Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy.
Abstract
Factor analysis of the Self-Help Inventory (Burns, Shaw, & Crocker, 1987) in a group of 307 consecutive outpatients seeking cognitive-behavioral therapy (CBT) for affective disorders revealed 3 factors that assessed the frequency with which subjects used active coping strategies when depressed, the perceived helpfulness of these coping strategies, and their willingness to learn new coping strategies. The Frequency and Helpfulness scales did not predict patients' subsequent compliance with self-help assignments or their rate of improvement during the first 12 weeks of treatment. These findings suggest that very resourceful patients are not better candidates for CBT than other patients and that patients' expectations about the value of active coping strategies do not predict the response to CBT. In contrast, the Willingness scale was correlated with the degree of improvement during the first 12 weeks of treatment. The Willingness scale and compliance with self-help assignments made additive and separate contributions to clinical improvement. Further research on motivational factors may be indicated.
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Dropout from treatment, poor engagement, and incomplete adherence to homework assignments can reduce treatment effectiveness.
“Dropout from treatment, poor engagement, and incomplete adherence to homework assignments are all issues that can reduce the treatment’s effectiveness [8].”
From Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study (2013) · cites this paper as [8]
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“A few previous studies also showed small or non-significant associations between homework compliance and depressive symptom improvement after receiving CBT (e.g., Burns and Nolen-Hoeksema 1991) and Mindfulness-Based Stress Reduction (Carmody and Baer 2008).”
ResultStrauss, J. L., Guerra, V. S., Marx, C. E., Eggleston, A. M., & Calhoun, P. S. (2010) · Improving Patient Treatment Adherence · doi:10.1007/978-1-4419-5866-2_9 · Cited by 8 · see citing works
- Authors
- Burns, D. D., & Nolen-Hoeksema, S.
- Affiliations
- Penn Presbyterian Medical Center (US)
- ORCID
- Burns, David D.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1991-04
- Volume
- 59
- Issue
- 2
- Pages
- 305-311
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2016137675
- Cited by
- 199
- References
- 1
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 6 · 2021: 7 · 2020: 1 · 2018: 7 · 2017: 4 · 2016: 5 · 2015: 3 · 2014: 5 · 2013: 7 · 2012: 8
- FWCI
- 7.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- coping styles, homework compliance, cognitive behavioral therapy, mood disorders, depression, active coping strategies, treatment response, patient motivation
- MeSH terms
- Adaptation, Psychological, Adult, Depressive Disorder, Female, Humans, Individuality, Male, Patient Compliance, Personality Inventory, Self Care, Cognitive Behavioral Therapy
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