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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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Cognitive Behavioural Therapy Competency: Pilot Data from a Comparison of Multiple Perspectives.

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Patient and therapist ratings of cognitive behavioural therapy (CBT) competency differ significantly from independent observer ratings. This suggests alternative methods for assessing CBT skills in training and implementation.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychotherapy Research

Background:

  • Measuring cognitive behavioural therapy (CBT) competency is resource-intensive.
  • Alternative methods for competency assessment are emerging.
  • Utilizing multiple rater perspectives is a popular alternative.

Purpose of the Study:

  • To compare CBT competency ratings from four perspectives: patient, therapist, supervisor, and independent observer.
  • To evaluate the utility of the Cognitive Therapy Scale (CTS) across different rater groups.
  • This pilot study aimed to explore discrepancies in competency evaluations.

Main Methods:

  • A pilot study involving 12 patients and 5 therapists.
  • Patients and therapists completed the Cognitive Therapy Scale (CTS) post-session.
  • Clinical supervisors and independent observers rated session recordings using the CTS.

Main Results:

  • Therapist competency ratings did not differ significantly from supervisor or independent observer ratings.
  • Therapist ratings were higher than independent observer ratings.
  • Patient ratings of CBT competency were significantly higher than all other rater groups.

Conclusions:

  • Significant differences exist in CBT competency ratings based on the rater's perspective.
  • Patient ratings tend to be higher than those from therapists, supervisors, or observers.
  • Findings have implications for adapting CBT competency measurement tools for training and implementation.