Homework in Cognitive Behavioral Therapy

Kazantzis, Nikolaos; Brownfield, Nicole R.; Mosely, Livia; Usatoff, Alexsandra S.; Flighty, Andrew

doi:10.1016/j.psc.2017.08.001

Cited by 59 publications

(30 citation statements)

References 64 publications

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“…Good accessibility, in combination with the freedom to work with the treatment at home while maintaining frequent access to therapist support, may have contributed to higher motivation to work through the treatment. Engagement in treatment is a robust predictor of positive treatment outcomes in efficacy studies on CBT for anxiety and depression (Chavira et al, 2014;Glenn et al, 2013;Kazantzis, Brownfield, Mosely, Usatoff, & Flighty, 2017). To stimulate the participants´ treatment engagement, we sent SMS notifications via the internet platform to remind or alert them of that material of measurements were available.…”

Section: The Influence Of the Treatment Formatsmentioning

confidence: 99%

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

Hallberg

Kaldo

Arver

et al. 2019

The Journal of Sexual Medicine

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Background Hypersexual disorder (HD) is defined as a condition in which the individual loses control over engagement in sexual behaviors, leading to distress and negative effects on key life areas. Cognitive behavioral therapy (CBT) has been proven to reduce symptoms of hypersexual behavior; however, no randomized controlled study of CBT interventions for HD has been reported previously. Aim To investigate the efficacy of group-administered CBT for HD. Methods Male participants (n = 137) diagnosed with HD, were randomized between 7 weeks of group-administered CBT (n = 70) and a waitlist control receiving the intervention after 8 weeks (n = 67). Measurements were administered at pre-, mid-, and posttreatment, with follow-up after 3 and 6 months. Outcomes The primary outcome was the Hypersexual Disorder: Current Assessment Scale (HD:CAS), and secondary outcomes were the Sexual Compulsivity Scale (SCS) and measures of depression (Montgomery–Åsberg Depression Rating Scale (MADRS-S), psychological distress (Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM), and treatment satisfaction (CSQ-8). Results A significantly greater decrease in HD symptoms and sexual compulsivity, as well as significantly greater improvements in psychiatric well-being, were found for the treatment condition compared with the waitlist. These effects remained stable at 3 and 6 months after treatment. Clinical Implications CBT can ameliorate HD symptoms and psychiatric distress, suggesting that the CBT program may serve as a first-line treatment in clinical settings. Strengths & Limitations This is the first randomized controlled study evaluating the efficacy of a CBT program in a rather large sample of HD-specific diagnosed men. The long-term treatment effects are vague due to the low response rate on follow-up measurements, and the efficacy of this program for hypersexual women remains unknown. Conclusion This study supports the efficacy of a group-administered CBT program as a treatment option for HD; however, future studies should include women, comprise dismantling analysis of the constituting interventions, and evaluate other treatment formats, for example, administration via the Internet.

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Section: The Influence Of the Treatment Formatsmentioning

confidence: 99%

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

Hallberg

Kaldo

Arver

et al. 2019

The Journal of Sexual Medicine

View full text Add to dashboard Cite

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“…They highlight the missed opportunity for a more comprehensive coverage of the CBTCF and the benefits that come from the specific and problem‐specific skills of CBT. There is growing evidence for CBT skills demonstrating significant therapeutic gains; such as case formulation‐driven strategies to repair alliance ruptures, enhanced engagement through homework, and Socratic dialogue (Falkenström, Ekeblad, & Holmqvist, ; Kazantzis et al, ; Kazantzis, Brownfield, Mosely, Usatoff, & Flighty, ; Kazantzis, Luong, et al, ). This finding reflects the potential for maximisation in CBT competency training programs that is consistent with the emerging evidence linking process‐based CBT as a core clinical competency (Hayes & Hofmann, , ; Hofmann & Hayes, ).…”

Section: Discussionmentioning

confidence: 99%

To what extent are cognitive behaviour therapy competencies incorporated into clinical psychology training? A national survey of Australian universities

