Adherence in family cognitive behavioral therapy among youths with anxiety disorders

Document Type



Master of Science (MS)



First Advisor's Name

Wendy Silverman

First Advisor's Committee Title

Committee Chair

Second Advisor's Name

William Kurtines

Third Advisor's Name

Lindsay Ham

Date of Defense



The purpose of this thesis was to assess the agreement between youths and therapists on homework adherence. Kappas were computed for sessions 4 through 12. Agreement ranged from poor (κ = .22) in session 4 to excellent (κ = .83) in session 6, with percent agreement ranging from 69.9% to 95.6%. All other sessions fluctuated from excellent to fair to good. Additionally, homework completion was examined as a function of youth characteristics according to both reporters. An independent sample t-test determined there were no significant differences in percent completion according to both reporters, except for parent income according to therapists. Possible explanations for discrepancies in agreement are discussed. It is suggested that in order to avoid discrepancies between youth and therapist reports, it may be necessary for therapists to clearly set rules and enlist the help of parents in order to ensure homework completion throughout therapy.



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