Group Cognitive Behavioural Therapy for Depression Outcomes Predicted by Willingness to Engage in Homework, Compliance with Homework, and Cognitive Restructuring Skill Acquisition
Abstract
There is a need to understand the mechanism through which homework contributes to clinically meaningful change in therapy. Theoretically meaningful factors such as willingness to complete therapeutic assignments and cognitive skill acquisition have not been carefully studied in prior research. Depressed outpatients (N = 46) received cognitive behavioural group therapy for a 10-week period and were assigned relevant homework activities. Patient self-report and independent ratings of homework compliance were obtained on a session-by-session basis. Using path analysis, the authors found evidence that willingness to complete homework assignments and mastery of skill in cognitive restructuring helped account for the relationship between homework compliance and reduced symptom severity (R2 = .40). However, paths were only significant when patient self-report of homework compliance was used in the model. The present study highlights the problems in assessing homework compliance and in assuming that independent assessment of compliance is more accurate than patient self-report.
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Werkmeister, S. (2013) · Cornerstone (Minnesota State University, Mankato)
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Module 2: Skills for Feeling: Recognizing and Managing Strong Emotions
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Module 1: Skills for Getting Started: Planning Your Treatment
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0006
Module 4: Skills for Thinking: Self-Compassion and Helpful Thoughts
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Module 3: Skills for Doing: Values-Based Living and Solving Problems
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Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0005
Module 5: Skills for Brain Health: Healthy Cognitive Aging
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0011
Module 6: Skills for Managing Chronic Pain: Improving Daily Life
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0012
Module 7: Skills for Healthy Sleep: Resting Better and Longer
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0013
Module 11: Skills for Wrapping Up: Finishing Treatment
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0010
Depression and Age-Related Issues
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0002
Module 10: Skills for Relating: Getting Along and Communicating Your Needs
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0016
How to Use This Treatment Approach
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0001
Module 9: Skills for Living with Loss: Bereavement and Grief
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0015
Wunschel, I., & Linden, M. (2015) · Springer eBooks · doi:10.1007/978-3-642-55210-6_27
Wunschel, I., & Linden, M. (2011) · Springer eBooks · doi:10.1007/978-3-642-16197-1_30
Recommendations for Group Treatments
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.005.0002
- Authors
- Neimeyer, R. A., Kazantzis, N., Kassler, D. M., Baker, K. D., & Fletcher, R.
- Affiliations
- University of Memphis (US)
- Massey University (NZ)
- California State University, Stanislaus (US)
- Corresponding author
- Neimeyer, Robert A.
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2008-12
- Volume
- 37
- Issue
- 4
- Pages
- 199-215
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2032964427
- Cited by
- 113
- References
- 111
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 35 · 2020: 5 · 2019: 1 · 2018: 5 · 2017: 10 · 2016: 1 · 2015: 10 · 2014: 10 · 2013: 6 · 2012: 5
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Massey University
- 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
- group cognitive behavioral therapy, depression, homework compliance, cognitive restructuring, skill acquisition, treatment outcome prediction, patient self-report, symptom severity, outpatients
- MeSH terms
- Adult, Aged, Depressive Disorder, Female, Humans, Male, Manuals as Topic, Middle Aged, Models, Psychological, Patient Compliance, Psychotherapy, Group, Tennessee, Cognitive Behavioral Therapy, Multivariate Analysis, Randomized Controlled Trials as Topic, Treatment Outcome
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