NDLI: Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder

Content Provider	PubMed Central
Author	Ginzburg, Denise M. Bohn, Christiane Volkmar, Höfling Weck, Florian Clark, David M. Ulrich, Stangier
Copyright Year	2012
Abstract	Several studies have demonstrated a positive relationship between competence and outcome in CBT for depression but studies of CBT for anxiety disorders are lacking. The present study explores the relationship between competence and outcome in cognitive therapy (CT) for social anxiety disorder, using hierarchical linear modeling analyses (HLM). Data were drawn from a multicenter randomized controlled trial. Five trained raters evaluated videotapes of two therapy sessions per patient using the Cognitive Therapy Competence Scale for Social Phobia (CTCS-SP). Overall adherence to the treatment manual and patient difficulty were also assessed. Patient outcome was rated by other assessors using the Clinical Global Impression Improvement Scale (CGI-I) and the Liebowitz Social Anxiety Scale (LSAS). Results indicated that competence significantly predicted patient outcome on the CGI-I (β = .79) and LSAS (β = .59). Patient difficulty and adherence did not further improve prediction. The findings support the view that competence influences outcome and should be a focus of training programs. Further research is needed to compare different ways of assessing competence and to understand the complex relationships between competence and other therapy factors that are likely to influence outcome.
Related Links	http://dx.doi.org/10.1016/j.brat.2012.09.001
Ending Page	752
Page Count	6
Starting Page	747
File Format	PDF
ISSN	00057967
e-ISSN	1873622X
Journal	Behaviour Research and Therapy
Issue Number	12
Volume Number	50
Language	English
Publisher	Elsevier Science
Publisher Date	2012-12-01
Access Restriction	Open
Rights Holder	Elsevier Science
Subject Keyword	Experimental and Cognitive Psychology Clinical Psychology Psychiatry and Mental health Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Experimental and Cognitive Psychology Developmental and Educational Psychology Clinical Psychology Psychiatry and Mental Health

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