The Cognitive Therapy Scale and Cognitive Therapy Scale-Revised as Measures of Therapist Competence in Cognitive Behavior Therapy for Depression: Relations with Short and Long Term Outcome

Kazantzis, Nikolaos; Clayton, Xavier; Cronin, Timothy J.; Farchione, Davide; Limburg, Karina; Dobson, Keith S.

doi:10.1007/s10608-018-9919-4

Cited by 40 publications

(33 citation statements)

References 76 publications

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“…Both SR and PTS demonstrated excellent internal inter-rater reliability (ICC = .81 and .93) and good external inter-rater reliability (ICC = .71 and .74). Findings correspond with recent reports of high inter-rater reliability for SR (Schmidt et al 2018) and PTS assessment (Kazantzis et al 2018) of cognitive therapy. Favourable inter-rater reliability in this study may be the result of a CBT team of experienced clinicians with considerable experience of training and marking together (Liness et al 2018;Mortsiefer et al 2017).…”

Section: Inter-rater Reliabilitysupporting

confidence: 89%

“…Comprehensive in-house training and on-going reliability monitoring is routine practice for all markers. These findings provide further support for the use of the CTS-R as a reliable measure to assess therapist competence when scored by trained and experienced raters (Kazantzis et al 2018).…”

Section: Inter-rater Reliabilitysupporting

confidence: 61%

“…The competence threshold, also used as a pass mark on the course in the present study, is set at total score ≥ 36 (Blackburn et al 2001). Internal consistency is high for the CTS-R (α range = .75-.97; Blackburn et al 2001;Kazantzis et al 2018;Reichelt et al 2003). Inconsistent inter-rater reliability across CTS-R items has been reported; however, good inter-rater reliability for the full scale and for the generic and specific subscales has been achieved using expert and/or trained raters (Kazantzis et al 2018;Reichelt et al 2003).…”

Section: Therapeutic Competencementioning

confidence: 99%

“…Internal consistency is high for the CTS-R (α range = .75-.97; Blackburn et al 2001;Kazantzis et al 2018;Reichelt et al 2003). Inconsistent inter-rater reliability across CTS-R items has been reported; however, good inter-rater reliability for the full scale and for the generic and specific subscales has been achieved using expert and/or trained raters (Kazantzis et al 2018;Reichelt et al 2003). All raters in the current study were experienced CBT practitioners and supervisors with accreditation from the British Association of Behavioural and Cognitive Psychotherapy (BABCP).…”

Section: Therapeutic Competencementioning

confidence: 99%

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Evaluating CBT Clinical Competence with Standardised Role Plays and Patient Therapy Sessions

et al. 2019

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Standardised role-plays (SR) have been proposed as an alternative to recordings of patients' therapy sessions (PTS) to assess therapist competence during CBT training. This study compared the following properties of SR assessments with established PTS assessments: interrater reliability, responsiveness to training, convergent validity of competence ratings, and predictive validity for academic outcomes. SR and PTS were both rated using the Cognitive Therapy Scale Revised (CTS-R) to assess CBT trainees' (n = 88) level of competence at the beginning and end of training, and at one-year follow-up. Both methods demonstrated excellent inter-rater reliability between pairs of course tutors (ICC range = .81-.93) and good reliability between tutors and an external assessor (ICC range = .71-.74). CTS-R scores for both SR and PTS increased across training to reach the competence threshold and remained stable at follow-up. However, there was only a weak relationship between the two assessment methods. Further refinement of SR as a CBT assessment method is indicated.

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Section: Inter-rater Reliabilitysupporting

confidence: 89%

Section: Inter-rater Reliabilitysupporting

confidence: 61%

Section: Therapeutic Competencementioning

confidence: 99%

Section: Therapeutic Competencementioning

confidence: 99%

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Evaluating CBT Clinical Competence with Standardised Role Plays and Patient Therapy Sessions

et al. 2019

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“…They highlight the missed opportunity for a more comprehensive coverage of the CBTCF and the benefits that come from the specific and problem‐specific skills of CBT. There is growing evidence for CBT skills demonstrating significant therapeutic gains; such as case formulation‐driven strategies to repair alliance ruptures, enhanced engagement through homework, and Socratic dialogue (Falkenström, Ekeblad, & Holmqvist, ; Kazantzis et al, ; Kazantzis, Brownfield, Mosely, Usatoff, & Flighty, ; Kazantzis, Luong, et al, ). This finding reflects the potential for maximisation in CBT competency training programs that is consistent with the emerging evidence linking process‐based CBT as a core clinical competency (Hayes & Hofmann, , ; Hofmann & Hayes, ).…”

