家庭作业依从性对认知行为疗法治疗效果的特异性：一项惊恐障碍和广场恐怖症对照试验的证据。
Specificity of homework compliance effects on treatment outcome in CBT: evidence from a controlled trial on panic disorder and agoraphobia.
机构信息
Center for Clinical Psychology and Rehabilitation, University of Bremen, Bremen, Germany.
出版信息
J Clin Psychol. 2013 Jun;69(6):616-29. doi: 10.1002/jclp.21975. Epub 2013 Mar 15.
OBJECTIVES
Although homework assignments are an integral component of cognitive-behavioral therapy (CBT) and relate to positive therapy outcomes, it is unclear whether specific homework types and their completion have specific effects on outcome.
METHOD
Data from N = 292 patients (75% female, mean age 36 years) with panic disorder and agoraphobia and treated with standardized CBT were analyzed with homework compliance quality and quantity for different types of homework serving as predictors for different outcome variables.
RESULTS
Quality ratings of homework completion were stronger outcome predictors than quantitative compliance ratings. Exposure homework was a better outcome predictor than homework relating to psychoeducation and self-monitoring.
CONCLUSION
Different aspects of homework compliance and specific homework types might differentially relate to CBT outcome.
目的
尽管家庭作业是认知行为疗法（CBT）的一个组成部分，并且与积极的治疗效果相关，但尚不清楚特定的家庭作业类型及其完成情况是否对结果有特定影响。
方法
对 292 名患有恐慌症和广场恐惧症并接受标准化 CBT 治疗的患者（75%为女性，平均年龄 36 岁）的数据进行了分析，家庭作业的完成质量和数量可作为不同类型家庭作业对不同结果变量的预测因子。
结果
家庭作业完成质量评分是比数量评分更有效的结果预测指标。暴露作业比与心理教育和自我监测相关的作业更能预测治疗效果。
结论
家庭作业完成情况的不同方面和特定的家庭作业类型可能会对 CBT 结果产生不同的影响。
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