认知行为疗法能力：多视角比较的试点数据。
Cognitive Behavioural Therapy Competency: Pilot Data from a Comparison of Multiple Perspectives.
作者信息
Rozek David C, Serrano Jamie L, Marriott Brigid R, Scott Kelli S, Hickman L Brian, Brothers Brittany M, Lewis Cara C, Simons Anne D
机构信息
University of Utah.
VA Roseburg Healthcare System.
出版信息
Behav Cogn Psychother. 2018 Mar;46(2):244-250. doi: 10.1017/S1352465817000662. Epub 2017 Nov 2.
BACKGROUND
Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency.
AIMS
This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS).
METHOD
Patients (n = 12, 75% female, mean age 30.5 years) and therapists (n = 5, female, mean age 26.6 years) completed the CTS after therapy sessions, and clinical supervisor and independent observers rated recordings of the same session.
RESULTS
Analyses of variance revealed that therapist average CTS competency ratings were not different from supervisor ratings, and supervisor ratings were not different from independent observer ratings; however, therapist ratings were higher than independent observer ratings and patient ratings were higher than all other raters.
CONCLUSIONS
Raters differed in competency ratings. Implications for potential use and adaptation of CBT competency measurement methods to enhance training and implementation are discussed.
背景
认知行为疗法（CBT）能力的评估通常需要大量资源。一种新兴的、广受欢迎的替代独立观察者评分的方法是采用其他视角来评估能力。
目的
这项试点研究使用认知疗法量表（CTS），比较了从患者、治疗师、督导和独立观察者四个视角对CBT能力的评分。
方法
患者（n = 12，75%为女性，平均年龄30.5岁）和治疗师（n = 5，女性，平均年龄26.6岁）在治疗 session 后完成CTS，临床督导和独立观察者对同一会话的录音进行评分。
结果
方差分析显示，治疗师的平均CTS能力评分与督导评分无差异，督导评分与独立观察者评分无差异；然而，治疗师评分高于独立观察者评分，患者评分高于所有其他评分者。
结论
评分者在能力评分上存在差异。讨论了CBT能力测量方法在潜在使用和调整方面对加强培训和实施的影响。
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