Cognitive Behavioral Therapy: Strategies for Enhancing Treatment Engagement.

Treatment engagement, crucial in cognitive behavioral therapy (CBT) outcomes, centers on consistent implementation of between-session homework. This article explores clinical features affecting engagement, including challenges related to psychosocial stressors and negative core beliefs. Empirical evidence supports the positive causal and correlational relationship between homework and symptom reduction. Recent studies highlight the role of patient beliefs and suggest a collaborative approach in homework design. The CBT account of treatment engagement emphasizes clinician behavior, patient beliefs, and task specificity. The comprehensive model of homework in CBT involves careful planning, collaborative review, and addressing patient-specific challenges, providing valuable clinical insights.

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Disclosure N. Kazantzis disclosed his royalties from the Guilford Press (Therapeutic Relationship in Cognitive Behavior Therapy; Cognitive and Behavior Theories in Clinical Practice), Routledge (Using Homework Assignments in Cognitive Behavior Therapy); and Springer Nature publishers (CBT: Science into Practice Book Series; Handbook of Homework Assignments in Psychotherapy: Research, Practice, & Prevention). He also disclosed editor stipend from the Association for Behavioral and Cognitive Therapies for his role as the Editor-in-Chief for Cognitive and Behavioral Practice (Elsevier).