Rees Clare S, McEvoy Peter, Nathan Paula R
School of Psychology, Curtin University, Australia.
Cogn Behav Ther. 2005;34(4):242-7. doi: 10.1080/16506070510011548.
Homework or between-session learning has long been considered an essential aspect of effective cognitive behaviour therapy. However, it has received relatively less empirical attention than other components of cognitive behaviour therapy. In general, studies have found that homework completion is predictive of outcome in psychotherapy. However, the amount of homework completed by a patient represents only one aspect of this important therapeutic component. This study investigated both the quantity and the quality of homework completed during a 10-week group cognitive and behavioural treatment program for anxious and depressed patients. It explored the relationship between various aspects of homework completion and outcomes on several different variables. A total of 94 patients were included in the analysis. It was found that both quantity and quality of homework completed predicted outcome on measures of depression, anxiety and quality of life at post-treatment and at 1-month follow-up. The results were strongest for the amount of homework completed, suggesting that clinicians should encourage patients to complete homework even if the homework content is not entirely accurate. The results of this study highlight the importance of homework as a central part of effective cognitive and behavioural treatment.
家庭作业或疗程间学习长期以来一直被视为有效认知行为疗法的一个重要方面。然而，与认知行为疗法的其他组成部分相比，它受到的实证关注相对较少。总体而言，研究发现家庭作业的完成情况可预测心理治疗的结果。然而，患者完成的家庭作业量仅代表这一重要治疗组成部分的一个方面。本研究调查了在为期10周的针对焦虑和抑郁患者的团体认知与行为治疗项目中完成的家庭作业的数量和质量。它探讨了家庭作业完成情况的各个方面与几个不同变量的结果之间的关系。共有94名患者纳入分析。研究发现，完成的家庭作业的数量和质量在治疗后及1个月随访时都能预测抑郁、焦虑和生活质量指标的结果。完成的家庭作业量的结果最为显著，这表明临床医生应鼓励患者完成家庭作业，即使作业内容并不完全准确。本研究结果凸显了家庭作业作为有效认知和行为治疗核心部分的重要性。
