Date of Award
College of Arts Humanities and Social Sciences, Psychology
Stephen R. Shirk, Ph.D.
Adolescent depression, Cognitive behavioral therapy, Homework, Therapist behavior, Treatment process
Homework is a defining component of cognitive-behavioral therapy (CBT), however, few studies have examined homework adherence in youth CBT. Homework adherence was coded from audiotapes of school-based CBT for 50 depressed adolescents and evaluated as a predictor of proximal and distal treatment outcomes. Six therapist behaviors hypothesized to promote homework adherence were also coded from audiotapes of early sessions and examined in relation to subsequent homework adherence. Results showed no significant associations between client homework adherence and outcomes. Results also revealed several therapist behaviors to be associated with homework adherence in the context of planned moderator analyses. Adolescents considered at risk for non-adherence tended to show better adherence when therapists provided strong rationale for homework tasks, spent more time assigning homework in Session 1, and elicited client reactions and troubleshot obstacles in Session 2. Methodological and clinical implications are discussed.
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Nathaniel John Jungbluth
Received from ProQuest
Jungbluth, Nathaniel John, "Homework Adherence in Cognitive-Behavioral Therapy for Adolescent Depression" (2012). Electronic Theses and Dissertations. 839.