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首页> 外文期刊>Journal of traumatic stress >Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties
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Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

机译：错误症和治疗特异性治疗型治疗能力尺度，适用于术前应激障碍的干预：发展和心理测量性能

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摘要

Abstract 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.
机译：摘要虽然对心理治疗研究中治疗能力的评估对于检查其可能的协会与治疗结果来说是必不可少的，但由于高成本和缺乏有效的工具，它通常被忽视。本研究旨在开发两种治疗能力尺度，可评估特定的疾病特异性和治疗特异性的治疗能力，并审查这些尺度的心理测量性能以及在创建的认知治疗规模（CTS）中的心理压力障碍（PTSD）样本。使用归纳程序，构建了两种评估特异性和治疗特定能力的评分尺度。这些尺度和CTS的心理测量性质在来自多中心研究的30名患者的30个录像带的样本中评估了哪些，其中使用认知加工治疗治疗与儿童滥用相关的PTSD。两位评估了30个录像带的心理治疗会议中的治疗能力。确定Interrater可靠性，内部一致性和内容有效性。尺度（所有项目和总分数）符合良好的Interrater可靠性，脑关联系数（ICC）= .67至.97，内部一致性，Cronbach的α= .73至.92。第四届专家评级评级证实了内部有效性良好。我们发现具有治疗粘附的统计学意义，r = .62至.85; P＆ .001;和治疗联盟，r = .47，p＆ .001。这些初步数据意味着两种新开发的能力等级和CTS可以可靠地用于评估PTSD样品中的不同类型的治疗能力，并且可能是可用的治疗结果的可预测因子。

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  • 来源
    《Journal of traumatic stress》 |2017年第6期|共12页
  • 作者

    Dittmann Clara; Müller‐Engelmann Meike; Stangier Ulrich; Priebe Kathlen; Fydrich Thomas; G?rg Nora; Rausch Sophie; Resick Patricia A.; Steil Regina;

  • 作者单位

    Goethe University Department of Clinical Psychology and InterventionInstitute of;

    Goethe University Department of Clinical Psychology and InterventionInstitute of;

    Goethe University Department of Clinical Psychology and InterventionInstitute of;

    Humboldt‐Universit?tDepartment of Psychotherapy and SomatopsychologyBerlin Germany;

    Humboldt‐Universit?tDepartment of Psychotherapy and SomatopsychologyBerlin Germany;

    Institute for Psychiatric and Psychosomatic Psychotherapy Central Institute of Mental;

    Institute for Psychiatric and Psychosomatic Psychotherapy Central Institute of Mental;

    Duke UniversityDepartment of Psychiatry and Behavioral SciencesDurham North Carolina USA;

    Goethe University Department of Clinical Psychology and InterventionInstitute of;

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  • 正文语种 eng
  • 中图分类 外科学;
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