Adaptive actions as a mechanism of change in transdiagnostic internet-delivered cognitive behavioral therapy: Comparison with homework engagement.

ABSTRACT: Adaptive actions have been identified as potential mechanisms of change in transdiagnostic internet-delivered cognitive behavioral therapy (ICBT), but their role relative to homework engagement remains unclear. This study examined whether changes in adaptive actions are maintained at follow-up, their relationship with homework engagement, their individual and joint prediction of diverse treatment outcomes, and their role as mediators and in reciprocal relationships with outcomes. Adults (N = 625) received a transdiagnostic ICBT program in routine care. Outcomes included depression, generalized anxiety, posttraumatic stress, panic, social anxiety, insomnia, functional impairment, and wellbeing. Adaptive actions were assessed with the Things You Do Questionnaire-15 Item (TYDQ-15) and

SUBMITTER: Hadjistavropoulos HD 

PROVIDER: S-EPMC12720989 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature