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Homework Adherence and Cognitive Behaviour Treatment Outcome for Children and Adolescents with Anxiety Disorders

Published online by Cambridge University Press:  30 July 2015

Kristian Arendt ,
Mikael Thastum  and
Esben Hougaard
Kristian Arendt*
Affiliation:
Aarhus University, Denmark
Mikael Thastum
Affiliation:
Aarhus University, Denmark
Esben Hougaard
Affiliation:
Aarhus University, Denmark
*
Reprint requests to Kristian Arendt, Department of Psychology and Behavioural Sciences, Aarhus University, Bartholins Allé 9, 8000 Aarhus C, Denmark. E-mail: kristian@psy.au.dk
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Abstract

Background: Homework assignments are considered an essential component for a successful outcome of cognitive behavioural therapy for youths with anxiety disorders. However, only two studies have examined the association between homework adherence and outcome of cognitive behavioural therapy for youths with anxiety disorders. Aims: The study examined the association between homework adherence and treatment outcome following a generic group cognitive behaviour treatment program (Cool Kids) for anxiety disordered youths and their parents. Method: The treatment program was completed by 98 children and adolescents (ages 7–16). Homework adherence was measured as time spent doing homework assignments between each session, reported by youths as well as parents. Outcome criteria consisted of youth-reported anxiety symptoms and clinician rated severity of primary anxiety diagnosis at posttreatment and 3-month follow-up. Results: Results did not support an association between homework adherence and treatment outcome when controlling for pretreatment severity. Conclusions: The study found no convincing evidence that homework adherence predicted outcome of cognitive behavioural therapy for youths with anxiety disorders. Reasons for divergent findings on homework adherence in cognitive behavioural therapy for youths compared to adults are discussed.

