Therapist Competence and Outcome of Cognitive Therapy for Depression
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- 作者：Chris Trepka ; Anne Rees ; David A. Shapiro ; Gillian E. Hardy and Michael Barkham
- 关键词：therapist competence ; cognitive therapy ; outcome ; alliance
- 刊名：Cognitive Therapy and Research
- 出版时间：2004
- 出版年：2004
- 期刊代码：9_01475916
- 类别：en
- 卷：28
- 期：2
- 页码：143-157
- 数据来源：sp
摘要
The Cognitive Therapy Scale (CTS) has been widely used in cognitive therapy training Centers to assess therapist competence but competence has not previously been clearly shown to be associated with cognitive therapy outcome, possibly because an insufficient range of competence has been sampled. Competence was compared with alliance as process variables that might relate to change in therapy. A randomly selected therapy session from each of 30 courses of cognitive therapy for depression was rated using the CTS. Both therapeutic alliance and therapist competence were related to outcome. In regression analyses, the alliance remained significantly related to outcome when controlling for competence, but not vice versa. These relationships with outcome were primarily attributable to therapists rather than to clients. Associations with outcome appeared stronger for clients who completed therapy than for those who did not. These findings suggest that measurable factors both common to diverse treatments methods and specific to particular methods should be included in efforts to account for therapy outcome.