Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties. Issue 1 (31st December 2022)
- Record Type:
- Journal Article
- Title:
- Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties. Issue 1 (31st December 2022)
- Main Title:
- Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties
- Authors:
- Steil, Regina
Müller-Engelmann, Meike
Stangier, Ulrich
Priebe, Kathlen
Fydrich, Thomas
Weiß, Judith
Dittmann, Clara - Abstract:
- ABSTRACT: Background: The assessment of therapeutic adherence and competence is essential to understand mechanisms that contribute to treatment outcome. Nevertheless, their assessment is often neglected in psychotherapy research. Aims/Objective: To develop an adherence and a treatment-specific competence rating scale for Dialectical Behaviour Therapy for Posttraumatic Stress Disorder (DBT-PTSD), and to examine their psychometric properties. Global cognitive behavioural therapeutic competence and disorder-specific therapeutic competence were assessed using already existing scales to confirm their psychometric properties in our sample of patients with PTSD and emotion regulation difficulties. Method: Two rating scales were developed using an inductive procedure. 155 videotaped therapy sessions from a multicenter randomised controlled trial were rated by trained raters using these scales, 40 randomly chosen videotapes involving eleven therapists and fourteen patients were doubly rated by two raters. Results: Both the adherence scale (Patient-level ICC = .98; αs = .65; α p = .75) and the treatment-specific competence scale (Patient-level ICC = .98; αs = .78; α p = .82) for DBT-PTSD showed excellent interrater – and good reliability on the patient level. Content validity, including relevance and appropriateness of all items, was confirmed by experts in DBT-PTSD for the new treatment-specific competence scale. Conclusion: Our results indicate that both scales are reliableABSTRACT: Background: The assessment of therapeutic adherence and competence is essential to understand mechanisms that contribute to treatment outcome. Nevertheless, their assessment is often neglected in psychotherapy research. Aims/Objective: To develop an adherence and a treatment-specific competence rating scale for Dialectical Behaviour Therapy for Posttraumatic Stress Disorder (DBT-PTSD), and to examine their psychometric properties. Global cognitive behavioural therapeutic competence and disorder-specific therapeutic competence were assessed using already existing scales to confirm their psychometric properties in our sample of patients with PTSD and emotion regulation difficulties. Method: Two rating scales were developed using an inductive procedure. 155 videotaped therapy sessions from a multicenter randomised controlled trial were rated by trained raters using these scales, 40 randomly chosen videotapes involving eleven therapists and fourteen patients were doubly rated by two raters. Results: Both the adherence scale (Patient-level ICC = .98; αs = .65; α p = .75) and the treatment-specific competence scale (Patient-level ICC = .98; αs = .78; α p = .82) for DBT-PTSD showed excellent interrater – and good reliability on the patient level. Content validity, including relevance and appropriateness of all items, was confirmed by experts in DBT-PTSD for the new treatment-specific competence scale. Conclusion: Our results indicate that both scales are reliable instruments. They will be useful to examine possible effects of adherence and treatment-specific competence on DBT-PTSD treatment outcome. … (more)
- Is Part Of:
- European journal of psychotraumatology. Volume 13:Issue 1(2022)
- Journal:
- European journal of psychotraumatology
- Issue:
- Volume 13:Issue 1(2022)
- Issue Display:
- Volume 13, Issue 1 (2022)
- Year:
- 2022
- Volume:
- 13
- Issue:
- 1
- Issue Sort Value:
- 2022-0013-0001-0000
- Page Start:
- Page End:
- Publication Date:
- 2022-12-31
- Subjects:
- Posttraumatic stress disorder -- PTSD -- dialectic behavioural therapy -- DBT -- DBT-PTSD -- therapeutic adherence -- treatment integrity
Trastorno de estrés postraumático -- TEPT -- Terapia Dialéctica Conductual -- DBT -- DBT-PTSD -- Adherencia terapéutica -- Integridad del tratamiento
创伤后应激障碍 -- PTSD -- 辩证行为疗法 -- DBT -- DBTTSD -- 治疗依从性 -- 治疗完整性
We report on a new rating scale to assess therapistś adherence to a new psychological treatment for victims of childhood abuse who suffer from posttraumatic stress disorder and problems in emotion regulation, and to assess therapistś competence in administering this treatment
Post-traumatic stress disorder -- Periodicals
Stress Disorders, Post-Traumatic
Post-traumatic stress disorder
Electronic journals
Periodicals
Periodicals
Fulltext
Internet Resources
Periodicals
616.8521 - Journal URLs:
- http://www.ncbi.nlm.nih.gov/pmc/journals/1804/ ↗
https://www.tandfonline.com/toc/zept20/current ↗
http://www.tandfonline.com/ ↗ - DOI:
- 10.1080/20008198.2022.2055293 ↗
- Languages:
- English
- ISSNs:
- 2000-8198
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 21155.xml