Therapist fidelity with an exposure-based treatment of PTSD in adults with schizophrenia or schizoaffective disorder.
Therapist fidelity with an exposure-based treatment of PTSD in adults with schizophrenia or schizoaffective disorder.
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DOI：
10.1002/jclp.20657
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发表时间：
2010-04
影响因子：
3
通讯作者：
Frueh, B. Christopher
中科院分区：
文献类型：
--
作者：
Long, Mary E.;Grubaugh, Anouk L.;Elhai, Jon D.;Cusack, Karen J.;Knapp, Rebecca;Frueh, B. Christopher
这项研究考察了治疗师对公共部门精神病患者中创伤后应激障碍(PTSD)的手动多成分认知行为干预(包括暴露疗法)的忠诚度。治疗师的能力和依从性由硕士或更高级别的临床医生进行评估，他们对随机选择的录音课程(n=57个课程，由两个独立的评分者编码，评价者之间有很强的一致性)进行评分。依从性评级表明，治疗师很好地遵守了协议，能力评级通常在“非常好”以上(7分Likert量表中有6分)。研究结果表明，治疗师可以有效地为创伤后应激障碍提供人工认知行为干预，并结合暴露疗法，在不损害会话结构和/或治疗关系的情况下，对严重精神疾病患者进行干预。这些数据为实施认知行为干预措施提供了必要的支持，包括暴露疗法，作为对复杂患者群体(如患有严重精神疾病的患者)的创伤后应激障碍的有效治疗。
This study examined therapists’ fidelity to a manualized multi-component cognitive-behavioral intervention for posttraumatic stress disorder (PTSD), including exposure therapy, among public sector patients with a psychotic disorder. Therapists’ competence and adherence was assessed by clinicians at the master’s level or higher who rated 20% of randomly selected audiotaped sessions (n = 57 sessions, coded by two independent raters, with strong interrater agreement). Adherence ratings indicated that therapists complied well with the protocol, and competency ratings typically averaged above “very good” (6 on 7-point Likert scale). Findings suggest that therapists can effectively deliver a manualized cognitive-behavioral intervention for PTSD, with exposure therapy, to patients with severe mental illness without compromise to the structure of sessions and/or to the therapeutic relationship. These data add needed support for the implementation of cognitive-behavioral interventions, including exposure therapy, as effective treatments for PTSD in complicated patient populations such as those with severe forms of mental illness.
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影响因子：
2.7
作者：
Cusack, Karen J.;Grubaugh, Anouk L.;Frueh, B. Christopher
通讯作者：
Frueh, B. Christopher
影响因子：
2.7
作者：
Frueh, BC;Cousins, VC;Santos, AB
通讯作者：
Santos, AB
影响因子：
4.1
作者：
TURNER, SM;BEIDEL, DC;MESSER, SC
通讯作者：
MESSER, SC
影响因子：
10.3
作者：
Frueh BC;Grubaugh AL;Cusack KJ;Kimble MO;Elhai JD;Knapp RG
通讯作者：
Knapp RG
影响因子：
3.8
作者：
Cusack, KJ;Frueh, BC;Brady, KT
通讯作者：
Brady, KT