Background:Evidence-based treatment for panic disorder consists of disorder-specific cognitive behavioural therapy (CBT) protocols. However, most measures of CBT competence are generic and there is a clear need for disorder-specific assessment measures.Aims:To fill this gap, we evaluated the psychometric properties of the Cognitive Therapy Competence Scale (CTCP) for panic disorder.Method:CBT trainees (n = 60) submitted audio recordings of CBT for panic disorder that were scored on a generic competence measure, the Cognitive Therapy Scale – Revised (CTS-R), and the CTCP by markers with experience in CBT practice and evaluation. Trainees also provided pre- to post-treatment clinical outcomes on disorder-specific patient report measures for cases corresponding to their therapy recordings.Results:The CTCP exhibited strong internal consistency (α = .79–.91) and inter-rater reliability (ICC = .70–.88). The measure demonstrated convergent validity with the CTS-R (r = .40–.54), although investigation into competence classification indicated that the CTCP may be more sensitive at detecting competence for panic disorder-specific CBT skills. Notably, the CTCP demonstrated the first indication of a relationship between therapist competence and clinical outcome for panic disorder (r = .29–.35); no relationship was found for the CTS-R.Conclusions:These findings provide initial support for the reliability and validity of the CTCP for assessing therapist competence in CBT for panic disorder and support the use of anxiety disorder-specific competence measures. Further investigation into the psychometric properties of the measure in other therapist cohorts and its relationship with clinical outcomes is recommended.

中文翻译：

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评估恐慌症的特定能力：评估恐慌症的认知治疗能力量表

背景：恐慌症的循证治疗包括疾病特异性认知行为疗法（CBT）方案。然而，大多数 CBT 能力的衡量标准是通用的，显然需要针对特定​​疾病的评估措施。目的：为了填补这一空白，我们评估了恐慌症认知治疗能力量表 (CTCP) 的心理测量特性。方法：CBT实习生（n= 60) 提交了针对恐慌症的 CBT 录音，这些录音通过具有 CBT 实践和评估经验的标记在通用能力测量、认知治疗量表 - 修订版 (CTS-R) 和 CTCP 上进行评分。受训者还针对与他们的治疗记录相对应的病例提供了针对特定疾病患者报告测量的治疗前后临床结果。结果：CTCP 表现出很强的内部一致性 (α = .79–.91) 和评估者间可靠性 (ICC = .70–.88)。该测量证明了与 CTS-R 的收敛效度 (r= .40–.54），尽管对能力分类的调查表明，CTCP 在检测恐慌症特定 CBT 技能的能力方面可能更敏感。值得注意的是，CTCP 首次表明了治疗师能力与恐慌症临床结果之间的关系。r= .29–.35); 没有发现 CTS-R 的相关性。结论：这些发现为 CTCP 评估恐慌症 CBT 治疗师能力的可靠性和有效性提供了初步支持，并支持使用焦虑症特异性能力测量。建议进一步调查其他治疗师队列中测量的心理测量特性及其与临床结果的关系。