Impala

Burn

Kazantzis

2019

Australian Psychologist

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Objective Cognitive behaviour therapy (CBT) has demonstrated effectiveness as a therapeutic approach for various clinical disorders, but little data exist on the extent to which it is covered in accredited postgraduate clinical psychology training programs. Data were gathered regarding aspects of CBT orientation in terms of influence, content, delivery of general programs, and administration of coursework components. Method Responses to a semi‐structured interview of 28 clinical program directors of Australian accredited courses (representing 72% of accredited courses) were analysed as part of a larger project titled “Nationwide Training in Cognitive Behaviour Therapy.” Results CBT was consistently included in training programs, but there was marked variability in the coverage of CBT competencies. Greater emphasis was placed on foundational CBT competencies (57% of programs indicating basic CBT skills were covered to a “large” or “very large extent”), in contrast to problem specific competencies (11% of programs covered to a “large” or “very large extent”). Programs with a stronger orientation towards evidence‐based practice reported greater coverage of Roth and Pilling's CBT competency framework (r = 0.62, p < 0.01). Conclusion The findings suggest that core CBT skills are covered, but there is an opportunity for these clinical training programs to enhance their coursework content to ensure that their trainees are adequately prepared to deliver CBT for different disorders.

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“…The strengths of this study include that we created and employed a measure of treatment compliance where both quantity and quality of compliance were systematically rated, as recommended by Kazantzis et al (2017), and most likely providing a better estimate of treatment compliance than more basic measures, such as number of accessed modules. Other strengths are a large total sample, which is representative of depression patients in primary care.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

“…The design in this study was, however, correlational and could not rule out other causal mechanisms (Kazantzis, Ronan, & Deane, 2001). When measuring treatment compliance in face-to-face treatment, it has been suggested that it is important to include both quantity and quality of performed homework in contrast to just treatment quantity (Kazantzis, Brownfield, Mosely, Usatoff, & Flighty, 2017;Lebeau, Davies, Culver, & Craske, 2013). A recent meta-analysis showed that the quality of homework in face-to-face treatment was a strong predictor of symptom reductions (Kazantzis et al, 2016).…”

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confidence: 95%

The effects of component‐specific treatment compliance in individually tailored internet‐based treatment

Kraepelien

Blom

Lindefors

et al. 2019

Clin Psychology and Psychoth

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The objective of this study was to explore the effects of treatment compliance in a guided individually tailored internet‐based treatment (TAIL) in relation to depression and co‐morbid symptoms. Compliance with the homework in the different treatment components in TAIL, each aimed at a specific condition, was rated for 207 participants by independent assessors. Six subgroups ( n = 34–131) were constructed consisting of participants with co‐occurring symptoms of worry, panic, social anxiety, stress, insomnia, or pain. For each group, hierarchical regression was used to investigate whether the total sum of compliance points, Overall Compliance, predicted reductions in depression and in condition‐specific symptoms. Also, in each subgroup, it was tested whether working with specific treatment components, Specific Compliance, predicted reduction of the targeted symptoms. Overall Compliance predicted 15% of the reduction in depression symptoms. For participants with worry, panic, social anxiety, stress, or insomnia, Overall Compliance also predicted symptom reductions in that specific condition. Specific Compliance predicted reduction in the targeted symptoms for participants with social anxiety, stress, and insomnia. Specific Compliance with stress and insomnia components also predicted reductions in depression. Our results strengthen the importance of compliance in internet‐based treatments. Because compliance with stress and insomnia components was particularly important for broad symptom reductions, these conditions should not be ignored when treating patients with co‐morbid symptoms.

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Homework in Cognitive Behavioral Therapy

Cited by 59 publications

References 64 publications

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

A Randomized Controlled Study of Group-Administered Cognitive Behavioral Therapy for Hypersexual Disorder in Men

To what extent are cognitive behaviour therapy competencies incorporated into clinical psychology training? A national survey of Australian universities

The effects of component‐specific treatment compliance in individually tailored internet‐based treatment

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