Keywords

Anxietyhomework assignmentscognitive behavioural therapychildrenadolescents

Information

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 2 , March 2016 , pp. 225 - 235
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5TM (5th ed.) Arlington, VA: American Psychiatric Publishing, Inc. Retrieved from http://search.proquest.com.ez.statsbiblioteket.dk:2048/docview/1420144733?accountid=14468 Google Scholar
Arendt, K., Hougaard, E. and Thastum, M. (2014). Psychometric properties of the child and parent versions of Spence children's anxiety scale in a Danish community and clinical sample. Journal of Anxiety Disorders, 28, 947–956. doi:http://dx.doi.org/10.1016/j.janxdis.2014.09.021 CrossRefGoogle Scholar
Arendt, K., Thastum, M. and Hougaard, E. (in press). Efficacy of a Danish version of the Cool Kids program: a randomized wait-list controlled trial. Acta Psychiatrica Scandinavica.Google Scholar
Clarke, G., Hops, H., Lewinsohn, P. M., Andrews, J., Seeley, J. R. and Williams, J. (1992). Cognitive-behavioral group treatment of adolescent depression: prediction of outcome. Behavior Therapy, 23, 341–354. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1016/S0005-7894(05)80162-5 Google Scholar
Hudson, J. L. and Kendall, P. C. (2002). Showing you can do it: homework in therapy for children and adolescents with anxiety disorders. Journal of Clinical Psychology, 58, 525–534. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1002/jclp.10030 CrossRefGoogle Scholar
Hudson, J. L., Rapee, R. M., Deveney, C., Schniering, C. A., Lyneham, H. J. and Bovopoulos, N. (2009). Cognitive-behavioral treatment versus an active control for children and adolescents with anxiety disorders: a randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 533–544. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1097/CHI.0b013e31819c2401 Google Scholar
Hughes, A. A. and Kendall, P. C. (2007). Prediction of cognitive behavior treatment outcome for children with anxiety disorders: therapeutic relationship and homework compliance. Behavioural and Cognitive Psychotherapy, 35, 487–494. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1017/S1352465807003761 Google Scholar
Kazantzis, N., Deane, F. P. and Ronan, K. R. (2000). Homework assignments in cognitive and behavioral therapy: a meta-analysis. Clinical Psychology: Science and Practice, 7, 189–202. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1093/clipsy/7.2.189 Google Scholar
Kazantzis, N., Deane, F. P. and Ronan, K. R. (2004). Assessing compliance with homework assignments: review and recommendations for clinical practice. Journal of Clinical Psychology, 60, 627–641. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1002/jclp.10239 Google Scholar
Kazantzis, N., Whittington, C. and Dattilio, F. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: a replication and extension. Clinical Psychology: Science and Practice, 17, 144–156. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1111/j.1468-2850.2010.01204.x Google Scholar
Kendall, P. C. (1994). Treating anxiety disorders in children: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1037/0022-006X.62.1.100 Google Scholar
Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A. and Warman, M. (1997). Therapy for youths with anxiety disorders: a second randomized clincal trial. Journal of Consulting and Clinical Psychology, 65, 366–380. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1037/0022-006X.65.3.366 Google Scholar
Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V. and Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: an updated meta-analysis. Cognitive Therapy and Research, 34, 429–438. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1007/s10608-010-9297-z Google Scholar
Mundfrom, D. J., Perrett, J. J., Shaffer, J., Piccone, A. and Roozeboom, M. (2006). Bonferroni adjustments in tests for regression coefficients. Multiple Linear Regression Viewpoints, 32, 1–6.Google Scholar
Park, J. M., Small, B. J., Geller, D. A., Murphy, T. K., Lewin, A. B. and Storch, E. A. (2014). Does D-cycloserine augmentation of CBT improve therapeutic homework compliance for pediatric obsessive-compulsive disorder? Journal of Child and Family Studies, 23, 863–871. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1007/s10826-013-9742-1 Google Scholar
Rapee, R. M., Lyneham, H. J., Schniering, C., Wuthrich, V., Abbott, M., Hudson, J., et al. (2006). The Cool Kids Child and Adolescents Anxiety Program: therapist manual. Sydney, NSW: Centre for Emotional Health, Macquarie University.Google Scholar
Reynolds, S., Wilson, C., Austin, J. and Hooper, L. (2012). Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review. Clinical Psychology Review, 32, 251–262. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1016/j.cpr.2012.01.005 Google Scholar
Rosa-Alcázar, A. I., Sánchez-Meca, J., Gómez-Conesa, A. and Marín-Martínez, F. (2008). Psychological treatment of obsessive-compulsive disorder: a meta-analysis. Clinical Psychology Review, 28, 1310–1325. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1016/j.cpr.2008.07.001 Google Scholar
Schmidt, N. B. and Woolaway-Bickel, K. (2000). The effects of treatment compliance on outcome in cognitive-behavioral therapy for panic disorder: quality versus quantity. Journal of Consulting and Clinical Psychology, 68, 13–18. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1037/0022-006X.68.1.13 CrossRefGoogle ScholarPubMed
Shirk, S. R., Crisostomo, P. S., Jungbluth, N. and Gudmundsen, G. R. (2013). Cognitive mechanisms of change in CBT for adolescent depression: associations among client involvement, cognitive distortions, and treatment outcome. International Journal of Cognitive Therapy, 6, 311–324. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1521/ijct.2013.6.4.311 Google Scholar
Silverman, W. K. and Albano, A. M. (1996). Anxiety disorder interview schedule for DSM-IV, child version. Albany, New York: Graywind.Google Scholar
Silverman, W. K., Saavedra, L. M. and Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944. Retrieved from http://search.proquest.com.ez.statsbiblioteket.dk:2048/docview/65279653?accountid=14468 Google Scholar
Simons, A. D., Marti, C. N., Rohde, P., Lewis, C. C., Curry, J. and March, J. (2012). Does homework “matter” in cognitive behavioral therapy for adolescent depression? Journal of Cognitive Psychotherapy, 26, 390–404. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1891/0889-8391.26.4.390 Google Scholar
Spence, S. H. (1997). Structure of anxiety symptoms among children: a confirmatory factor-analytic study. Journal of Abnormal Psychology, 106, 280–297. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1037/0021-843X.106.2.280 Google Scholar
Stiles, W. B., Barkham, M., Connell, J. and Mellor-Clark, J. (2008). Responsive regulation of treatment duration in routine practice in United Kingdom primary care settings: replication in a larger sample. Journal of Consulting and Clinical Psychology, 76, 298–305. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1037/0022-006X.76.2.298 Google Scholar
Stiles, W. B. and Shapiro, D. A. (1989). Abuse of the drug metaphor in psychotherapy process-outcome research. Clinical Psychology Review, 9, 521–543. doi:http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1016/0272-7358(89)90007-X Google Scholar
Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J. and Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31, 335–342. Retrieved from http://search.proquest.com.ez.statsbiblioteket.dk:2048/docview/71971206?accountid=14468 Google Scholar
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