Top

Tijdschrift voor Psychotherapie

Gepubliceerd in:

01-07-2014 | Artikelen

Evidence-based behandelen van angst en depressie

Het belang van therapeutische competentie in de praktijk

Auteurs: Ernst Koster, Kristof Hoorelbeke, Nathan van den Bergh

Gepubliceerd in: Tijdschrift voor Psychotherapie | Uitgave 5/2014

Samenvatting

Er zijn belangrijke initiatieven om evidence-based behandelingen te verspreiden in de klinische praktijk. Toch ontbreekt een cruciale schakel: de focus op de competentie van de therapeut. In dit artikel belichten we het concept van therapeutische competentie en bespreken we de opmars van uitkomstonderzoek naar competenties. Zo blijkt competentie een cruciale variabele te zijn voor therapiesucces. Op grond van deze gegevens pleiten de auteurs voor een sterkere focus op het trainen van specifieke interventies, zowel tijdens psychologieopleidingen als bij vervolgopleidingen.

vorige artikel Inleiding

volgende artikel Complex trauma en complexe PTSS

Barber, J.P., Gallop, R., Crits-Christoph, P., Frank, A., Thase, M.E., Weiss, R.D. & Gibbons, M.B.C. (2006). The role of therapist adherence, therapist competence, and alliance in predicting outcome of individual drug counseling: Results from the national institute drug abuse collaboratice cocaine treatment study. Psychotherapy Research, 16, 229–240.CrossRef

Blackburn, I.M., James, I.A., Milne, D.L. & Reichelt, F.K. (2000). Cognitive Therapy Scale-Revised (CTS-R). Internet: www.ebbp.org/resources/CTS-R.pdf (november 2013).

Blackburn, I.M., James, I.A., Milne, D. L., Baker, C., Standart, S., Garland, A. & Reichelt, F.K. (2001). The Revised Cognitive Therapy Scale (CTS-R): Psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431–446.CrossRef

Boswell, J.F., Gallagher, M.W., Sauer-Zavala, S.E., Bullis, J., Gorman, J.M., Shear, M.K., Woods, S. & Barlow, D.H. (2013). Patient characteristics and variability in adherence and competence in cognitive-behavioral therapy for panic disorder. Journal of Consulting and Clinical Psychology, 81, 443–454.PubMedCrossRef

Brown, L.A., Craske, M.G., Glenn, D.E., Stein, M.B., Sullivan, G., Sherbourne, C., Bystritsky, A., Welch, S.S., Campbell-Sills, L., Lang, A., Roy-Byrne, P. & Rose, R.D. (2013).CBT competence in novice therapists improves anxiety outcomes. Depression and Anxiety, 30, 97–115.PubMedCrossRefPubMedCentral

Centre for Outcomes Research and Effectiveness (2013). Competence frameworks for the delivery and supervision of psychological therapies. Internet: www.ucl.ac.uk/clinicalpsychology/ CORE/competence_frameworks.htm (oktober 2013).

Clark,D.M. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: the IAPT experience. International Review of Psychiatry, 23, 318–327.CrossRef

Elkin, M.T., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Dochety, J.P, Fiester, S. J. & Parloff, M.B. (1989). National Institute of Mental Health treatment of depression collaborative research program: general effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.PubMedCrossRef

Fairburn, C.G. & Cooper, Z. (2011). Therapist competence, therapy quality, and therapist training. Behaviour Research and Therapy, 49, 373–378.PubMedCrossRefPubMedCentral

Ginzburg, D.M., Bohn, C., Höfling, V., Weck, F., Clark, D.M. & Stangier, U. (2012). Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder. Behaviour Research and Therapy, 50, 747–752.PubMedCrossRefPubMedCentral

Hoffart, A., Sexton, H., Nordahl, H.M. & Stiles, T.C. (2005). Connection between patient and therapist and therapist’s competence in schema-focused therapy of personality problems. Psychotherapy Research, 15, 409–441.CrossRef

Huppert, J.D., Bufka, L.F., Barlow, D.H., Gorman, J.M., Shear, M.K. & Woods, S.W. (2001). Therapists, therapist variables and cognitive-behavioral therapy outcome in a multicenter trial for panic disorder. Journal of Consulting and Clinical Psychology, 69, 747–755.PubMedCrossRef

