Therapist competence and outcome of cognitive therapy for depression
Therapist competence and outcome of cognitive therapy for depression
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DOI：
10.1023/b:cotr.0000021536.39173.66
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发表时间：
2004-04-01
影响因子：
2.8
通讯作者：
Barkham, M
中科院分区：
文献类型：
--
作者：
Trepka, C;Rees, A;Barkham, M
认知治疗量表（CTS）已被广泛用于认知治疗培训中心，以评估治疗师的能力，但能力以前没有被清楚地表明与认知治疗的结果，可能是因为一个不足的范围内的能力已被采样。能力进行了比较，联盟作为过程变量，可能与治疗的变化。从30个抑郁症认知治疗疗程中随机选择一个疗程，使用CTS进行评分。治疗联盟和治疗师能力与治疗结果有关。在回归分析中，联盟仍然显着相关的结果时，控制能力，但反之亦然。这些与结果的关系主要归因于治疗师，而不是客户。完成治疗的患者与结果的关联似乎比未完成治疗的患者更强。这些研究结果表明，可测量的因素，共同的不同的治疗方法和特定的方法应包括在努力，以解释治疗结果。
The Cognitive Therapy Scale (CTS) has been widely used in cognitive therapy training Centers to assess therapist competence but competence has not previously been clearly shown to be associated with cognitive therapy outcome, possibly because an insufficient range of competence has been sampled. Competence was compared with alliance as process variables that might relate to change in therapy. A randomly selected therapy session from each of 30 courses of cognitive therapy for depression was rated using the CTS. Both therapeutic alliance and therapist competence were related to outcome. In regression analyses, the alliance remained significantly related to outcome when controlling for competence, but not vice versa. These relationships with outcome were primarily attributable to therapists rather than to clients. Associations with outcome appeared stronger for clients who completed therapy than for those who did not. These findings suggest that measurable factors both common to diverse treatments methods and specific to particular methods should be included in efforts to account for therapy outcome.