Evidence map›Paper›PMID 37148652›Full record

Trial reportBehaviour research and therapy2023

Parsing within & between-person dynamics of therapy homework completion and clinical symptoms in two cognitive behavioral treatments for adults with anhedonia.

Paul M Cernasov, Jessica L Kinard, Erin Walsh, Lisalynn Kelley, Rachel Phillips, Angela Pisoni, Macey Arnold, Sarah C Lowery, Marcy Ammirato, Gabriela A Nagy and 5 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Anhedonia: Current and future treatments.PCN reports : psychiatry and clinical neurosciences · 2025
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Paul M CernasovDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA. Electronic address: paul.cernasov@unc.edu.
Jessica L KinardCarolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, Chapel Hill, NC, 27510, USA; Division of Speech and Hearing Sciences, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA.
Erin WalshDepartment of Psychiatry, University of North Carolina-Chapel Hill, Chapel Hill, NC 27514, USA.
Lisalynn KelleyDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705, USA.
Rachel PhillipsDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA.
Angela PisoniDepartment of Psychology and Neuroscience, Duke University, Durham, NC, 27505, USA.
Macey ArnoldDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705, USA.
Sarah C LoweryDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA.
Marcy AmmiratoDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA.
Gabriela A NagyDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705, USA; Duke University School of Nursing, 307 Trent Drive, Durham, NC, 27710, USA.
Jason A OliverDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705, USA; Division of Cancer Control and Population Sciences, Duke Cancer Institute, Durham, NC, 27705, USA.
Kevin HaworthDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705, USA.
Stacey B DaughtersDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA.
Gabriel S DichterDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27514, USA; Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, Chapel Hill, NC, 27510, USA; Department of Psychiatry, University of North Carolina-Chapel Hill, Chapel Hill, NC 27514, USA.
Moria SmoskiDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705, USA; Department of Psychology and Neuroscience, Duke University, Durham, NC, 27505, USA.
University of North Carolina at Chapel Hill · USDuke University · USDuke Medical Center · US

Funding

Development of A Novel Transdiagnostic Intervention for AnhedoniaR33MH110027 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DICHTER, GABRIEL S, SMOSKI, MORIA J. · 2019 to 2021
$2.3M
Development of A Novel Transdiagnostic Intervention for AnhedoniaR61MH110027 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DICHTER, GABRIEL S, SMOSKI, MORIA J. · 2017 to 2018
$1.9M
NIMH NIH HHS R33 MH110027NIMH NIH HHS R61 MH110027
6 · The paper itself

Abstract

objectiveHomework is a key theoretical component of cognitive-behavioral therapies, however, the effects of homework on clinical outcomes have largely been evaluated between-persons rather than within-persons.

methodsThe effects of homework completion on treatment response were examined in a randomized trial comparing Behavioral Activation Treatment for Anhedonia (BATA, n = 38), a novel psychotherapy, to Mindfulness-Based Cognitive Therapy (MBCT, n=35). The primary endpoint was consummatory reward sensitivity, measured weekly by the Snaith Hamilton Pleasure Scale (SHAPS), up to 15 weeks. Multilevel models evaluated change in SHAPS scores over time and the effects of clinician-reported and participant-reported homework.

resultsBATA and MBCT resulted in significant, equivalent reductions in SHAPS scores. Unexpectedly, participants who completed greater mean total amounts of homework did not improve at a faster rate (i.e., no between-person effect). However, sessions with greater than average participant-reported homework completion were associated with greater than average reductions in SHAPS scores (i.e., a within-person effect). For clinician-reported homework, this effect was only evident within the BATA condition.

conclusionThis study shows psychotherapy homework completion relates to symptomatic improvement in cognitive-behavioral treatments for anhedonia when session-to-session changes are examined within-person. On the contrary, we found no evidence that total homework completion predicted greater improvements between-person. When possible, psychotherapy researchers should evaluate their constructs of interest across multiple sessions (not just pre/post) to allow more direct tests of hypotheses predicted by theoretical models of individual change processes.

Indexed as

Cognitive Behavioral TherapyMindfulnessAdultAnhedoniaCognitionHumansPleasureAnhedoniaBehavioral activationHomeworkMindfulness

Identifiers

PMID37148652
PMCPMC10330658
OpenAlexW4367043254

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.