments for bulimia-spectrum eating disorders
Parker, M. N., Clark, K. E., & Juarascio, A. S. (2022) · Eating Disorders · doi:10.1080/10640266.2021.2022847 · Cited by 7
Do I really have to do my homework? The role of homework compliance in cognitive behavioral therapy for irritable bowel syndrome.
Radziwon, C. D., Quigley, B., Vargovich, A., Krasner, S., Gudleski, G., Mason, S. R., Borden, A. B., & Lackner, J. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104063 · Cited by 6
Addressing Patient Motivation, Therapeutic Alliance, and Treatment Expectancies in Interventions for Anxiety Disorders
Nadai, A. S. D., King, M. A., Karver, M. S., & Storch, E. A. (2014) · Wiley eBooks · doi:10.1002/9781118775349.ch56 · Cited by 6
Client interpersonal impacts as mediators of long-term outcome in cognitive-behavioral therapy integrated with motivational interviewing for generalized anxiety disorder
Constantino, M. J., Romano, F. M., Coyne, A. E., Westra, H. A., & Antony, M. M. (2018) · Psychotherapy Research · doi:10.1080/10503307.2017.1301689 · Cited by 7
Therapist competence, homework engagement, and client characteristics in CBT for youth depression: A study of mediation and moderation in a community-based trial
Hildebrand-Burke, C., Davey, C. G., Gwini, S. M., Catania, L., & Kazantzis, N. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2267166 · Cited by 6
Predictors of homework engagement in group CBT for social anxiety: client beliefs about homework, its consequences, group cohesion, and working alliance
McEvoy, P. M., Johnson, A. R., Kazantzis, N., & Egan, S. J. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2286993 · Cited by 8
Psychological interventions for adults with ASD: clinical approaches
Spain, D., O’Neill, L., Harwood, L., & Chaplin, E. (2016) · Advances in Autism · doi:10.1108/aia-09-2015-0016 · Cited by 6
Using a conversational agent for thought recording as a cognitive therapy task: Feasibility, content, and feedback
Burger, F., Neerincx, M. A., & Brinkman, W. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.930874 · Cited by 6
Clinician experiences of homework in couples and family therapy: A survey of perceived impact on the working alliance
Kazantzis, N., Dattilio, F. M., Shinkfield, G., & Petrik, A. M. (2022) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12861 · Cited by 5
Therapeutische Hausaufgaben
Fehm, L., & Fehm‐Wolfsdorf, G. (2018) · Springer eBooks · doi:10.1007/978-3-662-54911-7_42 · Cited by 5
Self-citation
Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
Nordby, E. S., Schønning, V., Barnes, A. E., Denyer, H., Kuntsi, J., Lundervold, A. J., & Guribye, F. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06476-1 · Cited by 7
Hausaufgaben in der Psychotherapie: Was Therapeuten bei der Gestaltung beachten sollten
Breil, J. (2012) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000107 · Cited by 4
Online Group Counseling with Mindfulness-Based Cognitive and Solution-Focused Approach for Enhancing Students’ Humility
Universitas Negeri Semarang, I., Naini, R., Mulawarman, M., & Wibowo, M. E. (2021) · International Journal of Information and Education Technology · doi:10.18178/ijiet.2021.11.11.1565 · Cited by 4
Response and ongoing skills use following a single-session virtual cognitive behavioral workshop for graduate students
Bernstein, E. E., LeBlanc, N. J., & McNally, R. J. (2022) · Journal of American College Health · doi:10.1080/07448481.2022.2098036 · Cited by 5
Asignación de tareas terapéuticas y revisión de su cumplimiento desde una perspectiva conductual: las secuencias verbales entre terapeuta y cliente
Giráldez, C. A. M., Parga, M. X. F., & Elvira, A. C. (2023) · Behavioral Psychology/Psicología Conductual · doi:10.51668/bp.8323107n · Cited by 3
Limited Motivation, Patient-Therapist Mismatch, and the Therapeutic Alliance
Nadai, A. S. D., & Karver, M. S. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6458-7_17 · Cited by 4

Authors: Helbig, S., & Fehm, L.
Affiliations: Technische Universität Dresden (DE)
ORCID: Fehm, Lydia
Venue: Behavioural and Cognitive Psychotherapy
Publisher: Cambridge University Press (CUP)
Published: 2004-06-14
Volume: 32
Issue: 3
Pages: 291-301
ISSN: 1352-4658 (ISSN-L)
1469-1833
DOI: 10.1017/s1352465804001365
OpenAlex: W2098937729
Cited by: 143
References: 12
Citations by year: 2026: 3 · 2025: 10 · 2024: 9 · 2023: 8 · 2022: 16 · 2021: 5 · 2020: 8 · 2019: 7 · 2018: 2 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 8
FWCI: 4.80
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Behavioural and Cognitive Psychotherapy (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: homework, homework compliance, cognitive behavioral therapy, homework completion, patient motivation, treatment outcomes

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

PROBLEMS WITH HOMEWORK IN CBT: RARE EXCEPTION OR RATHER FREQUENT?

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks