Therapist Competence in Cognitive Therapy for Depression: Predicting Subsequent Symptom Change
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| Title: | Therapist Competence in Cognitive Therapy for Depression: Predicting Subsequent Symptom Change |
|---|---|
| Language: | English |
| Authors: | Strunk, Daniel R., Brotman, Melissa A., DeRubeis, Robert J. |
| Source: | Journal of Consulting and Clinical Psychology. Jun 2010 78(3):429-437. |
| Availability: | American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications |
| Peer Reviewed: | Y |
| Physical Description: | |
| Page Count: | 9 |
| Publication Date: | 2010 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Personality Problems, Cognitive Restructuring, Personality, Patients, Severity (of Disability), Therapy, Depression (Psychology), Counselors, Counseling Effectiveness, Behavior Change, Symptoms (Individual Disorders), Outcomes of Treatment, Anxiety, Prediction |
| DOI: | 10.1037/a0019631 |
| ISSN: | 0022-006X |
| Abstract: | Objective: The efficacy of cognitive therapy (CT) for depression has been well established. Measures of the adequacy of therapists' delivery of treatment are critical to facilitating therapist training and treatment dissemination. While some studies have shown an association between CT competence and outcome, researchers have yet to address whether competence ratings predict subsequent outcomes. Method: In a sample of 60 moderately to severely depressed outpatients from a clinical trial, we examined competence ratings (using the Cognitive Therapy Scale) as a predictor of subsequent symptom change. Results: Competence ratings predicted session-to-session symptom change early in treatment. In analyses focused on prediction of symptom change following 4 early sessions through the end of 16 weeks of treatment, competence was shown to be a significant predictor of evaluator-rated end-of-treatment depressive symptom severity and was predictive of self-reported symptom severity at the level of a nonsignificant trend. To investigate whether competence is more important to clients with specific complicating features, we examined 4 patient characteristics as potential moderators of the competence-outcome relation. Competence was more highly related to subsequent outcome for patients with higher anxiety, an earlier age of onset, and (at a trend level) patients with a chronic form of depression (chronic depression or dysthymia) than for those patients without these characteristics. Competence ratings were not more predictive of subsequent outcomes among patients who met (vs. those who did not meet) criteria for a personality disorder (i.e., among personality disorders represented in the clinical trial). Conclusions: These findings provide support for the potential utility of CT competence ratings in applied settings. (Contains 5 footnotes, 2 tables, and 1 figure.) |
| Abstractor: | As Provided |
| Number of References: | 34 |
| Entry Date: | 2010 |
| Accession Number: | EJ885749 |
| Database: | ERIC |
| FullText | Text: Availability: 0 |
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| Header | DbId: eric DbLabel: ERIC An: EJ885749 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: PhysDesc Label: Physical Description Group: PhysDesc Data: PDF – Name: Pages Label: Page Count Group: Src Data: 9 – Name: DatePubCY Label: Publication Date Group: Date Data: 2010 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Reports - Research – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22Personality+Problems%22">Personality Problems</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Restructuring%22">Cognitive Restructuring</searchLink><br /><searchLink fieldCode="DE" term="%22Personality%22">Personality</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+%28of+Disability%29%22">Severity (of Disability)</searchLink><br /><searchLink fieldCode="DE" term="%22Therapy%22">Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Counselors%22">Counselors</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling+Effectiveness%22">Counseling Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Change%22">Behavior Change</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms+%28Individual+Disorders%29%22">Symptoms (Individual Disorders)</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Prediction%22">Prediction</searchLink> – Name: DOI Label: DOI Group: ID Data: 10.1037/a0019631 – Name: ISSN Label: ISSN Group: ISSN Data: 0022-006X – Name: Abstract Label: Abstract Group: Ab Data: Objective: The efficacy of cognitive therapy (CT) for depression has been well established. Measures of the adequacy of therapists' delivery of treatment are critical to facilitating therapist training and treatment dissemination. While some studies have shown an association between CT competence and outcome, researchers have yet to address whether competence ratings predict subsequent outcomes. Method: In a sample of 60 moderately to severely depressed outpatients from a clinical trial, we examined competence ratings (using the Cognitive Therapy Scale) as a predictor of subsequent symptom change. Results: Competence ratings predicted session-to-session symptom change early in treatment. In analyses focused on prediction of symptom change following 4 early sessions through the end of 16 weeks of treatment, competence was shown to be a significant predictor of evaluator-rated end-of-treatment depressive symptom severity and was predictive of self-reported symptom severity at the level of a nonsignificant trend. To investigate whether competence is more important to clients with specific complicating features, we examined 4 patient characteristics as potential moderators of the competence-outcome relation. Competence was more highly related to subsequent outcome for patients with higher anxiety, an earlier age of onset, and (at a trend level) patients with a chronic form of depression (chronic depression or dysthymia) than for those patients without these characteristics. Competence ratings were not more predictive of subsequent outcomes among patients who met (vs. those who did not meet) criteria for a personality disorder (i.e., among personality disorders represented in the clinical trial). Conclusions: These findings provide support for the potential utility of CT competence ratings in applied settings. (Contains 5 footnotes, 2 tables, and 1 figure.) – Name: AbstractInfo Label: Abstractor Group: Ab Data: As Provided – Name: Ref Label: Number of References Group: RefInfo Data: 34 – Name: DateEntry Label: Entry Date Group: Date Data: 2010 – Name: AN Label: Accession Number Group: ID Data: EJ885749 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ885749 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1037/a0019631 Languages: – Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 429 Subjects: – SubjectFull: Personality Problems Type: general – SubjectFull: Cognitive Restructuring Type: general – SubjectFull: Personality Type: general – SubjectFull: Patients Type: general – SubjectFull: Severity (of Disability) Type: general – SubjectFull: Therapy Type: general – SubjectFull: Depression (Psychology) Type: general – SubjectFull: Counselors Type: general – SubjectFull: Counseling Effectiveness Type: general – SubjectFull: Behavior Change Type: general – SubjectFull: Symptoms (Individual Disorders) Type: general – SubjectFull: Outcomes of Treatment Type: general – SubjectFull: Anxiety Type: general – SubjectFull: Prediction Type: general Titles: – TitleFull: Therapist Competence in Cognitive Therapy for Depression: Predicting Subsequent Symptom Change Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Strunk, Daniel R. – PersonEntity: Name: NameFull: Brotman, Melissa A. – PersonEntity: Name: NameFull: DeRubeis, Robert J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Type: published Y: 2010 Identifiers: – Type: issn-print Value: 0022-006X Numbering: – Type: volume Value: 78 – Type: issue Value: 3 Titles: – TitleFull: Journal of Consulting and Clinical Psychology Type: main |
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