Conklin Laren R, Strunk Daniel R, Cooper Andrew A
Department of Psychology, The Ohio State University, 1835 Neil Avenue, Columbus OH 43210.
Department of Psychology, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON M1C1A4, Canada.
Cognit Ther Res. 2018 Feb;42(1):16-23. doi: 10.1007/s10608-017-9873-6. Epub 2017 Oct 16.
Homework assignments are an integral part of cognitive therapy (CT) for depression, though facilitating homework engagement in patients with depression can be a challenge. We sought to examine three classes of therapist behaviors as predictors of homework engagement in early sessions of CT: therapist behaviors related to the review of homework, the assignment of homework, and efforts to help patients overcome obstacles to completing homework. In a sample of 66 depressed outpatients participating in CT, therapist behaviors involved in assigning homework predicted both CT-specific homework engagement and more general homework engagement. Therapist behaviors involved in homework review were not predictive of homework engagement. Our findings are consistent with the possibility that therapists' emphasis of key elements of the homework assignment process enhances patients' engagement in homework in early sessions of CT.
家庭作业任务是抑郁症认知疗法(CT)不可或缺的一部分,不过促使抑郁症患者参与家庭作业可能是一项挑战。我们试图考察三类治疗师行为,将其作为认知疗法早期阶段家庭作业参与度的预测指标:与家庭作业回顾、家庭作业布置以及帮助患者克服完成家庭作业障碍的努力相关的治疗师行为。在一个由66名参与认知疗法的门诊抑郁症患者组成的样本中,布置家庭作业时涉及的治疗师行为可预测特定于认知疗法的家庭作业参与度以及更普遍的家庭作业参与度。涉及家庭作业回顾的治疗师行为并不能预测家庭作业参与度。我们的研究结果符合这样一种可能性,即治疗师对家庭作业布置过程关键要素的强调会提高患者在认知疗法早期阶段对家庭作业的参与度。