Homework

Question 1

Introduction

Answer 1

• Beck, Rush, Shaw and Emery, 1979
• Kanzantzis and Lampropoulos, 2002
• Insights, plans and good intentions in sessions are likely to be buried between sessions by negative thinking and behaviour – is one hour/less a week enough to create change during the other 167 hours?

Question 2

Paragraph 1

Answer 2

•	Homework increases outcomes. Decreases symptoms of GAD and Depression. 
•	Kanzantzis et al, 2010 
•	Kanzantzis et al (2016) 
	E - Kanzantzis et al (2017) 
•	Conklin and Strunk (2015)

Question 3

Paragraph 2

Answer 3

• Kanzantzis and Shinkfield, 2007
• Kanzantzis et al 2010-
• CBT requires specific behaviour, cognitive and lifestyle changes that are often difficult for patients to implement.
o E.g. BA requires patients to keep a diary of emotions and rate impact of activities on mood. Keeping a diary builds emotional awareness, requires increased attention, making adherence difficult over first few weeks.
o CR requires written log of distressing thoughts when low mood occurs – may be difficult after distressing event
• Homework should;
o relate to a specific goal
o be explained with clarity
o be rehearsed in session
o COM-B how to overcome potential obstacles should be considered.
 Beck and Broder (2016)

Question 4

Paragraph 3

Answer 4

• Tompkins, 2002; Kanzantzis et al 2000 -
o (Garland and scott, 2002; Kanzantzis et al 2003)
o (Tompkins et al 2002)
• (Tompkins, 2002)
o Sachsenweger et al (2015),
• E- Helbig and Fehm (2004)
o Startup and Edmonds (1994)
o EE - Bryant et al (1999)
o EEE - Conklin, strunk and Cooper (2018)
• E- Kanzantzis et al (2017)

Question 5

Conclusion

Answer 5

• Homework has a sound evidence base that shows it increases outcome measures
• Compliance is low, more should be done to increase compliance.
• Evidence base for homework compliance is mixed, and more research should be conducted.