Training and dissemination of cognitive behavior therapy for depression in adults: a preliminary examination of therapist competence and client outcomes.
Training and dissemination of cognitive behavior therapy for depression in adults: a preliminary examination of therapist competence and client outcomes.
复制标题
成人抑郁症认知行为疗法的培训和传播：治疗师能力和客户结果的初步检查。
DOI：
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发表时间：
2010
影响因子：
5.9
通讯作者：
A. Beck
中科院分区：
文献类型：
--
作者：
A. Simons;C. Padesky;J. Montemarano;C. Lewis;J. Murakami;Kristen Lamb;S. DeVinney;M. Reid;D. A. Smith;A. Beck
目的
在这项研究中，作者研究了培训社区治疗师为抑郁症提供认知行为疗法（CBT）的可行性和有效性。
方法
参与者为治疗师（n = 12）和客户（n = 116;平均年龄= 41岁，63%为女性），他们在印第安纳州圣约瑟夫县的一家非营利和指定的社区精神卫生中心接受抑郁症治疗。培训模式包括为期2天的讲习班，随后是为期1年的电话咨询。在训练前和训练后6个月和12个月获得认知治疗量表的CBT能力评级。两组不同的客户，治疗照常（TAU）组（n = 74）和CBT组（n = 42），进行了比较，以减少抑郁症状（评估与贝克抑郁量表）和焦虑（评估与贝克焦虑量表）。
结果
从训练前到训练后6个月，治疗师的总分显著增加，并在12个月时保持增加。总分的增加反映了专门衡量CBT技能和结构的项目的收益。虽然TAU和CBT都导致抑郁症状显著减少，但CBT客户的变化明显大于TAU客户，F（2，113）= 53.40，p <0.001。CBT的客户也表现出焦虑症状的显着减少，而TAU的客户没有。
结论
虽然仍然有大量的学习，以指导研究人员的使命，提高个人抑郁症治疗的可用性和有效性，这项研究表明，经验支持的治疗可以在社区精神卫生中心实施，并可能导致改善的结果。
OBJECTIVE
In this study, the authors examined the feasibility and effectiveness of training community therapists to deliver cognitive behavior therapy (CBT) for depression.
METHOD
Participants were therapists (n = 12) and clients (n = 116; mean age = 41 years, 63% women) presenting for treatment of depression at a not-for-profit and designated community mental health center for St. Joseph County, Indiana. The training model included a 2-day workshop followed by 1 year of phone consultations. CBT competence ratings from the Cognitive Therapy Scale were obtained prior to training and at 6 and 12 months posttraining. Two different groups of clients, a treatment-as-usual (TAU) group (n = 74) and a CBT group (n = 42), were compared with respect to decrease in symptoms of depression (assessed with the Beck Depression Inventory) and anxiety (assessed with the Beck Anxiety Inventory).
RESULTS
Therapists showed significant increases in total scores from pretraining to 6 months posttraining, increases that were maintained at 12 months. The increase in the total score reflected gains on items that specifically measure CBT skills and structure. Although both TAU and CBT resulted in a significant decrease in depressive symptoms, the CBT clients showed significantly greater change than the TAU clients, F(2, 113) = 53.40, p < .001. The CBT clients also showed a significant decrease in anxiety symptoms, whereas the TAU clients did not.
CONCLUSIONS
Although there remains a significant amount to learn to guide researchers' mission of improving the availability and effectiveness of treatment for individuals with depression, this study demonstrates that an empirically supported treatment can be implemented in a community mental health center and may result in improved outcomes.
影响因子：
5.9
作者：
BECK, AT;BROWN, G;STEER, RA
通讯作者：
STEER, RA