Objective: In cognitive behavioural therapy (CBT), case formulation (CF) is an integral process in ensuring clinicians’ work is grounded in evidence-based practice (EBP). The objective of this study was to evaluate psychologists’ perceptions and self-reported applications of CBT-CF, and whether these differed according to clinician experience, training, and professional accreditation. Method: A scale was developed to assess CF beliefs and applications by clinicians who had been practising CBT for a minimum of 6 months. The development of scale items was based on two CBT-CF conceptual models. Seventy-nine psychologists registered in Australia took part in this online survey. Results: Psychologists’ beliefs pertaining to CBT CF supported a three-factor model. On average, psychologists perceived all activities related to CF at least moderately important, and were implemented at least some of the time. However, activities related to use of external evidence were rated as less important, and less frequently implemented. Clinical psychologists endorsed theory and EBP in structuring CF as more important, which also translated into self-reported practice of CF CBT implementation relative to generalist psychologists. Conclusions: The findings indicate some gaps in the knowledge and application of CF CBT in clinical practice and has implications in strengthening clinician training in CF CBT.

中文翻译：

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认知行为疗法 (CBT) 案例制定中的循证实践：从业者认为什么是重要的，他们做什么？

客观的：在认知行为疗法 (CBT) 中，案例制定 (CF) 是确保临床医生的工作以循证实践 (EBP) 为基础的一个不可或缺的过程。本研究的目的是评估心理学家对 CBT-CF 的看法和自我报告的应用，以及这些是否因临床医生经验、培训和专业认证而有所不同。方法：开发了一个量表来评估已经实施 CBT 至少 6 个月的临床医生对 CF 的信念和应用。量表项目的开发基于两个 CBT-CF 概念模型。在澳大利亚注册的 79 名心理学家参加了这项在线调查。结果：心理学家关于 CBT CF 的信念支持三因素模型。平均而言，心理学家认为所有与 CF 相关的活动至少具有中等重要性，并且至少在某些时候实施。然而，与使用外部证据相关的活动被评为不太重要，实施频率较低。临床心理学家认可理论和 EBP 在构建 CF 时更为重要，这也转化为相对于通才心理学家自我报告的 CF CBT 实施实践。结论：研究结果表明 CF CBT 在临床实践中的知识和应用存在一些差距，并且对加强临床医生在 CF CBT 方面的培训具有重要意义。