THE REVISED COGNITIVE THERAPY SCALE (CTS-R): PSYCHOMETRIC PROPERTIES
THE REVISED COGNITIVE THERAPY SCALE (CTS-R): PSYCHOMETRIC PROPERTIES
复制标题
DOI：
10.1017/s1352465801004040
复制
发表时间：
2001-10-01
影响因子：
1.8
通讯作者：
Reichelt, F. Katharina
中科院分区：
文献类型：
--
作者：
Blackburn, Ivy-Marie;James, Ian A.;Reichelt, F. Katharina
现有的认知治疗能力评估量表（CTS）始于1988年，只有1980年的前一个版本在某种程度上得到了验证。修订版CTS-R旨在通过以下方式改进CTS：消除项目之间的重叠，改进缩放系统，以及更明确地定义项目。科尔布著名的教育模式被用作指导方针。在新的14项量表中，三个新项目测量一般治疗天赋，情绪表达的促进和治疗师的非语言行为（可选）。我们假设，CTS-R将证明更用户友好，并表现出令人满意的信度和效度。接受认知疗法培训的21名心理健康专业人员提供了34名患者的102盘治疗录像带，反映了治疗的三个阶段。录音带由四位专家评分，采用平衡设计。CTS-R具有较高的内部一致性和足够的平均评分者间信度。个别项目的可靠性差异很大对评分员。有效性证明了培训过程中谁看到病人早期和后期的学员的能力提高评级。虽然评分员发现CTS-R是一个比CTS更有用的工具，并且证明了令人满意的信度和效度，但在项目定义上需要进一步细化。这项研究导致了对CTS-R的修改，目前正在评价过程中。
The existing scale for assessing competence in cognitive therapy (CTS) dates from 1988 and only the previous version of 1980 has been validated to any extent. A revised version, the CTS-R, was devised to improve on the CTS by: eliminating overlap between items, improving on the scaling system, and defining items more clearly. Kolb's well-known educational model was used as a guideline. In the new 14-item scale, three new items measure general therapeutic flair, the facilitation of emotional expression, and therapist's non-verbal behaviours (optional). We hypothesized that the CTS-R would prove more user friendly and demonstrate satisfactory reliability and validity. Twenty-one mental health professionals undergoing training in cognitive therapy provided 102 video-tapes of therapy with 34 patients, reflecting three stages of therapy. The tapes were rated by four expert raters, in a balanced design. The CTS-R showed high internal consistency and adequate average inter-rater reliability. Reliability for individual items varied widely among pairs of raters. Validity was demonstrated by improved ratings of competence for trainees who saw patients early and later during the course of training. Although raters found the CTS-R a more useful tool than the CTS and satisfactory reliability and validity were demonstrated, more refinement is needed in item definition. The study has led to modifications in the CTS-R, which are in the process of evaluation.