Homework compliance, perceptions of control, and outcome of cognitive-behavioral treatment of social phobia

Leung, Anna W.; Heimberg, Richard G.

doi:10.1016/0005-7967(96)00014-9

Cited by 134 publications

(92 citation statements)

References 22 publications

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“…Consistent with this hypothesis are the findings from studies suggesting that patients with social phobia perceive a lack of internal control (Leung & Heimberg, 1996) and believe that events are controllable only by people other than themselves (Cloitre, Heimberg, Liebowitz, & Gitow, 1992). Furthermore, panic attacks seem to play an important role in phobic individuals, including those suffering from specific phobias and social phobia (Craske, 1991;Ehlers, Hofmann, Herda, & Roth, 1994;Himle, Crystal, Curtis, & Fluent, 1991;McNally & Steketee, 1985).…”

Section: Perceived Emotional Controlsupporting

confidence: 73%

“…Similarly, social phobia treatment outcome seems to be moderated by treatment expectancy (Chambless, Tran, & Glass, 1997;Safren et al, 1997), homework compliance (Leung & Heimberg, 1996;Edelman & Chambless, 1995), and depression (Chambless, Tran, & Glass, 1997). However, most studies on treatment moderators of social phobia have focused on the social phobia subtypes and the additional diagnosis of avoidant personality disorder (APD) as potential predictors of poor social phobia treatment outcome (Alden & Capreol, 1993;Alden, 1989;Brown, Heimberg, & Juster, 1995;Feske, Perry, Chambless, Renneberg, & Goldstein, 1996;Hofmann, Newman, Becker, et al, 1995;Heimberg, Holt, Schneier, Spitzer, & Liebowitz, 1993;Hope, Herbert, & White, 1995;Renneberg, Goldstein, Phillips, & Chambless, 1990;Turner, 1987;Turner, Beidel, & Long, 1992).…”

Section: Moderator Variablesmentioning

confidence: 99%

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Treatment of Social Phobia: Potential Mediators and Moderators

Hofmann

2000

Clinical Psychology: Science and Practice

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Although the efficacy of numerous psychosocial interventions for social phobia has been clearly demonstrated, little is known about the mediators and moderators of treatment change. Three potential mediators are discussed that are derived from prominent psychological theories: negative cognitive appraisal (estimated social costs), perceived self-efficacy (perceived social skills), and perceived emotional control. Furthermore, the generalized subtype of social phobia and the additional diagnosis of avoidant personality disorder are considered as potential treatment moderators.

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Section: Perceived Emotional Controlsupporting

confidence: 73%

Section: Moderator Variablesmentioning

confidence: 99%

Treatment of Social Phobia: Potential Mediators and Moderators

Hofmann

2000

Clinical Psychology: Science and Practice

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“…Research is lacking on whether the time when homework compliance is measured plays an important role or not. There are only a few findings (e.g., [30][31]) which show that early homework compliance has a stronger relationship with treatment outcome compared to compliance in later sessions.…”

Section: Purpose Of This Studymentioning

confidence: 99%

Does Expectancy and Homework Compliance Predict Change in CBT?

Schröder¹

2017

Acta Psychopathol

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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.

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“…Factors contributing to treatment response, dropout or relapse have been investigated from the patient's as well as from the therapist's perspective. Intrinsic motivation for change and patient engagement in the therapeutic process are emphasized as essential elements of a successful therapy (Kanfer et al, 2006;Schulte & Eifert, 2002), and have been shown to predict clinical improvement across disorders and therapy orientations (Al-Darmaki & Kivlighan, 1993;Arnkoff et al, 2002;Leung & Heimberg, 1996;Marmar et al, 1989;Pelletier et al, 1997). From a theoretical point of view, reactions and behaviours (such as therapy engagement) are determined by people's intention to reach a specific goal and by the expectation that they will be able to reach it (Bandura, 1989;Ajzen, 1991).…”

mentioning

confidence: 99%

“…Locus of control research has demonstrated a relationship between high internality, or low externality, and positive therapy outcome when control beliefs referred to changes in concrete problem behaviours such as stuttering (Craig, 1984), grief reactions (Kleber & Brom, 1987), social anxiety (Leung & Heimberg, 1996) or bulimic behaviour (Steel et al, 2000) but not when they were measured as personality traits or as generalized control beliefs (Dhee-Perot et al, 1996;Leung & Heimberg, 1996;Scharamski, 1984). These findings show that the predictive value of control beliefs is very domain specific and that a consistent prognosis of future behaviours or changes has to be based on expectancies referring to the studied context (psychotherapy).…”

mentioning

confidence: 99%