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Cognitive Therapy and Research

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01.04.2016 | Original Article

Measuring Suitability for Cognitive Behavior Therapy: A Self-Report Measure

verfasst von: Lauren F. McLellan, Lorna Peters, Ronald M. Rapee

Erschienen in: Cognitive Therapy and Research | Ausgabe 5/2016

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Abstract

While cognitive behavioral therapy (CBT) is considered an evidence based treatment for a range of disorders, individuals differ in their response to treatment. Research investigating the pre-treatment factors that can predict better response to CBT is important because it allows identified factors to be addressed prior to commencing standard CBT protocols, enables modifications to be made to standard CBT protocols, or provides information about suitability for CBT. Pre-treatment attitudes aligned with therapy is a potential predictor of outcome, yet no self-report measure exists. This three-study paper reports on the development of a short self-report measure of attitudes aligned with CBT, named the CBT Suitability Scale (CBT-SUITS). Items were developed rationally based on theoretical models of CBT. Results in community and treatment seeking samples show that the instrument has a clear factor structure and adequate reliability. Results in community samples show that the instrument measures attitudes distinct from symptom severity and predicts CBT credibility. While further research in clinical settings is needed, the CBT-SUITS is an important measure of attitudes aligned with CBT for use in research and clinical practice.

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The scree plot suggested retaining three factors, parallel analysis suggested retaining five factors. The five factor solution produced a more interpretable solution.

A single factor (total score) model was tested and did not provide adequate fit. A model with second order and factor scores better represented the data so is reported in this study.

A sample of 395 provided sufficient power to detect small effects in a regression model with five predictors.

Information about current treatment was not available for two participants.

Abramowitz, J. S., Franklin, M. E., Zoellner, L. A., & Di Bernardo, C. L. (2002). Treatment compliance and outcome in obsessive–compulsive disorder. Behavior Modification, 26, 447–463. doi:10.1177/0145445502026004001.CrossRefPubMed

Addis, M. E., & Jacobson, N. S. (2000). A closer look at the treatment rationale and homework compliance in cognitive-behavioral therapy for depression. Cognitive Therapy and Research, 24, 313–326. doi:10.1023/A:1005563304265.CrossRef

Ahmed, M., & Westra, H. A. (2008). Impact of a treatment rationale on expectancy and engagement in cognitive behavioral therapy for social anxiety. Cognitive Therapy and Research, 33, 314–322. doi:10.1007/s10608-008-9182-1.CrossRef

Allen, L. B., McHugh, R. K., & Barlow, D. H. (2008). Emotional disorders: A unified protocol. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 216–249). New York: The Guilford Press.

Antony, M. M., & Roemer, L. (2003). Behavior therapy. In A. S. Gurman & S. B. Messer (Eds.), Essential psychotherapies: Theory and practice (2nd ed., pp. 182–223). New York: The Guilford Press.

Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 33–40. doi:10.1016/0022-3999(94)90006-X.CrossRefPubMed

Barrera, T. L., Smith, A. H., & Norton, P. J. (2016). Motivational interviewing as a adjunct to Cognitive Behavioral Therapy for anxiety. Journal of Clinical Psychology, 72, 5–14. doi:10.1002/jclp.22239.CrossRefPubMed

Beutler, L. E., Engle, D., Mohr, D., Daldrup, R. J., Bergan, J., Meredith, K., & Merry, W. (1991). Predictors of differential response to cognitive, experiential and self-directed psychotherapeutic procedures. Journal of Consulting and Clinical Psychology, 59, 333–340. doi:10.1037/0022-006X.59.2.333.CrossRefPubMed

Beutler, L. E., Machado, P. P., Engle, D., & Mohr, D. (1993). Differential patient x treatment maintenance among cognitive, experiential and self-directed psychotherapies. Journal of Psychotherapy Integration, 3, 15–31.CrossRef

Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257–260. doi:10.1016/0005-7916(72)90045-6.CrossRef

Borkovec, T. D., Newman, M. G., & Castonguay, L. G. (2004). Cognitive-behavioral therapy for generalized anxiety disorder with integrations from interpersonal and experiential therapies. FOCUS: The Journal of Lifelong Learning in Psychiatry, 2, 392–401. Retrieved from: http://focus.psychiatryonline.org/data/Journals/FOCUS/2606/392.pdf.

