A Propensity Score Analysis of Homework Adherence-Outcome Relations in Cognitive Behavioral Therapy for Depression.
cognitive behavioral therapy
depression
homework adherence
outcome
propensity score analysis
Journal
Behavior therapy
ISSN: 1878-1888
Titre abrégé: Behav Ther
Pays: England
ID NLM: 1251640
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
16
10
2017
revised:
15
05
2018
accepted:
30
05
2018
entrez:
3
3
2019
pubmed:
3
3
2019
medline:
2
5
2019
Statut:
ppublish
Résumé
Little is known about whether or not a consistently high level of homework adherence over the course of therapy benefits patients. This question was examined in two samples of patients who were receiving individual Cognitive Behavioral Therapy (CBT) for depression (Ns = 128 [Sequenced Treatment Alternatives to Relieve Depression: STAR-D] and 183 [Continuation Phase Cognitive Therapy Relapse Prevention: C-CT-RP]). Logistic and linear regression and propensity score models were used to identify whether or not clinician assessments of homework adherence differentiated symptom reduction and remission, as assessed by the Hamilton Depression Rating Scale-17 (HDRS-17), the Quick Inventory of Depressive Symptomatology-Self-Reported Scale (QIDS-SR), and the QIDS-Clinician Scale (QIDS-C). CBT-related response and remission were equally likely between both high and low homework adherers in both studies and in all models. But in propensity adjusted models that adjusted for session attendance, for both the STAR-D and C-CT-RP samples, greater homework adherence was significantly associated with greater response and remission from depression in the first and last 8 sessions of CBT. Our results suggest that homework adherence can account for response and remission early and late in treatment, with adequate session attendence.
Identifiants
pubmed: 30824246
pii: S0005-7894(18)30080-7
doi: 10.1016/j.beth.2018.05.010
pmc: PMC6489494
mid: NIHMS1522139
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT00021528', 'NCT00118404', 'NCT00183664', 'NCT00218764']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
285-299Subventions
Organisme : NCATS NIH HHS
ID : KL2 TR000146
Pays : United States
Organisme : NIMH NIH HHS
ID : N01 MH090003
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH058397
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH069619
Pays : United States
Informations de copyright
Copyright © 2018. Published by Elsevier Ltd.
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