Kazdin, A.E. & Blase, S.L. (2011). Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspectives on Psychological Science, 6, 21–37.CrossRef

Keen, A.J.A. & Freeston, M.H. (2008). Assessing competence in cognitive-behavioural therapy. British Journal of Psychiatry, 193, 60–64.PubMedCrossRef

Khan, K.S. & Coomarasamy, A. (2006).A hierarchy of effective teaching and learning to acquire competence in evidenced-based medicine. BMC Medical Education, 6, 59.PubMedCrossRefPubMedCentral

Kingdon,D. & Dimech, A. (2008). Cognitive and behavioural therapies: the state of the art. Psychiatry, 7, 217–220.CrossRef

Kobak, K.A., Craske, M.G., Rose, R.D. & Wolitsky-Taylor, K. (2013).Web-based therapist training on cognitive behavior therapy for anxiety disorders: a pilot study. Psychotherapy, 50, 235–247.PubMedCrossRefPubMedCentral

Kuyken,W.W. & Tsivrikos, D.D. (2009). Therapist competence, comorbidity and cognitive-behavioral therapy for depression. Psychotherapy and Psychosomatics, 78, 42–48.CrossRef

Mannix, K.A., Blackburn, I.M., Garland, A., Gracie, J., Moorey, S., Reid, B., Standart, S. & Scott, J. (2006). Effectiveness of brief training in cognitive behavior therapy techniques for palliative care practitioners. Palliative Medicine, 20, 579–584.PubMedCrossRef

Martin,D. J., Garske, J.P. & Davis, M.K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438–450.CrossRef

McManus, F., Westbrook, D., Vazquez-Montes, M., Fennell, M. & Kennerley, H. (2010).An evaluation of the effectiveness of diploma-level training in cognitive behavior therapy. Behaviour Research and Therapy, 48, 1123–1132.PubMedCrossRef

Miller, G.E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65, 63–67.CrossRef

Minnen, A. van, Hendriks, L. & Olff, M. (2010). When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors. Behaviour Research and Therapy, 48, 312–320.

Muse, K. & McManus, F. (2013).A systematic review of methods for assessing competence in cognitive-behavioural therapy. Clinical Psychology Review, 33, 484–499.PubMedCrossRef

O’Malley, S.S., Foley, S.H., Rounsaville, B. J., Watkins, J.T., Sotsky, S.M., Imber, S.D. & Elkin, I. (1988). Therapist competence and patient outcome in interpersonal psychotherapy of depression. Journal of Consulting and Clinical Psychology, 56, 496–501.PubMedCrossRef

Petry, N.M., Alessi, S.M., Ledgerwood, D.M. & Sierra, S. (2010). Psychometric properties of the contingency management competence scale. Drug and Alcohol Dependence, 109, 167–174.PubMedCrossRefPubMedCentral

Puspitasari, A., Kanter, J.W., Murphy, J., Crowe, A. & Koerner, K. (2013). Developing an online, modular, active learning training program for behavioral activation. Psychotherapy, 50, 256–265.PubMedCrossRef

Rakovshik, S. & McManus, F. (2010). Establishing evidence-based training in cognitive behavioral therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review, 30, 496–516.PubMedCrossRef

Rollinson, R., Haig, C., Warner, R., Garety, P., Kuipers, E., Freeman, D., Bebbington, P., Dunn, G. & Fowler, D. (2007). The application of cognitive-behavioral therapy for psychosis in clinical and research settings. Psychiatric Services, 58, 1297–1302.PubMedCrossRef

Roth, A.D. & Pilling, S. (2008). Using an evidence-based methodology to identify the competences required to deliver effective cognitive and behavioural therapy for depression and anxiety disorders. Behavioural and Cognitive Psychotherapy, 36, 129–147.CrossRef

