Adherence Rating Scale for Cognitive Processing Therapy – Cognitive Only: Analysis of Psychometric Properties

Dittmann, Clara; Müller‐Engelmann, Meike; Resick, Patricia A.; Gutermann, Jana; Stangier, Ulrich; Priebe, Kathlen; Fydrich, Thomas; Ludäscher, Petra; Herzog, Julia; Steil, Regina

doi:10.1017/s1352465816000679

Cited by 16 publications

(25 citation statements)

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“…For a more detailed description of the RELEASE study design, see Dittmann et al. (). This study was carried out in accordance with the recommendations of the ethics committees of Goethe University, Humboldt University, and Mannheim University on human experimentation.…”

Section: Methodsmentioning

confidence: 99%

“…The ARS‐CPT is a 10‐item scale that assesses therapeutic adherence in CPT and includes six items that are applicable to each treatment session (e.g., “Cognitive approach and reference to the PTSD disorder model”) and rated on a 3‐point Likert scale (0 = not adherent , 1 = adherent to some extent , 2 = adherent ), and checklists of interventions for each treatment session (e.g., “Explained stuck points”). The ARS‐CPT has demonstrated good psychometric properties with a Cronbach's alpha value of .56 (Dittmann et al., ) in the same subpopulation of patients with PTSD and borderline personality symptoms that was used for this article.…”

Section: Methodsmentioning

confidence: 99%

“…To measure therapeutic adherence, we used the Adherence Rating Scale for Cognitive Processing Therapy (ARS‐CPT; Dittmann et al., ). The ARS‐CPT is a 10‐item scale that assesses therapeutic adherence in CPT and includes six items that are applicable to each treatment session (e.g., “Cognitive approach and reference to the PTSD disorder model”) and rated on a 3‐point Likert scale (0 = not adherent , 1 = adherent to some extent , 2 = adherent ), and checklists of interventions for each treatment session (e.g., “Explained stuck points”).…”

Section: Methodsmentioning

confidence: 99%

“…The data for the present validation study were collected within a multicenter randomized controlled clinical trial, which examined the efficacy of CPT (Resick et al, 2008) and Dialectical Behavior Therapy for PTSD (DBT-PTSD; Bohus et al, 2013;Steil, Dyer, Priebe, Kleindienst, & Bohus, 2011;the RELEASE study [German Clinical Trials Registration ID: DRKS00006095]). For a more detailed description of the RELEASE study design, see Dittmann et al (2017). This study was carried out in accordance with the recommendations of the ethics committees of Goethe University, Humboldt University, and Mannheim University on human experimentation.…”

Section: Participants and Proceduresmentioning

confidence: 99%

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Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

Dittmann

Müller‐Engelmann

Stangier

et al. 2017

Journal of Traumatic Stress

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Although the assessment of therapeutic competence in psychotherapy research is essential for examining its possible associations with treatment outcomes, it is often neglected due to high costs and a lack of valid instruments. This study aimed to develop two therapeutic competence scales that assess disorder-specific and treatment-specific therapeutic competence, and to examine these scales' psychometric properties along with those of the already established Cognitive Therapy Scale (CTS) in a posttraumatic stress disorder (PTSD) sample. Using an inductive procedure, two rating scales for assessing disorder-specific and treatment-specific competence were constructed. The psychometric properties of these scales and those of the CTS were assessed in a sample of 30 videotaped sessions of eight patients from a multicenter study in which PTSD related to child abuse was treated using cognitive processing therapy. Two raters assessed therapeutic competence in 30 videotaped psychotherapy sessions. Interrater reliability, internal consistency, and content validity were determined. The scales (all items and total scores) demonstrated good to excellent interrater reliability, intraclass correlation coefficients (ICCs) = .67 to .97, and internal consistency, Cronbach's α = .73 to .92. The PTSD experts' ratings confirmed good internal validity. We found statistically significant associations with therapeutic adherence, r = .62 to .85; p < .001; and therapeutic alliance, r = .47, p < .001. These preliminary data imply that the two newly developed competence scales and the CTS can be reliably used to assess different types of therapeutic competence in PTSD samples and may be useful as possible predictors of treatment outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Participants and Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

