ArticleBehaviour research and therapy2015
A session-to-session examination of homework engagement in cognitive therapy for depression: Do patients experience immediate benefits?
Article in Behaviour research and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- What is the effect of homework engagement in group cognitive behavioral therapy for anxiety disorders and depression?BMC psychology · 2025Trial
- Parsing within & between-person dynamics of therapy homework completion and clinical symptoms in two cognitive behavioral treatments for adults with anhedonia.Behaviour research and therapy · 2023Trial
- Relationship Between Patient Engagement and Depressive Symptoms Among People Living With HIV in a Mobile Health Intervention: Secondary Analysis of a Randomized Controlled Trial.JMIR mHealth and uHealth · 2020Trial
- The Influence of Treatment Engagement on Positive Outcomes in the Context of a School-Based Intervention for Students with Externalizing Behavior Problems.Journal of abnormal child psychology · 2019Trial
- Homework Completion, Patient Characteristics, and Symptom Change in Cognitive Processing Therapy for PTSD.Behavior therapy · 2018Trial
- Japan Unified Protocol Clinical Trial for Depressive and Anxiety Disorders (JUNP study): study protocol for a randomized controlled trial.BMC psychiatry · 2016Trial
- Improving Adherence to Psychotherapy and Clinical Outcome in Patients With Late-Life Depression Through Gamified mHealth Technology.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026Article
- Behavioral Nudges to Enhance Fidelity in Telehealth Sessions (BENEFITS): Protocol for Developing and Pilot Testing a Telehealth Tool to Improve Cognitive Behavioral Therapy Implementation.JMIR research protocols · 2025Article
- Clinical Effects of Asynchronous Provider-Guided Practice Sessions During Blended Care Therapy for Anxiety and Depression: Pragmatic Retrospective Cohort Study.Journal of medical Internet research · 2024Article
- Machine Learning Model to Predict Assignment of Therapy Homework in Behavioral Treatments: Algorithm Development and Validation.JMIR formative research · 2023Article
- How to model and interpret cross-lagged effects in psychotherapy mechanisms of change research: A comparison of multilevel and structural equation models.Journal of consulting and clinical psychology · 2022Article
- Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study.Psychological medicine · 2021Article
- A maturing mindfulness-based cognitive therapy reflects on two critical issues.Current opinion in psychology · 2019Review
- Patients' Experiences of Web- and Mobile-Assisted Group Therapy for Depression and Implications of the Group Setting: Qualitative Follow-Up Study.JMIR mental health · 2018Article
- Therapist Behaviors as Predictors of Immediate Homework Engagement in Cognitive Therapy for Depression.Cognitive therapy and research · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Homework is a key component of Cognitive Therapy (CT) for depression. Although previous research has found evidence for a positive relationship between homework compliance and treatment outcome, the methods used in previous studies have often not been optimal. In this study, we examine the relation of specific aspects of homework engagement and symptom change over successive session-to-session intervals. In a sample of 53 depressed adults participating in CT, we examined the relation of observer-rated homework engagement and session-to-session symptom change across the first five sessions. Within patient (and not between patient) variability in homework engagement was significantly related to greater session-to-session symptom improvements. These findings were similar when homework engagement was assessed through a measure of general engagement with homework assignments and a measure assessing engagement in specific assignments often used in CT. Secondary analyses suggested that observer ratings of the effort patients made on homework and the completion of cognitive homework were the numerically strongest predictors of depressive symptom improvements. Patient engagement with homework assignments appears to be an important predictor of early session-to-session symptom improvements. Future research is needed to identify what therapist behaviors promote homework engagement.
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