Borkovec, T. D., Newman, M. G., Pincus, A. L., & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70, 288–298. doi:10.1037//0022-006X.70.2.288.CrossRefPubMed

Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17–31. doi:10.1016/j.cpr.2005.07.003.CrossRefPubMed

Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York: Routledge.

Carter, M. M., Forys, K. L., & Oswald, J. C. (2008). The cognitive-behavioral model. In M. Hersen & A. M. Gross (Eds.), Handbook of clinical psychology (pp. 171–201). Hoboken, NJ: Wiley.

Cole, D. A., Ciesla, J. A., & Steiger, H. (2007). The insidious effects of failing to include design-driven correlated residuals in latent-variable covariance structure analysis. Psychological Methods, 12, 381–398. doi:10.1037/1082-989X.12.4.381.CrossRefPubMed

Craske, M. G., & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 1–64). New York: The Guilford Press.

Deacon, B. J., & Abramowitz, J. S. (2005). Patients’ perceptions of pharmacological and cognitive-behavioral treatment for anxiety disorders. Behavior Therapy, 36, 139–145. doi:10.1016/S0005-7894(05)80062-0.CrossRef

Devilly, G. J., & Borkovec, T. D. (2000). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31, 73–86. doi:10.1016/S0005-7916(00)00012-4.CrossRefPubMed

Dinno, A. (2009). Implementing Horn’s parallel analysis for principal component analysis and factor analysis. The Stata Journal, 9, 291–298. Retrieved from: http://www.stata-journal.com/article.html?article=st0166.

Dobson, K. S., & Dozois, D. J. A. (2010). Historical and philosophical bases of cognitive-behavioral therapies. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies (3rd ed., pp. 3–38). New York: The Guilford Press.

Downey, R. G., & King, C. V. (1998). Missing data in likert ratings: A comparison of replacement methods. Journal of General Psychology, 125, 175–191. doi:10.1080/00221309809595542.CrossRefPubMed

Elkin, I., Yamaguchi, J., Arnkoff, D., Glass, C., Sotsky, S., & Krupnick, J. (1999). “Patient-treatment fit” and early engagement in therapy. Psychotherapy Research, 9, 437–451. doi:10.1080/10503309912331332851.

Epstein, S. (2001). Constructive thinking inventory (CTI). Lutz, FL: PAR.

Eskildsen, A., Hougaard, E., & Rosenberg, N. K. (2010). Pre-treatment patient variables as predictors of drop-out and treatment outcome in cognitive behavioral therapy for social phobia: A systematic review. Nordic Journal of Psychiatry, 64, 94–105. doi:10.3109/08039480903426929.CrossRefPubMed

Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272–299. doi:10.1037/1082-989X.4.3.272.CrossRef

Fennell, M. J. V., & Teasdale, J. D. (1987). Cognitive therapy for depression: Individual differences and the process of change. Cognitive Therapy and Research, 11, 253–271. doi:10.1007/BF01183269.CrossRef

Foa, E. B., Grayson, J. B., Steketee, G. S., Doppelt, H. G., Turner, R. M., & Latimer, P. R. (1983). Success and failure in the behavioral treatment of obsessive–compulsives. Journal of Consulting and Clinical Psychology, 51, 287–297. doi:10.1037/0022-006X.51.2.287.CrossRefPubMed

Folkman, S., & Lazarus, R. S. (1988). Ways of Coping Questionnaire. USA: Mind Garden.

Franklin, M. E., & Foa, E. B. (2008). Obsessive–compuslive disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 164–215). New York: The Guilford Press.

Hamilton, K. E., & Dobson, K. S. (2002). Cognitive therapy of depression: Pretreatment patient predictors of outcome. Clinical Psychology Review, 22, 875–893. doi:10.1016/S0272-7358(02)00106-X.CrossRefPubMed

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239. doi:10.1348/014466505X29657.CrossRefPubMed

Heppner, P. P. (1988). The problem solving inventory (PSI). Palo Alto: Consulting Psychologists Press.

