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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

01-03-2025

Client Factors Influencing Adherence to Homework in Psychotherapy: Findings from a Tertiary Care Setting in India

Auteurs: Apoorva Malik, Paulomi Sudhir, P. V. Prathyusha

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 1/2025

Abstract

Background

Homework adherence (HWA) plays a crucial role in predicting psychotherapy outcomes. However, there is limited research on factors that impact homework adherence. This study employs a social cognitive framework to examine client variables and predictors impacting homework adherence among individuals undergoing individual psychotherapy.

Method

Using a cross-sectional design, 94 adults (aged 18–60 years) seeking treatment from an outpatient clinical services unit at a mental health center, were recruited. Participants completed the Short Self-Regulation Questionnaire (SSRQ), Generalized Self-Efficacy Scale (GSE), Barriers to CBT Homework Completion Scale, and Multidimensional Health Locus of Control (MHLC). Therapists rated Homework Compliance Scale (HCS). Correlations between self-regulation, self-efficacy, perceived barriers, locus of control, and homework adherence were examined. Median regression (MR) analysis was utilized to identify predictors of homework adherence.

Results

Homework adherence was positively correlated with both self-efficacy (p < 0.01) and self-regulation (p < 0.05). There was no significant relationship between the subscales of the locus of control measure and homework adherence. Patient-related perceived barriers and overall barriers were significantly negatively correlated with HWA (p < 0.01). Patient-related and therapy/task-related perceived barriers to HWA were negatively correlated with self-efficacy (p < 0.01) and self-regulation ((p < 0.01). Self-efficacy was a significant predictor of homework adherence.

Conclusions

Social cognitive factors linked to homework adherence are often overlooked in psychotherapy research. Our findings highlight the role of addressing self-efficacy beliefs and self-regulation and addressing perceived barriers to improve homework adherence and engagement, and thereby treatment outcomes.

vorige artikel Introducing Dialectical Core Schemas Theory through Mediation Models

volgende artikel Perfectionism and Suicidal Ideation in Outpatient Depressed Adults: The Moderating Role of Self-Esteem, Loneliness and Rumination

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Titel: Client Factors Influencing Adherence to Homework in Psychotherapy: Findings from a Tertiary Care Setting in India
Auteurs: Apoorva Malik
Paulomi Sudhir
P. V. Prathyusha
Publicatiedatum: 01-03-2025
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 1/2025
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-024-00566-x

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Client Factors Influencing Adherence to Homework in Psychotherapy: Findings from a Tertiary Care Setting in India

Abstract

Background

Method

Results

Conclusions

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Abstract

Background

Method

Results

Conclusions

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