Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression.

Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression.
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DOI:
10.1037//0022-006x.67.6.837
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发表时间:
1999-12
影响因子:
5.9
通讯作者:
Brian F. Shaw;I. Elkin;Jane Yamaguchi;Marion Olmsted;T. Vallis;Keith S. Dobson;Alice Lowery;S. Sotsky;John T. Watkins;S. Imber
Brian F. Shaw;I. Elkin;Jane Yamaguchi;Marion Olmsted;T. Vallis;Keith S. Dobson;Alice Lowery;S. Sotsky;John T. Watkins;S. Imber
中科院分区:
心理学1区
文献类型:
--
作者:
Brian F. Shaw;I. Elkin;Jane Yamaguchi;Marion Olmsted;T. Vallis;Keith S. Dobson;Alice Lowery;S. Sotsky;John T. Watkins;S. Imber

文献摘要

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This study reports on the relationship of therapist competence to the outcome of cognitive-behavioral treatment in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Outpatients suffering from major depressive disorder were treated by cognitive-behavioral therapists at each of 3 U.S. sites using a format of 20 sessions in 16 weeks. Findings provide some support for the relationship of therapist competence (as measured by the Cognitive Therapy Scale) to reduction of depressive symptomatology when controlling for therapist adherence and facilitative conditions. The results are, however, not as strong or consistent as expected. The component of competence that was most highly related to outcome is a factor that reflects the therapist's ability to structure the treatment.