Herbert, J. D., Gaudiano, B. A., Rheingold, A. A., Myers, V. H., Dalrymple, K. L., & Nolan, E. M. (2005). Social skills training augments the effectiveness of cognitive behavioral group therapy for Social Anxiety Disorder. Behavior Therapy, 36, 125–138. doi:10.1016/S0005-7894(05)80061-9.CrossRef

Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 32, 179–185. doi:10.1007/BF02289447.CrossRef

Hundt, N. E., Mignogna, J., Underhill, C., & Cully, J. A. (2013). The relationship between use of CBT skills and depression treatment outcome: A theoretical and methodological review of the literature. Behavior Therapy, 44, 12–26. doi:10.1016/j.beth.2012.10.001.CrossRefPubMed

Jacob, K. L., Christopher, M. S., & Neuhaus, E. C. (2011). Development and validation of the cognitive-behavioral therapy skills questionnaire. Behavior Modification, 35, 595–618. doi:10.1177/0145445511419254.CrossRefPubMed

Jarrett, R. B., Clark, L. A., Vittengl, J. R., & Thase, M. E. (2011). Skills of Cognitive Therapy (SoCT): A new measure of patients’ comprehension and use. Psychological Assessment, 23, 578–586. doi:10.1037/a0022485.CrossRefPubMedPubMedCentral

Kadden, R. M., Cooney, N. L., Getter, H., & Litt, M. D. (1989). Matching alcoholics to coping skills or interactional therapies: Posttreatment results. Journal of Consulting and Clinical Psychology, 57, 698–704. doi:10.1037/0022-006X.57.6.698.CrossRefPubMed

Kaiser, H. F., & Rice, J. (1974). Little jiffy, mark IV. Educational and Psychological Measurement, 34, 111–117. doi:10.1177/001316447403400115.CrossRef

Kazantzis, N., Deane, F. P., & Ronan, K. R. (2004). Assessing compliance with homework assignments: Review and recommendations for clinical practice. Journal of Clinical Psychology, 60, 627–641.CrossRefPubMed

Keeley, M. L., Storch, E. A., Merlo, L. J., & Geffken, G. R. (2008). Clinical predictors of response to cognitive-behavioral therapy for obsessive–compulsive disorder. Clinical Psychology Review, 28, 118–130. doi:10.1016/j.cpr.2007.04.003.CrossRefPubMed

Kocsis, J. H., Leon, A. C., Markowitz, J. C., Manber, R., Arnow, B., Klein, D. N., & Thase, M. E. (2009). Patient preference as a moderator of outcome for chronic forms of major depressive disorder treated with Nefazodone, cognitive behavioral analysis system of psychotherapy, or their combination. Journal of Clinical Psychiatry, 70, 354–361. doi:10.4088/JCP.08m04371.CrossRefPubMed

Leahy, R. L. (2003). Cognitive therapy techniques: A practitioner’s guide. NY: The Guilford Press.

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.

Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research, 34, 429–438. doi:10.1007/s10608-010-9297-z.CrossRefPubMedPubMedCentral

McEvoy, P. M. (2007). Effectiveness of cognitive behavioural group therapy for social phobia in a community clinic: A benchmarking study. Behaviour Research and Therapy, 45, 3030–3040. doi:10.1016/j.brat.2007.08.002.CrossRefPubMed

Myhr, G., Talbot, J., Annable, L., & Pinard, G. (2007). Suitability for short-term cognitive-behavioral therapy. Journal of Cognitive Psychotherapy, 21, 334–345. doi:10.1891/088983907782638743.CrossRef

Nau, S. D., Caputo, J. A., & Borkovec, T. D. (1974). The relationship between credibility of therapy and simulated therapeutic effects. Journal of Behavior Therapy and Experimental Psychiatry, 5, 129–133. doi:10.1016/0005-7916(74)90098-6.CrossRef

Reinecke, M. A., & Freeman, A. (2003). Cognitive therapy. In A. S. Gurman & S. B. Messer (Eds.), Essential psychotherapies: Theory and practice (2nd ed., pp. 224–271). New York: The Guilford Press.

Renaud, J., Russell, J. J., & Myhr, G. (2014). Predicting who benefits most from cognitive-behavioral therapy for anxiety and depression. Journal of Clinical Psychology, 70, 923–932. doi:10.1002/jclp.22099.CrossRef

Resick, P. A., Monson, C. M., & Rizvi, S. L. (2008). Posttraumatic stress disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 65–122). New York: The Guilford Press.

