Investigating the relationship between competence and patient outcome with CBT
Investigating the relationship between competence and patient outcome with CBT
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DOI：
10.1016/j.brat.2015.03.002
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发表时间：
2015-05-01
影响因子：
4.1
通讯作者：
Myles, Pamela
中科院分区：
文献类型：
--
作者：
Branson, Amanda;Shafran, Roz;Myles, Pamela
很少有人了解治疗师的能力和治疗常见的心理健康疾病的患者的结果之间的关系。了解能力与患者结果之间的关系对于认知行为疗法（CBT）的传播和实施至关重要。目前的研究扩展了现有的文献，通过探索CBT能力和患者的结果在常规的临床实践中的英国政府的改善获得心理治疗（IAPT）计划的框架内的关系。参与者包括43名治疗师治疗1247名患者在一年的培训期。结果发现，很少支持CBT能力和患者的结果之间的一般关联;然而，显着更多的患者最有能力的治疗师表现出可靠的改善，他们的焦虑症状比预期的机会，更少的经历没有可靠的变化。相反，由最不称职的治疗师治疗的患者中，有更多的患者经历了比预期更可靠的症状恶化。这些结果的传播和实施CBT的影响进行了讨论。(c)2015爱思唯尔有限公司版权所有。
Little is understood about the relationship between therapist competence and the outcome of patients treated for common mental health disorders. Understanding the relationship between competence and patient outcome is of fundamental importance to the dissemination and implementation of Cognitive Behavioural Therapy (CBT). The current study extends existing literature by exploring the relationship between CBT competence and patient outcome in routine clinical practice within the framework of the British Government's Improving Access to Psychological Therapies (IAPT) programme. Participants comprised 43 therapists treating 1247 patients over a training period of one year. Results found little support of a general association between CBT competence and patient outcome; however significantly more patients of the most competent therapists demonstrated a reliable improvement in their symptoms of anxiety than would be expected by chance alone, and fewer experienced no reliable change. Conversely, significantly more patients treated by the least competent therapists experienced a reliable deterioration in their symptoms than would be expected. The implications of these results for the dissemination and implementation of CBT are discussed. (c) 2015 Elsevier Ltd. All rights reserved.