A preliminary evaluation of the CBT Decision Making Questionnaire for Anxiety and Related Disorders (CDMQ-A),Clinical Psychologist

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A preliminary evaluation of the CBT Decision Making Questionnaire for Anxiety and Related Disorders (CDMQ-A)
Clinical Psychologist ( IF 1.2 ) Pub Date : 2022-01-31 , DOI: 10.1080/13284207.2021.2023488
Karen Moses ₁ , Bethany Wootton _{2,

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Affiliation

ABSTRACT

Objective

Cognitive-behavioural therapy (CBT) is effective for the treatment of anxiety and related disorders (ARDs). Despite this, the use of best-practice CBT in clinical practice is low. While training and assessment strategies have been developed to improve this science-practice gap, both within the educational and clinical training space, many of the assessment techniques developed to enhance the use of best practice CBT remain impractical to use in busy training settings and are prone to bias.

Method

The current study presents a preliminary evaluation of the CBT Decision-Making Questionnaire for Anxiety and Related Disorders (CDMQ-A). The CDMQ-A contains vignettes covering seven diagnostic categories, each followed by three questions, resulting in a 21-item questionnaire designed to assess CBT decision-making in the treatment of ARDs in adult patients. A sample of expert (N = 7) (M_age = 42.14; SD = 5.64; 57.1% female) and provisionally registered psychologists (N = 104) (M_age = 30.76; SD = 8.32; 82.7% female) completed the measure.

Results

Experts indicated that the vignettes demonstrated satisfactory face and ecological validity. Results indicated that the CDMQ-A can effectively discriminate between experts and provisionally registered psychologists with the expert sample scoring significantly higher than the provisionally registered psychologists t(10.63) = 6.9, p = .01; d = 1.74).

Conclusions

Implications for training and clinical practice are discussed.

KEY POINTS

What is already known about this topic:

Cognitive-behavioral therapy is effective for the treatment of anxiety and related disorders.
Despite evidence, the use of cognitive-behavioral therapy in clinical practice is low.
Techniques available to assess and enhance the use of cognitive-behavioral therapy remain impractical to use in busy training settings and are prone to bias.

What this topic adds:

The current study presents a preliminary evaluation of the CBT Decision Making Questionnaire for Anxiety and Related Disorders.
Results indicated that the questionnaire can effectively discriminate between experts and provisionally registered psychologists.
The development and use of such tools have the potential to have significant implications for the dissemination and implementation of evidence-based practice, particularly within busy educational settings.

中文翻译：

对焦虑和相关疾病的 CBT 决策问卷 (CDMQ-A) 的初步评估

摘要

客观的

认知行为疗法 (CBT) 可有效治疗焦虑症及相关疾病 (ARD)。尽管如此，最佳实践 CBT 在临床实践中的使用率很低。虽然已经制定了培训和评估策略来改善教育和临床培训领域内的这种科学实践差距，但为加强最佳实践 CBT 的使用而开发的许多评估技术仍然无法在繁忙的培训环境中使用，并且很容易出现偏向。

方法

目前的研究对焦虑和相关疾病的 CBT 决策问卷 (CDMQ-A) 进行了初步评估。CDMQ-A 包含涵盖七个诊断类别的小插曲，每个类别后跟三个问题，形成一份 21 项问卷，旨在评估成人患者 ARD 治疗中的 CBT 决策。专家样本（N = 7）（M_年龄 = 42.14；SD = 5.64；57.1% 女性）和临时注册心理学家（N = 104）（M_年龄 = 30.76；SD = 8.32；82.7% 女性）完成了测量。