Safran, J. D., Segal, Z. V., Vallis, T., Shaw, B. F., & Samstag, L. W. (1993). Assessing patient suitability for short-term cognitive therapy with an interpersonal focus. Cognitive Therapy and Research, 17, 23–38.CrossRef

Safren, S. A., Heimberg, R. G., & Juster, H. R. (1997). Clients’ expectancies and their relationship to pretreatment symptomatology and outcome of cognitive-behavioral group treatment for social phobia. Journal of Consulting and Clinical Psychology, 65, 694–698. doi:10.1037/0022-006X.65.4.694.CrossRefPubMed

Salmoiraghi, A., & Sambhi, R. (2010). Early termination of cognitive-behavioral interventions: Literature review. The Psychiatrist, 34, 529–532. doi:10.1192/pb.bp.110.030775.CrossRef

Smeets, R. J. E. M., Beelen, S., Goossens, M. E. J. B., Schouten, E. G. W., Knottnerus, J. A., & Vlaeyen, J. W. S. (2008). Treatment expectancy and credibility are associated with the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. Clinical Journal of Pain, 24, 305–315. doi:10.1097/AJP.0b013e318164aa75.CrossRefPubMed

Solvason, H. B., Ernst, H., & Roth, W. (2003). Predictors of response in anxiety disorders. Psychiatric Clinics of North America, 26, 411–433. doi:10.1016/S0193-953X(03)00027-3.CrossRefPubMed

Spek, V., Nyklicek, I., Cuijpers, P., & Pop, V. (2008). Predictors of outcome of group and internet-based cognitive behaviour therapy. Journal of Affective Disorders, 105, 137–145. doi:10.1016/j.jad.2007.05.001.CrossRefPubMed

Tarrier, N. (2008). Schizophrenia and other psychotic disorders. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 463–491). New York: The Guilford Press.

Turk, C. L., Heimberg, R. G., & Magee, L. (2008). Social anxiety disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 123–163). New York: The Guilford Press.

van Doorn, K., McManus, F., & Yiend, J. (2012). An analysis of matching cognitive-behavior therapy techniques to learning styles. Journal of Behavior Therapy and Experimental Psychiatry, 43, 1039–1044. doi:10.1016/j.jbtep.2012.05.001.CrossRefPubMed

Watson, H. J., & Nathan, P. R. (2008). Role of gender in depressive disorder outcome for individual and group cognitive-behavioral treatment. Journal of Clinical Psychology, 64, 1323–1337. doi:10.1002/jclp.20524.CrossRefPubMed

Weissman, A. N., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitudes Scale: A preliminary investigation. In Proceedings of the meeting of the American Educational Research Association. Toronto, ON. Paper retrieved from: http://eric.ed.gov/ERICWebPortal/search/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=ED167619&ERICExtSearch_SearchType_0=no&accno=ED167619.

Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42, 385–396. doi:10.1016/S0005-7967(03)00147-5.CrossRefPubMed

Westra, H. A., Arkowitz, H., & Dozois, D. J. (2009). Adding a motivational interviewing pretreatment to cognitive behavioural therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106–1117. doi:10.1016/j.janxdis.2009.07.2014.CrossRefPubMedPubMedCentral

Whitener, E. M., & Klein, H. J. (1995). Equivalence of computerized and traditional research methods: The roles of scanning, social environment, and social desirability. Computers in Human Behavior, 11, 65–75. doi:10.1016/0747-5632(94)00023-B.CrossRef

Wollersheim, J. P., McFall, M. E., Hamilton, S. B., Hickey, C. S., & Bordewick, M. C. (1980). Effects of treatment rationale and problem severity on perceptions of psychological problems and counseling approaches. Journal of Counseling Psychology, 27, 225–231. doi:10.1037/0022-0167.27.3.225.CrossRef

Young, J. E., Rygh, J. L., Weinberger, A. D., & Beck, A. T. (2008). Cognitive therapy for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 250–305). New York: The Guilford Press.

Titel: Measuring Suitability for Cognitive Behavior Therapy: A Self-Report Measure
verfasst von: Lauren F. McLellan
Lorna Peters
Ronald M. Rapee
Publikationsdatum: 01.04.2016
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 5/2016
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-016-9771-3

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