Cognitive Therapy and Research

, Volume 18, Issue 6, pp 567–579 | Cite as

Compliance with homework assignments in cognitive-behavioral psychotherapy for depression: Relation to outcome and methods of enhancement

  • Mike Startup
  • Jane Edmonds


Despite the importance attached to homework in cognitive-behavioral therapy for depression, quantitative studies of its impact on outcome have been limited. One aim of the present study was to replicate a previous finding suggesting that improvement can be predicted from the quality of the client's compliance early in treatment. If homework is indeed an effective ingredient in this form of treatment, it is important to know how compliance can be influenced. The second aim of the present study was to examine the effectiveness of several methods of enhancing compliance that have frequently been recommended to therapists. The data were drawn from 235 sessions received by 25 clients. Therapists' ratings of compliance following the first two sessions of treatment contributed significantly to the prediction of improvement at termination (though not at followup). However, compliance itself could not be predicted from any of the clients' ratings of therapist behavior in recommending the assignments.

Key Words

homework compliance cognitive-behavioral therapy depression 


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Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Mike Startup
    • 2
  • Jane Edmonds
    • 1
  1. 1.University of SheffieldSheffieldUK
  2. 2.Psychology Department, University College of North WalesBangorUK

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