Parker Zachary J, Waller Glenn
Department of Psychology,University of Northampton.
Department of Psychology,University of Sheffield.
Behav Cogn Psychother. 2017 Nov;45(6):629-646. doi: 10.1017/S1352465817000170. Epub 2017 May 8.
Clinicians commonly fail to use cognitive behavioural therapy (CBT) adequately, but the reasons for such omissions are not well understood.
The objective of this study was to create and validate a measure to assess clinicians' attitudes towards CBT - the Negative Attitudes towards CBT Scale (NACS).
The participants were 204 clinicians from various mental healthcare fields. Each completed the NACS, measures of anxiety and self-esteem, and a measure of therapists' use of CBT and non-CBT techniques and their confidence in using those techniques. Exploratory factor analysis was used to determine the factor structure of the NACS, and scale internal consistency was tested.
A single, 16-item scale emerged from the factor analysis of the NACS, and that scale had good internal consistency. Clinicians' negative attitudes and their anxiety had different patterns of association with the use of CBT and other therapeutic techniques.
The findings suggest that clinicians' attitudes and emotions each need to be considered when understanding why many clinicians fail to deliver the optimum version of evidence-based CBT. They also suggest that training effective CBT clinicians might depend on understanding and targeting such internal states.
临床医生通常未能充分运用认知行为疗法（CBT），但对于此类疏忽的原因人们了解并不充分。
本研究的目的是创建并验证一种用于评估临床医生对CBT态度的量表——CBT消极态度量表（NACS）。
参与者为来自不同精神卫生保健领域的204名临床医生。每人都完成了NACS、焦虑和自尊量表，以及治疗师使用CBT和非CBT技术及其使用这些技术的信心的量表。采用探索性因素分析来确定NACS的因素结构，并测试量表的内部一致性。
通过对NACS的因素分析得出了一个由16个项目组成的单一量表，该量表具有良好的内部一致性。临床医生的消极态度及其焦虑与使用CBT和其他治疗技术有着不同的关联模式。
研究结果表明，在理解为何许多临床医生未能提供最佳版本的循证CBT时，需要分别考虑临床医生的态度和情绪。研究结果还表明，培训有效的CBT临床医生可能依赖于理解并针对此类内部状态。
