Therapist fidelity with an exposure-based treatment of PTSD in adults with schizophrenia or schizoaffective disorder

Mary E. Long, Anouk L. Grubaugh, Jon D. Elhai, Karen J. Cusack, Rebecca Knapp, B. Christopher Frueh

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)383-393
Number of pages11
JournalJournal of Clinical Psychology
Volume66
Issue number4
DOIs
StatePublished - Apr 2010

Keywords

  • Cognitive-behavioral therapy
  • PTSD
  • Severe mental illness
  • Therapist fidelity

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Psychology

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