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The Role of Homework Engagement, Homework-Related Therapist Behaviors, and Their Association with Depressive Symptoms in Telephone-Based CBT for Depression

Haller, Elisa and Watzke, Birgit. (2021) The Role of Homework Engagement, Homework-Related Therapist Behaviors, and Their Association with Depressive Symptoms in Telephone-Based CBT for Depression. Cognitive Therapy and Research, 45 (2). pp. 224-235.

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Official URL: https://edoc.unibas.ch/83977/

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Abstract

Background Telephone-based cognitive behavioral therapy (tel-CBT) ascribes importance to between-session learning with the support of the therapist. The study describes patient homework engagement (HE) and homework-related therapist behaviors (TBH) over the course of treatment and explores their relation to depressive symptoms during tel-CBT for patients with depression. Methods Audiotaped sessions (N = 197) from complete therapies of 22 patients (77% female, age: M = 54.1, SD = 18.8) were rated by five trained raters using two self-constructed rating scales measuring the extent of HE and TBH (scored: 0-4). Results Average scores across sessions were moderate to high in both HE (M = 2.71, SD = 0.74) and TBH (M = 2.1, SD = 0.73). Multilevel mixed models showed a slight decrease in HE and no significant decrease in TBH over the course of treatment. Higher TBH was related to higher HE and higher HE was related to lower symptom severity. Conclusions Results suggest that HE is a relevant therapeutic process element related to reduced depressive symptoms in tel-CBT and that TBH is positively associated with HE. Future research is needed to determine the causal direction of the association between HE and depressive symptoms and to investigate whether TBH moderates the relationship between HE and depressive symptoms.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Health & Intervention > Clinical Psychology and Intervention Science (Gloster)
UniBasel Contributors:Haller, Elisa
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Springer
ISSN:0147-5916
e-ISSN:1573-2819
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:20 Jul 2021 15:26
Deposited On:20 Jul 2021 15:26

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