Shafran, R., Clark, D.M., Fairburn, C.G., Arntz, A., Barlow, D.H., Ehlers, A., Freeston, M., Garety, P.A., Hollon, S.D., Ost, L.G., Salkovskis, P.M., Williams, J.M. & Wilson, G.T. (2009). Mind the gap: improving the dissemination of CBT. Behaviour Research and Therapy, 47, 902–909.PubMedCrossRef

Sharpless, B.A. & Barber, J.P. (2009).A conceptual and empirical review of the meaning, measurement, development, and teaching of intervention competence in clinical psychology. Clinical Psychology Review, 29, 47–56.PubMedCrossRefPubMedCentral

Shaw, B.F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T.M., Dobson, K.S., Lowery, A., Sotsky, S.M., Watkins, J.T. & Imber, S.D. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837–846.PubMedCrossRef

Simons, A.D., Padesky, C.A., Montemarano, J., Lewis, C.C., Murakami, J., Lamb, K., DeVinney, S., Reid, M., Smith, D.A. & Beck, A.T. (2010). Training and dissemination of cognitive behavior therapy for depression in adults: A preliminary examination of therapist competence and client outcomes. Journal of Consulting and Clinical Psychology, 78, 751–756.PubMedCrossRef

Strunk, D.R., Brotman, M.A., De Rubeis, R. J. & Hollon, S.D. (2010). Therapist competence in cognitive therapy for depression: Predicting subsequent symptom change. Journal of Consulting and Clinical Psychology, 78, 429–437.PubMedCrossRefPubMedCentral

Trepka, C., Rees, A., Shapiro, D.A., Hardy, G.E. & Barkam, M. (2004). Therapist competence and outcome of cognitive therapy for depression. Cognitive Therapy and Research, 28, 143–157.CrossRef

Vallis, T.M., Shaw, B.F. & Dobson, K.S. (1986). The Cognitive Therapy Scale: psychometric properties. Journal of Consulting and Clinical Psychology, 54, 381–385.PubMedCrossRef

Waller, H., Garety, P.A., Jolley, S., Fornells-Ambrojo, M., Kuipers, E., Onwumere, J., Woodall, A. & Craig, T. (2013). Low intensity cognitive behavioural therapy for psychosis. Apilot study. Journal of Behavior Therapy and Experimental Psychiatry, 44, 98–104.PubMedCrossRef

Waltz, J., Addis, M.E., Koerner, K. & Jacobson, N.S. (1993). Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence. Journal of Consulting and Clinical Psychology, 61, 620–630.PubMedCrossRef

Webb, C.A., Rubeis, R. J. De & Barber, J.P. (2010). Therapist adherence/competence and treatment outcome: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 200–211.PubMedCrossRef

Westra, H.A., Constantino, M.J., Arkowitz, H. & Dozois, D. J.A. (2011). Therapist differences in cognitive-behavioral psychotherapy for generalized anxiety disorder: a pilot study. Psychotherapy, 48, 283–292.PubMedCrossRef

Young, J. & Beck, A.T. (1980). The development of the cognitive therapy scale. Philadelphia: Center for Cognitive Therapy.

Titel: Evidence-based behandelen van angst en depressie
Het belang van therapeutische competentie in de praktijk
Auteurs: Ernst Koster
Kristof Hoorelbeke
Nathan van den Bergh
Publicatiedatum: 01-07-2014
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Tijdschrift voor Psychotherapie / Uitgave 5/2014
Print ISSN: 0165-1188
Elektronisch ISSN: 1876-5637
DOI: https://doi.org/10.1007/s12485-014-0050-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Samenvatting

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2014

Psycho- en neurotrauma’s. Diagnostiek, behandeling, onderzoek en management. Zesde jaarcongres voor klinisch psychologen en klinisch neuropsychologen. Utrecht, 4 april 2014

Een haastig allegro

Complex trauma en complexe PTSS

Lidia Zylowska (2012). Mindfulness bij volwassenen met ADHD. Een achtstappenprogramma om emoties te beheersen, aandacht te verbeteren en doelen te bereiken. Amsterdam: Hogrefe. 223 p., € 22,50

Warren Mansell, Timothy Carey & Sara Tai (2013). A transdiagnostic approach to CBT using Methods of Levels Therapy. Londen/New York: Routledge. 175 p., € 15,-

Dupliek