Which Factors CBT Homework Compliance Is Effected By?


A meta-analysis of over 50 studies of a variety of psychotherapies found that CBT homework compliance rates did not differ by intervention, therapist, or type of therapy. However, there did seem to be a link between the number and quality of homework assignments and whether the patient complied with them. The more homework books they followed from session to session, the better their compliance rate.

which factors cbt homework compliance is effected by? 1

What is Homework, CBT Homework?

In this CBT article, we will talk about Detweiler and Whisman’s 3 factors that affecting CBT Homework in detail. First of all, let’s briefly talk about what CBT Homework is. CBT Homework is an essential component; homework can be described as “specific, organized, therapeutic activities that are regularly discussed in sessions to be completed between sessions” in the sense of CBT.

How Can Homework Type Effect Compliance?

The specific type of CBT used will have an effect on compliance because there are different specific methods to use to do CBT Homework. But if the homework is too difficult, the person may not want to spend any more time doing it and they may avoid coming to therapy sessions as well.
Also, if a patient wants immediate relief from their symptoms, saying that they need help now, repeating or continuing with “stopping” behaviors such as cutting or binge eating only hurts themselves and makes it harder for them stop in the future. Instead, finding out how those habits work and trying new things can give insight into why we do that behavior and develop better coping skills for when we do fall back into old ones that don’t work

According to Detweiler and Whisman’s (1999) study, there are three factors: therapist factors, client factors, and factors that cause a mismatch in homework, cbt homework.

Factors related to the client include variables such as pessimism, self-efficacy, the severity of illness, and motivation.

Therapist-related factors are more about how the therapist reinforces a strong and effective assignment of harmony and predicts barriers to develop and maintain a positive therapeutic alliance.

Factors related to homework, the last factor, including whether the homework is appropriate to the patient’s level to increase the likelihood of the patient doing homework, and the therapist clearly and concretely describes that homework is clearly and concretely described to the client.

Completing homework can contribute to the outcome of psychotherapy (Addis and Jacobson, 2000). In a study by Edelman and Chambless (1995) in which 52 patients undergoing group CBT treatment. Researchers examined them for their commitment to homework, they said that patients who showed more commitment to homework and completed homework had lower anxiety and that homework could be more important in the long term. Indeed, in a recent study by LeBeau et al. (2013), increasing compliance with homework was a convenient and effective way to improve CBT outcomes. When researchers examine the relationship between homework and patient characteristics, they also found that elderly and unemployed patients did their homework better.

cbt homework

Other Studies

A different study was conducted on the same subject; the patients’ willingness about homework results in positive outcomes in depression-oriented CBT. On the other hand, some researchers focused on adaptation to illness and homework. They said that there’s no relationship between disease severity and compliance with homework. In 2006 researchers examined the relationship between therapeutic alliance and homework compliance on 29 patients. (They were receiving CBT). And stated that therapeutic alliance was a variable predicting compliance with homework. In a recent study in 2013, researchers found that therapeutic compliance during homework review was related to homework completion. Still, there was no relationship between homework completion and treatment outcomes.

Therefore, checking homework assignments and giving new assignments to the patient may increase the likelihood of homework compliance.

Last Updated on September 25, 2021 by Patric Johnson

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Currently studying psychology and researching cognitive behavioral therapy. Also have studied comprative literature,interested in gender studies,.

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