An exploration of homework completion in cognitive behavioral treatments for bulimia-spectrum eating disorders

The impact of homework completion on outcome from cognitive behavioral therapies (CBTs) for eating disorders (EDs) is unknown. We examined homework completion during two CBTs for bulimia-spectrum EDs and tested the associations among homework and treatment outcomes. After each session, therapists ra...

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Bibliographic Details
Published in:Eating disorders 2023, Vol.31 (1), p.21-32
Main Authors: Parker, Megan N, Clark, Kelsey E, Juarascio, Adrienne S
Format: Article
Language:English
Subjects:
Behavior modification
Bulimia
Clinical outcomes
Cognition
Cognitive Behavioral Therapy
Cognitive-behavioral factors
Completion
Eating behavior
Eating disorders
Efficacy
Feeding and Eating Disorders - therapy
Homework
Humans
Selfmonitoring
Tracking
Treatment Outcome
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Summary:The impact of homework completion on outcome from cognitive behavioral therapies (CBTs) for eating disorders (EDs) is unknown. We examined homework completion during two CBTs for bulimia-spectrum EDs and tested the associations among homework and treatment outcomes. After each session, therapists rated the quantity of self-monitoring completed (e.g. tracking food intake and ED symptoms), and degree of completion of the previous week's written (e.g. completing a worksheet) and behavioral (e.g. completing an at-home food exposure, regularly eating) homework on a Likert scale. On average, patients ( 42) completed 50-100% of self-monitoring homework, moderate completion of written homework, and below-moderate completion of behavioral homework. Average behavioral homework completion, but not self- monitoring or written homework, was related to end-of-treatment symptom cessation. Improving homework completion might enhance the efficacy of CBTs for EDs.
ISSN:1064-0266
1532-530X
DOI:10.1080/10640266.2021.2022847