Homework in Cognitive Behavioral Therapy: A Systematic Review of Adherence Assessment in Anxiety and Depression (2011-2016)

Nikolaos Kazantzis; Nicole R Brownfield; Livia Mosely; Alexsandra S Usatoff; Andrew J Flighty

doi:10.1016/j.psc.2017.08.001

Homework in Cognitive Behavioral Therapy: A Systematic Review of Adherence Assessment in Anxiety and Depression (2011-2016)

Psychiatr Clin North Am. 2017 Dec;40(4):625-639. doi: 10.1016/j.psc.2017.08.001.

Authors

Nikolaos Kazantzis¹, Nicole R Brownfield², Livia Mosely², Alexsandra S Usatoff², Andrew J Flighty²

Affiliations

¹ Cognitive Behavior Therapy Research Unit, Level 4, 18 Innovation Walk, School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne 3800, Australia. Electronic address: Nikolaos.Kazantzis@monash.edu.
² Cognitive Behavior Therapy Research Unit, Level 4, 18 Innovation Walk, School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne 3800, Australia.

PMID: 29080590
DOI: 10.1016/j.psc.2017.08.001

Abstract

Treatment adherence has posed a substantial challenge not only for patients but also for the health profession for many decades. The last 5 years has witnessed significant attention toward adherence with cognitive behavioral therapy (CBT) homework for anxiety and depressive disorders, and adherence assessment methods have diversified. However, there remains a large component of the adherence process not assessed in CBT, with patient effort, engagement, and the known role for treatment appraisals and beliefs necessitating the pursuit of improved adherence assessment methods.

Keywords: Adherence; Anxiety; Cognitive behavior therapy; Depression; Homework; Review.

Publication types

Review
Systematic Review

MeSH terms

Anxiety Disorders / therapy*
Cognitive Behavioral Therapy / methods*
Depressive Disorder / therapy*
Humans
Treatment Adherence and Compliance / psychology*