Assessing patients' cognitive therapy skills: initial evaluation of the competencies of cognitive therapy scale

Strunk, Daniel R.; Hollars, Shannon N.; Adler, Abby D.; Goldstein, Lizabeth A.; Braun, Justin D.

doi:10.1007/s10608-014-9617-9

Cited by 95Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Assessing patients' cognitive therapy skills: initial evaluation of the competencies of cognitive therapy scale

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Strunk, Daniel R., Hollars, Shannon N., Adler, Abby D., Goldstein, Lizabeth A., Braun, Justin D.·2014·Cognitive Therapy and Research

DOI 10.1007/s10608-014-9617-9PMC PMC4232848

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Abstract

In Cognitive Therapy (CT), therapists work to help patients develop skills to cope with negative affect. Most current methods of assessing patients' skills are cumbersome and impractical for clinical use. To address this issue, we developed and conducted an initial psychometric evaluation of self and therapist reported versions of a new measure of CT skills: the Competencies of Cognitive Therapy Scale (CCTS). We evaluated the CCTS at intake and post-treatment in a sample of 67 patients participating in CT. The CCTS correlated with a preexisting measure of CT skills (the Ways of Responding Questionnaire) and was also related to concurrent depressive symptoms. Across CT, self-reported improvements in CT competencies were associated with greater changes in depressive symptoms. These findings offer initial evidence for the validity of the CCTS. We discuss the CCTS in comparison with other measures of CT skills and suggest future research directions.

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The study controlled for two plausible confounds: prior symptom change and concurrent symptoms.
“we controlled for two plausible confounds: prior symptom change and concurrent symptoms (Strunk et al., 2014).”
From Differential role of CBT skills, DBT skills and psychological flexibility in predicting depressive versus anxiety symptom improvement (2016) · cites this paper as Strunk et al., 2014
In Results, “Does the CCTS merely measure symptom severity?” (page unavailable), Strunk et al. report controlling for depressive symptoms measured at the same assessment. In “Relation of the CCTS and Change in Depressive Symptoms” (page unavailable), they control for intake symptom scores when examining intake-to-post-treatment change, but do not report controlling for prior symptom change. Thus the citation supports the concurrent-symptoms part, not both stated confounds. (LLM, conf=0.83)
Experimental — accuracy not yet measured
Greater depressive symptom improvement is associated with greater acquisition and use of CBT skills, as measured by the SoCT, CBTSQ, and CCTS.
“Studies using these measures have reported that greater depressive symptom improvement is associated with greater acquisition and use of CBT skills, as assessed by the SoCT (Jarrett et al., 2011; 2013), CBTSQ (Jacob et al., 2011; Webb et al., 2013) and CCTS (Strunk et al., 2014).”
From Differential role of CBT skills, DBT skills and psychological flexibility in predicting depressive versus anxiety symptom improvement (2016) · cites this paper as Strunk et al., 2014
Self-reported CBT skills measures may inadvertently measure and be confounded with concurrent symptoms.
“others have noted how measures of self-reported CBT skills may inadvertently measure and be confounded with concurrent symptoms (Strunk et al., 2014).”
From Differential role of CBT skills, DBT skills and psychological flexibility in predicting depressive versus anxiety symptom improvement (2016) · cites this paper as Strunk et al., 2014

