TY - JOUR
T1 - Therapist fidelity with an exposure-based treatment of PTSD in adults with schizophrenia or schizoaffective disorder
AU - Long, Mary E.
AU - Grubaugh, Anouk L.
AU - Elhai, Jon D.
AU - Cusack, Karen J.
AU - Knapp, Rebecca
AU - Frueh, B. Christopher
PY - 2010/4
Y1 - 2010/4
N2 - This study examined therapists' fidelity to a manualized, multicomponent cognitive-behavioral intervention for posttraumatic stress disorder (PTSD), including exposure therapy, among public sector patients with a psychotic disorder. Independent raters assessed therapists' competence and adherence, rating 20% of randomly selected audio taped sessions (n=57 sessions, coded by two raters, with strong interrater agreement). Adherence ratings indicated that therapists complied well with the protocol, and competency ratings typically averaged "very good" or higher (6 on 7-point Likert scale). Findings suggest that therapists can effectively deliver a manualized cognitive-behavioral intervention for PTSD, with exposure therapy, to patients with severe mental illness without compromise to the structure of sessions and/or the therapeutic relationship.
AB - This study examined therapists' fidelity to a manualized, multicomponent cognitive-behavioral intervention for posttraumatic stress disorder (PTSD), including exposure therapy, among public sector patients with a psychotic disorder. Independent raters assessed therapists' competence and adherence, rating 20% of randomly selected audio taped sessions (n=57 sessions, coded by two raters, with strong interrater agreement). Adherence ratings indicated that therapists complied well with the protocol, and competency ratings typically averaged "very good" or higher (6 on 7-point Likert scale). Findings suggest that therapists can effectively deliver a manualized cognitive-behavioral intervention for PTSD, with exposure therapy, to patients with severe mental illness without compromise to the structure of sessions and/or the therapeutic relationship.
KW - Cognitive-behavioral therapy
KW - PTSD
KW - Severe mental illness
KW - Therapist fidelity
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U2 - 10.1002/jclp.20657
DO - 10.1002/jclp.20657
M3 - Article
C2 - 20112407
AN - SCOPUS:77949400463
VL - 66
SP - 383
EP - 393
JO - Journal of Clinical Psychology
JF - Journal of Clinical Psychology
SN - 0021-9762
IS - 4
ER -