TY  - JOUR
A1  - Ginzburg, Denise M.
A1  - Bohn, Christiane
A1  - Höfling, Volkmar
A1  - Weck, Florian
A1  - Clark, David M.
A1  - Stangier, Ulrich
T1  - Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder
T2  - Behaviour research and therapy
N2  - 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.
Y1  - 2016
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/42004
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-420045
SN  - 1873-622X
SN  - 0005-7967
N1  - (c)2012 Elsevier Ltd. Open access under CC BY license.
VL  - 50
SP  - 747
EP  - 752
PB  - Elsevier Science
CY  - Amsterdam [u.a.]
ER  -