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A rating scale for depression
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817 · see citing works
From dissertation abstracts international
(1974) · ACM SIGGRAPH Computer Graphics · doi:10.1145/988616.988619 · Cited by 12,207 · see citing works
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678 · see citing works
Untitled work
(1975) · Medical Entomology and Zoology · Cited by 7,245 · see citing works
Depression. Clinical, Experimental, and Theoretical Aspects.
(1968) · Annals of Internal Medicine · doi:10.7326/0003-4819-68-2-502 · Cited by 5,232 · see citing works
Cognitive Therapy of Depression
HOLLON, S. D., & BECK, A. T. (1979) · Cognitive-Behavioral Interventions · doi:10.1016/b978-0-12-404480-7.50012-5 · Cited by 4,685 · see citing works
Cognitive Therapy and the Emotional Disorders
Ince, L. P. (1977) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1977.31.4.633 · Cited by 2,889 · see citing works
National Institute of Mental Health Treatment of Depression Collaborative Research Program: General Effectiveness of Treatments
Elkin, I. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810110013002 · Cited by 2,300 · see citing works
Untitled work
Wilamowska (2010) · doi:10.1001/archpsyc.1988.01800320058007 · Cited by 2,115 · see citing works
Journal of Psychotherapy Practice and Research
Terrell, C. D. (1993) · JAMA · doi:10.1001/jama.1993.03510010107047 · Cited by 1,696 · see citing works
Cognitive therapy and emotional disorders
Wolpe, J. (1977) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(77)90053-2 · Cited by 1,282 · see citing works
Cognitive Therapy vs Medications in the Treatment of Moderate to Severe Depression
DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., O’Reardon, J. P., Lovett, M. L., Gladis, M. M., Brown, L. L., et al. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.4.409 · Cited by 989 · see citing works
Depression and general psychopathology in university students.
Gotlib, I. H. (1984) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.93.1.19 · Cited by 537 · see citing works
Depression and general psychopathology in university students.
Gotlib, I. H. (1984) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.93.1.19 · Cited by 343 · see citing works
The D ysfunctional Att itude Scale: A Validation Study
Weissman, A. (1979) · Scholarly Commons (University of Pennsylvania) · Cited by 330 · see citing works
Behavioral Assessment
Wacker, D. P., Northup, J., & Cooper, L. (1992) · Springer eBooks · doi:10.1007/978-1-4612-2774-8_4 · Cited by 321 · see citing works
Unique and common mechanisms of change across cognitive and dynamic psychotherapies.
Gibbons, M. B. C., Crits-Christoph, P. F., Barber, J. P., Stirman, S. W., Gallop, R., Goldstein, L. A., Temes, C. M., & Ring‐Kurtz, S. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0016596 · Cited by 166 · see citing works
Self-citation
Patients' competence in and performance of cognitive therapy skills: Relation to the reduction of relapse risk following treatment for depression
Strunk, D. R., DeRubeis, R. J., Chiu, A. W., & Alvarez, J. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.4.523 · Cited by 159 · see citing works
Self-citation
The Relationship Between Use of CBT Skills and Depression Treatment Outcome: A Theoretical and Methodological Review of the Literature
Hundt, N. E., Mignogna, J., Underhill, C., & Cully, J. A. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.10.001 · Cited by 143 · see citing works
Development and validation of the cognitive-behavioral therapy skills questionnaire
Jacob, K. L., Christopher, M. S., & Neuhaus, E. C. (2011) · Behavior Modification · doi:10.1177/0145445511419254 · Cited by 94 · cited 3× · see citing works
“Multiple measures of CT skills have been proposed recently, including two measures evaluated in large samples: the Skills of Cognitive Therapy (SoCT; Jarrett et al. 2011) and the Cognitive-Behavioral Therapy Skills Questionnaire (Jacob et al. 2011).1 Each of these scales has been shown to predict improvement in depres…”
Skills of Cognitive Therapy (SoCT): a new measure of patients' comprehension and use
Jarrett, R. B., Vittengl, J. R., Clark, L. A., & Thase, M. E. (2011) · Psychological Assessment · doi:10.1037/a0022485 · Cited by 79 · see citing works
Change in compensatory skills in cognitive therapy for depression.
Barber, J. P., & DeRubeis, R. J. (2001) · PubMed Central · Cited by 77 · see citing works
What Changes in Cognitive Therapy for Depression? An Examination of Cognitive Therapy Skills and Maladaptive Beliefs
Adler, A. D., Strunk, D. R., & Fazio, R. (2014) · The Behavior Therapist · doi:10.1016/j.beth.2014.09.001 · Cited by 71 · see citing works
Self-citation
Predictors of patient cognitive therapy skills and symptom change in two randomized clinical trials: The role of therapist adherence and the therapeutic alliance.
Webb, C. A., DeRubeis, R. J., Dimidjian, S., Hollon, S. D., Amsterdam, J. D., & Shelton, R. C. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0027663 · Cited by 51 · see citing works
Acute phase cognitive therapy for recurrent major depressive disorder: Who drops out and how much do patient skills influence response?
Jarrett, R. B., Minhajuddin, A., Kangas, J. L., Friedman, E. S., Callan, J. A., & Thase, M. E. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.01.006 · Cited by 48 · see citing works
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Strunk, D. R., & DeRubeis, R. J. (2001) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.15.4.289 · Cited by 43 · see citing works
Self-citation
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Adler, A., Conklin, L. R., & Strunk, D. R. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21993 · Cited by 18 · see citing works
Self-citation
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Kapson, H. S., Leddy, M. A., & Haaga, D. A. F. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21903 · Cited by 15 · see citing works
What Changes in Cognitive Therapy for Depression?
Adler, A., Strunk, D. R., & Fazio, R. H. (2015) · PsycEXTRA Dataset · doi:10.1037/e521662015-006 · Cited by 1 · see citing works
Self-citation

Flagged first, then by citations

Research works printed but not linked: 3

First MB Spitzer RL Miriam G Williams JBW 2002 Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) New York Biometrics Research, New York State Psychiatric Institute
Strunk DR 2009 Competencies of cognitive therapy scale Unpublished instrument PMC4232848 25408560
Weissman AN 1979 The Dysfunctional Attitude Scale: A validation study Dissertation Abstracts International 40 1389B 1390B

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Authors: Strunk, D. R., Hollars, S. N., Adler, A. D., Goldstein, L. A., & Braun, J. D.
Affiliations: The Ohio State University (US)
Corresponding author: Strunk, Daniel R.
ORCID: Strunk, Daniel R.
Hollars, Shannon N.
Goldstein, Lizabeth A.
Venue: Cognitive Therapy and Research
Publisher: Springer Science and Business Media LLC
Published: 2014-04-17
Volume: 38
Issue: 5
Pages: 559-569
ISSN: 0147-5916 (ISSN-L)
1573-2819
DOI: 10.1007/s10608-014-9617-9
PMC: PMC4232848
OpenAlex: W2057454138
Cited by: 95
References: 29
Citations by year: 2026: 14 · 2025: 6 · 2024: 3 · 2023: 13 · 2022: 16 · 2021: 14 · 2020: 4 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 5
FWCI: 7.42
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Cognitive Therapy and Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Center for Research Resources (TL1RR025753)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords: psychometric validation, self-report measures, depressive symptoms, cognitive therapy

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Assessing patients' cognitive therapy skills: initial evaluation of the competencies of cognitive therapy scale

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