Schumacher Sarah, Schopka Nadine M, Heinrich Manuel, Knaevelsrud Christine
Division of Clinical Psychological Intervention,Freie Universität Berlin,Berlin,Germany.
Behav Cogn Psychother. 2019 Mar;47(2):164-180. doi: 10.1017/S1352465818000371. Epub 2018 Jun 13.
Exposure is an effective intervention in the treatment of pathological anxiety, but it is insufficiently disseminated. Therapists' negative attitudes towards exposure might be of relevance when considering factors contributing to the non-application of this intervention.
In order to be able to measure concerns in German-speaking therapist populations, the study aimed at validating a German version of the Therapist Beliefs about Exposure Scale.
The scale was translated into the German language and validated in a sample of 330 German licensed cognitive behavioural therapists.
In the present sample, the mean total score was significantly lower than in the original study including US-American therapists. Confirmatory factor analysis did not confirm the proposed one-factor model, while the exploratory factor analysis indicated that more than one factor is necessary to explain the structure of negative attitudes towards exposure. The internal consistency was high. Higher scores (more negative beliefs) were significantly correlated with older age, holding a master's degree (vs PhD), not being specialized in the treatment of anxiety disorders and with less experience with performance of exposure gained during clinical training. Negative beliefs about exposure were further associated with the self-reported average number of sessions spent on exposure in current treatment of post-traumatic stress disorder and panic disorder, and with negative attitudes towards application of exposure sessions presented in case vignettes.
The German adaptation provides the opportunity of measuring concerns regarding application of exposure in German-speaking therapist populations. However, the presented data reveal suggestions for further scale development.
暴露疗法是治疗病理性焦虑的一种有效干预措施，但它的传播并不充分。在考虑导致这种干预措施未被应用的因素时，治疗师对暴露疗法的消极态度可能与之相关。
为了能够测量德语区治疗师群体的担忧，本研究旨在验证德语版的治疗师对暴露疗法的信念量表。
将该量表翻译成德语，并在330名德国有执照的认知行为治疗师样本中进行验证。
在本样本中，平均总分显著低于包括美国治疗师在内的原研究。验证性因素分析未证实所提出的单因素模型，而探索性因素分析表明，需要不止一个因素来解释对暴露疗法消极态度的结构。内部一致性较高。得分较高（信念更消极）与年龄较大、拥有硕士学位（相对于博士学位）、未专门从事焦虑症治疗以及在临床培训期间获得的暴露疗法实施经验较少显著相关。对暴露疗法的消极信念还与自我报告的当前创伤后应激障碍和惊恐障碍治疗中用于暴露疗法的平均疗程数，以及对病例 vignettes 中呈现的暴露疗法应用的消极态度相关。
德语版改编提供了测量德语区治疗师群体对暴露疗法应用担忧的机会。然而，所呈现的数据为量表的进一步开发提供了建议。
