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Assessing Patients’ Mastery of the Skills of Cognitive Therapy: Initial Evaluation of the Patient Competencies Scale

Hollars, Shannon N.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1338379941

Abstract Details

2012, Master of Arts, Ohio State University, Psychology.
In Cognitive Therapy (CT), therapists work to help patients develop a specific set of skills to cope with negative emotions. While mastery and use of these skills has been related to reduced risk for relapse, current methods of assessing patients’ mastery of these skills are cumbersome and would present substantial difficulties for clinical use. In this study, we sought to examine the validity of a brief and easily scored measure of CT skills and investigated if therapist techniques might be a more robust predictor of symptom reduction in early sessions for patients who possess greater pre-treatment skills. In a sample of 65 depressed patients participating in CT, we pilot test the new Patient Competencies Scale (PCS)—with one version to be completed by patients and a second version by therapists. The PCS correlated with intake and post treatment ratings on related measures of skills and depression severity as well as change in these assessments over the course of treatment. Client rated skill acquisition predicted reductions in depressive symptoms over the course of therapy even when including scores from the Ways of Responding questionnaire as a covariate. Neither patient nor therapist versions of the PCS was found to be predictive of risk of relapse in the year following acute treatment. We compare the PCS to previous self-report measures and recommend the development of a clinical interview to assess patient competencies. Furthermore, because therapists’ use of Socratic questioning has been posited to foster patients’ independent usage of these skills, we examine whether therapists’ use of these techniques interacted with patients’ baseline skills in predicting early symptom change. We report on an interaction between baseline skills and Socratic questioning in predicting early symptom change. For patients with higher baseline skills, Socratic questioning was particularly strongly related to early session-to-session symptom improvements.
Daniel Strunk, PhD (Advisor)
Jennifer Cheavens, PhD (Committee Chair)
Jennifer Crocker, PhD (Committee Chair)
69 p.
Clinical Psychology; Counseling Psychology; Therapy
cognitive therapy; major depressive disorder; socratic questioning

Recommended Citations

Citations

  • Hollars, S. N. (2012). Assessing Patients’ Mastery of the Skills of Cognitive Therapy: Initial Evaluation of the Patient Competencies Scale [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1338379941

    APA Style (7th edition)

  • Hollars, Shannon. Assessing Patients’ Mastery of the Skills of Cognitive Therapy: Initial Evaluation of the Patient Competencies Scale. 2012. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1338379941.

    MLA Style (8th edition)

  • Hollars, Shannon. "Assessing Patients’ Mastery of the Skills of Cognitive Therapy: Initial Evaluation of the Patient Competencies Scale." Master's thesis, Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1338379941

    Chicago Manual of Style (17th edition)

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© 2012, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.