Does Expectancy and Homework Compliance Predict Change in CBT?
Journal Title: Acta Psychopathologica - Year 2017, Vol 3, Issue 6
Abstract
Objective: For treating panic disorder with agoraphobia, a high efficacy of cognitive behavioral therapy (CBT) has been demonstrated. However, the exact mechanisms leading to symptom change have been hardly explored. Previous evidence demonstrated that patients with positive expectations regarding treatment outcome before start of therapy and with high homework compliance experience an early response in the course of treatment. Furthermore the correlation between homework compliance and the treatment outcome of a patient was mediated by an early response. The aim of the present study was to conceptually replicate these findings. Method: Twenty-three patients who met the diagnostic criteria for a panic disorder with agoraphobia according to the DSM-IV were treated in an exposure-based therapy with a total of 12 sessions. After each session, interim measurements were taken to measure symptom intensity. To test the research questions, multiple regression analyses were calculated. Results: Patients who experienced an early response according to the definition (n=19) showed this change on average in session 5.11 (SD=2.94). Testing the mediation hypotheses replicated neither that the relationship between positive treatment expectations and early change was mediated by homework compliance, nor that the relationship between homework compliance and treatment outcome was mediated by early change. Conclusions: The results show that previous findings on the relationship of positive treatment expectation, homework compliance and early symptom change cannot be generalized to a different setting. Given this conclusion, there should be an increased interest in replication studies.
Authors and Affiliations
Katharina Senger, Jens Heider, Romina Montini, Annette Schröder
Keywords
Related Articles
- EP ID EP310513
- DOI 10.4172/2469-6676.100133
- Views 87
- Downloads 0
Neo-Classical Test Theory: A Modernization
Classical test theory has been ascribed the status of weak theory. Early development reflected a native realism, with variables being operationally defined. Subsequent developments in mathematics, statistics, and structu...
Building an Intuitive Mentality: The NeoVedantic Knowledge Project of Sri Aurobindo
Post-Enlightenment philosophy, which is largely creative of and dominates the modern consciousness, has defined humanism in terms of rationality and its control over the irrational. This has led to our technological age...
A Neurophysiological Test May Help Diagnosing Unclear Cases by Soren Nielzen
This case study has been written with the intent to show an example of neurophysiological testing of brain stem functioning to support diagnose and therapy control in psychiatry. Such testing points to the existence of b...
Delay of Gratification: Predictors and Measurement Issues
It is common to see people behaving in a way which will negatively affect their future goal for the sake of attaining immediate pleasure. Such need for instant gratification besiege people and make them to chase flimsy i...
New Ways to "Believe" in a Global Context
The contexts of Islam and the globalizing aspect of jihadism can only be understood within the framework of globality. These contexts, which are not exempted from the crises stemming from modernity and from the disenchan...