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Therapists’ Perceived Competence in Trauma-Focused Cognitive Behavioral Therapy and Client Outcomes: Findings From a Community-Based Learning Collaborative
Child Maltreatment ( IF 4.5 ) Pub Date : 2021-03-30 , DOI: 10.1177/10775595211003673
Hannah C Espeleta 1 , Samuel O Peer 2 , Funlola Are 3 , Rochelle F Hanson 4
Affiliation  

This study examined therapists’ perceived competence in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and its association with youth treatment outcomes (posttraumatic stress and depression). Participants included 99 community therapists enrolled in a TF-CBT-focused Learning Collaborative (LC), along with one of their randomly selected TF-CBT training cases. Analyzed data included: 1) caregiver/youth-reported posttraumatic stress and depressive symptoms, pre- and post-treatment, and 2) therapist-perceived competence with TF-CBT components across treatment delivery. Youth- and caregiver-reports indicated large, significant pre- to post-treatment decreases in youth posttraumatic stress (ds = 1.10–1.30, ps < .001) and depressive symptoms (d = 1.01, p < .001). Higher therapist-perceived competence with TF-CBT predicted positive treatment responses for posttraumatic stress (ds = 0.38–0.39, ps = .03) and depression (d = 0.25), though only the former association was significant (ps = .03 vs. p = .15). Findings highlight the need to monitor and improve therapists’ competencies to enhance clinical outcomes for trauma-exposed youth and suggest that LCs may be an effective training/implementation model to help achieve those critical goals.



中文翻译:

治疗师在以创伤为中心的认知行为治疗和客户结果中的感知能力:来自基于社区的学习合作的发现

本研究考察了治疗师在以创伤为中心的认知行为疗法 (TF-CBT) 中的感知能力及其与青少年治疗结果(创伤后压力和抑郁)的关系。参与者包括参加以 TF-CBT 为重点的学习协作 (LC) 的 99 名社区治疗师,以及他们随机选择的一个 TF-CBT 培训案例。分析的数据包括:1) 护理人员/青少年报告的创伤后压力和抑郁症状、治疗前和治疗后,以及 2) 治疗师在整个治疗过程中感知到的 TF-CBT 成分的能力。青少年和看护者报告表明,青少年创伤后压力(d s = 1.10–1.30,p s < .001)和抑郁症状(d = 1.01,p < .001)。治疗师感知到的 TF-CBT 能力较高可预测对创伤后压力(d s = 0.38-0.39,p s = .03)和抑郁症(d = 0.25)的积极治疗反应,尽管只有前一种关联是显着的(p s = . 03 与p = .15)。调查结果强调需要监测和提高治疗师的能力,以提高遭受创伤的青年的临床结果,并表明 LC 可能是帮助实现这些关键目标的有效培训/实施模式。

更新日期:2021-03-30
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