Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression
Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression
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DOI：
10.1159/000172619
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发表时间：
2009-01-01
影响因子：
22.8
通讯作者：
Tsivrikos, Dimitrios
中科院分区：
文献类型：
--
作者：
Kuyken, Willem;Tsivrikos, Dimitrios
背景资料：治疗师的能力一直与治疗结果相关，尽管这种关系的性质在不同的研究中有很大的差异。方法：在一项自然主义的过程-结果研究中，69名抑郁症患者在“真实的世界”门诊接受了18名认知行为治疗师中的1名治疗。使用治疗师能力的三角测量，我们假设更高的治疗师能力与诊断为抑郁症的客户的认知行为治疗（CBT）结果的改善相关。我们假设，在治疗师的能力和CBT抑郁症的结果，迄今为止的研究的变化可能是由于客户端介绍的复杂性的调节作用，在合并症。结果如下：我们重复了先前的发现，即合并症会损害CBT对抑郁症的治疗效果，但发现更高的治疗师能力与改善的结果相关，无论客户的合并症如何。结论：治疗师的能力与改善的治疗结果相关，无论患者合并症的程度如何，更有能力的治疗师都有更好的患者结果。版权所有（C）2008 S. Karger AG，巴塞尔
Background: Therapist competence has consistently been associated with therapy outcomes, although the nature of this relationship varies considerably across studies. Method: In a naturalistic process-outcome study, 69 clients presenting with depression were treated by 1 of 18 cognitive-behavioral therapists in a 'real world' outpatient clinic. Using triangulated measures of therapists' competence, we hypothesized that greater therapist competence would be associated with improved cognitive-behavioral therapy (CBT) outcomes for clients diagnosed with depression. We hypothesized that the variation in the research to date on therapist competence and CBT for depression outcomes may be due to the moderating effects of complexity of client presentation, in terms of comorbidity. Results: We replicated the previous finding that comorbidity compromises CBT for depression outcomes, but found that greater therapist competence was associated with improved outcomes, regardless of clients' comorbidity. Conclusions: Therapist competence is associated with improved therapy outcomes, and therapists who are more competent have better patient outcomes regardless of the degree of patient comorbidity. Copyright (C) 2008 S. Karger AG, Basel