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

作者：Dittmann Clara^*; Mueller Engelmann Meike; Resick Patricia A; Gutermann Jana; Stangier Ulrich; Priebe Kathlen; Fydrich Thomas; Ludaescher Petra; Herzog Julia; Steil Regina

来源：Behavioural and Cognitive Psychotherapy, 2017, 45(6): 661-670.

DOI：10.1017/S1352465816000679

• Post-traumatic stress disorder
• PTSD
• cognitive processing therapy
• CPT
• therapeutic adherence
• treatment integrity

Background: The assessment of therapeutic adherence is essential for accurately interpreting treatment outcomes in psychotherapy research. However, such assessments are often neglected. Aims: To fill this gap, we aimed to develop and test a scale that assessed therapeutic adherence to Cognitive Processing Therapy - Cognitive Only (CPT), which was adapted for a treatment study targeting patients with post-traumatic stress disorder and co-occurring borderline personality symptoms. Method: Two independent, trained raters assessed 30 randomly selected treatment sessions involving seven therapists and eight patients who were treated in a multicentre randomized controlled trial. Results: The inter-rater reliability for all items and the total score yielded good to excellent results (intraclass correlation coefficient [ICC] = 0.70 to 1.00). Cronbach's was .56 for the adherence scale. Regarding content validity, three experts confirmed the relevance and appropriateness of each item. Conclusion: 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.

• 出版日期2017-11
• 单位上海市精神卫生中心