Section: Discussionmentioning

confidence: 99%

To what extent are cognitive behaviour therapy competencies incorporated into clinical psychology training? A national survey of Australian universities

Impala

Burn

Kazantzis

2019

Australian Psychologist

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Objective Cognitive behaviour therapy (CBT) has demonstrated effectiveness as a therapeutic approach for various clinical disorders, but little data exist on the extent to which it is covered in accredited postgraduate clinical psychology training programs. Data were gathered regarding aspects of CBT orientation in terms of influence, content, delivery of general programs, and administration of coursework components. Method Responses to a semi‐structured interview of 28 clinical program directors of Australian accredited courses (representing 72% of accredited courses) were analysed as part of a larger project titled “Nationwide Training in Cognitive Behaviour Therapy.” Results CBT was consistently included in training programs, but there was marked variability in the coverage of CBT competencies. Greater emphasis was placed on foundational CBT competencies (57% of programs indicating basic CBT skills were covered to a “large” or “very large extent”), in contrast to problem specific competencies (11% of programs covered to a “large” or “very large extent”). Programs with a stronger orientation towards evidence‐based practice reported greater coverage of Roth and Pilling's CBT competency framework (r = 0.62, p < 0.01). Conclusion The findings suggest that core CBT skills are covered, but there is an opportunity for these clinical training programs to enhance their coursework content to ensure that their trainees are adequately prepared to deliver CBT for different disorders.

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The effect of cognitive behavioural therapy integrated with activity pacing on cancer‐related fatigue, depression and quality of life among patients with breast cancer undergoing chemotherapy in Ethiopia: A randomised clinical trial

Getu

Chen

Addissie

et al. 2023

Intl Journal of Cancer

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Fatigue is a common symptom experienced by 80% of individuals who receive chemotherapy and is one of the major factors that affect quality of life (QoL) of patients with breast cancer. Our study aimed to assess the effect of cognitive behavioural therapy integrated with activity pacing (CBT‐AP) on cancer‐related fatigue among patients with breast cancer undergoing chemotherapy. A parallel‐group, randomised controlled trial was conducted. Severely fatigued patients were randomly assigned to the CBT‐AP or usual care (UC) groups using a computer‐generated random sequence. The new intervention was designed for seven sessions: three 2‐hour face‐to‐face and four 30‐minute telephone sessions. The primary outcome (fatigue severity) and the secondary outcomes (depression and QoL) were assessed at the end of the intervention and after 3 months. The data were analysed by repeated measures analyses of covariance (RM‐ANCOVA). CBT‐AP had a significant time effect (P < .001, ηp2 = 0.233) in reducing fatigue from baseline (adjusted mean = 7.48) to the end of the intervention (adjusted mean = 6.37) and the 3‐month follow‐up (adjusted mean = 6.54). Compared to the UC group, the CBT‐AP group had lower fatigue and depression scores, and higher global health status scores. The group × time interaction revealed a significant reduction in fatigue and depression in the CBT‐AP group compared to the UC group. Therefore, CBT‐AP appears to be effective in reducing fatigue and depression and improving QoL in patients with breast cancer undergoing chemotherapy. It is highly recommended to integrate a CBT‐AP intervention in routine cancer care.

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The Cognitive Therapy Scale and Cognitive Therapy Scale-Revised as Measures of Therapist Competence in Cognitive Behavior Therapy for Depression: Relations with Short and Long Term Outcome

Cited by 40 publications

References 76 publications

Evaluating CBT Clinical Competence with Standardised Role Plays and Patient Therapy Sessions

Evaluating CBT Clinical Competence with Standardised Role Plays and Patient Therapy Sessions

To what extent are cognitive behaviour therapy competencies incorporated into clinical psychology training? A national survey of Australian universities

The effect of cognitive behavioural therapy integrated with activity pacing on cancer‐related fatigue, depression and quality of life among patients with breast cancer undergoing chemotherapy in Ethiopia: A randomised clinical trial

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