Dittmann

Müller‐Engelmann

Stangier

et al. 2017

Journal of Traumatic Stress

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“…The protocol has been translated and has been approved by Dr. Resick, who serves as a cooperation partner and supervisor. We have further translated and adapted the rating for therapeutic adherence for CPT on the basis of the ones used by Resick et al [45, 76].…”

Section: Introductionmentioning

confidence: 99%

A research programme to evaluate DBT-PTSD, a modular treatment approach for Complex PTSD after childhood abuse

Bohus

Schmahl

Fydrich

et al. 2019

bord personal disord emot dysregul

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Background: Posttraumatic stress disorder (PTSD) after childhood abuse (CA) is often related to severe co-occurring psychopathology, such as symptoms of borderline personality disorder (BPD). The ICD-11 has included Complex PTSD as a new diagnosis, which is defined by PTSD symptoms plus disturbances in emotion regulation, self-concept, and interpersonal relationships. Unfortunately, the empirical database on psychosocial treatments for survivors of CA is quite limited. Furthermore, the few existing studies often have either excluded subjects with self-harm behaviour and suicidal ideationwhich is common behaviour in subjects suffering from Complex PTSD. Thus, researchers are still trying to identify efficacious treatment programmes for this group of patients. We have designed DBT-PTSD to meet the specific needs of patients with Complex PTSD. The treatment programme is based on the rules and principles of dialectical behavioural therapy (DBT), and adds interventions derived from cognitive behavioural therapy, acceptance and commitment therapy and compassion-focused therapy. DBT-PTSD can be provided as a comprehensive residential programme or as an outpatient programme. The effects of the residential programme were evaluated in a randomised controlled trial. Data revealed significant reduction of posttraumatic symptoms, with large between-group effect sizes when compared to a treatment-as-usual wait list condition (Cohen's d = 1.5). The first aim of this project on hand is to evaluate the efficacy of the outpatient DBT-PTSD programme. The second aim is to identify the major therapeutic variables mediating treatment efficacy. The third aim is to study neural mechanisms and treatment sensitivity of two frequent sequelae of PTSD after CA: intrusions and dissociation. Methods: To address these questions, we include female patients who experienced CA and who fulfil DSM-5 criteria for PTSD plus borderline features, including criteria for severe emotion dysregulation. The study is funded by the German Federal Ministry of Education and Research, and started in 2014. Participants are randomised to outpatient psychotherapy with either DBT-PTSD or Cognitive Processing Therapy. Formal power analysis revealed a minimum of 180 patients to be recruited. The primary outcome is the change on the Clinician-Administered PTSD Scale for DSM-5. Discussion: The expected results will be a major step forward in establishing empirically supported psychological treatments for survivors of CA suffering from Complex PTSD. Trial registration: German Clinical Trials Register: registration number DRKS00005578, date of registration 19 December 2013.

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Dialectical Behavior Therapy for Posttraumatic Stress Disorder (DBT-PTSD) Compared With Cognitive Processing Therapy (CPT) in Complex Presentations of PTSD in Women Survivors of Childhood Abuse

et al. 2020

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IMPORTANCE Childhood abuse significantly increases the risk of developing posttraumatic stress disorder (PTSD), often accompanied by symptoms of borderline personality disorder (BPD) and other co-occurring mental disorders. Despite the high prevalence, systematic evaluations of evidence-based treatments for PTSD after childhood abuse are sparse.OBJECTIVE To compare the efficacy of dialectical behavior therapy for PTSD (DBT-PTSD), a new, specifically designed, phase-based treatment program, against that of cognitive processing therapy (CPT), one of the best empirically supported treatments for PTSD.

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Adherence Rating Scale for Cognitive Processing Therapy – Cognitive Only: Analysis of Psychometric Properties

Abstract: The adherence rating scale for the adapted version of CPT is a reliable instrument that can be helpful for interpreting treatment effects, analysing possible relationships between therapeutic adherence and treatment outcomes and teaching therapeutic skills.

Cited by 16 publications

References 14 publications

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

A research programme to evaluate DBT-PTSD, a modular treatment approach for Complex PTSD after childhood abuse

Dialectical Behavior Therapy for Posttraumatic Stress Disorder (DBT-PTSD) Compared With Cognitive Processing Therapy (CPT) in Complex Presentations of PTSD in Women Survivors of Childhood Abuse

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