Skills of Cognitive Therapy (SoCT): a new measure of patients' comprehension and use

Jarrett, Robin B.; Vittengl, Jeffrey R.; Clark, Lee Anna; Thase, Michael E.

doi:10.1037/a0022485

Cited by 79Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Skills of Cognitive Therapy (SoCT): a new measure of patients' comprehension and use

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Jarrett, Robin B., Vittengl, Jeffrey R., Clark, Lee Anna, Thase, Michael E.·2011·Psychological Assessment

DOI 10.1037/a0022485PMC PMC3144321

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Abstract

The authors describe the development and psychometric properties of a new measure called the Skills of Cognitive Therapy (SoCT) in depressed adults and their cognitive therapists. The 8-item SoCT assesses patients' understanding and use of basic cognitive therapy (CT) skills rated from the perspectives of both observers (SoCT-O; therapists in this report) and patients (SoCT-P). Ratings of patients' skill usage are made on 5-point Likert-type scales ranging from 1 (never) to 5 (always or when needed). Higher scores reflect greater patient skill in applying cognitive therapy principles and coping strategies. To develop this scale, a 33-item pool was used, rated by both patients and their therapists at the middle and end of CT (Ns = 359-416), and evaluated the reliability and concurrent and predictive validity of both versions of the scale. The SoCT has excellent internal consistency reliability and moderate correlations between the observer and patient versions. It is important to note that the SoCT showed good predictive validity for response when collected at the midpoint of acute phase CT. Considering both patients' self-ratings and clinicians' SoCT ratings, the odds ratio for responding to CT was 2.6. The practical utility of the SoCT is discussed, as well as its theoretical importance in research of patient CT skills (e.g., acquisition, comprehension, and generalization) as putative moderators or mechanisms of symptom change in the therapy.

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Assessing cognitive therapy skills comprehension, acquisition, and use by means of an independent observer version of the Skills of Cognitive Therapy (SoCT-IO).
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Authors: Jarrett, R. B., Vittengl, J. R., Clark, L. A., & Thase, M. E.
Affiliations: The University of Texas Southwestern Medical Center (US)
Truman State University (US)
University of Iowa (US)
University of Pittsburgh (US)
ORCID: Jarrett, Robin B.
Vittengl, Jeffrey R.
Clark, Lee Anna
Thase, Michael E.
Venue: Psychological Assessment
Publisher: American Psychological Association (APA)
Published: 2011
Volume: 23
Issue: 3
Pages: 578-586
ISSN: 1040-3590 (ISSN-L)
1939-134X
DOI: 10.1037/a0022485
PMC: PMC3144321
OpenAlex: W2016485027
Cited by: 79
References: 35
Citations by year: 2026: 1 · 2025: 2 · 2024: 3 · 2023: 7 · 2022: 7 · 2021: 6 · 2020: 5 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 7 · 2015: 8 · 2014: 5 · 2013: 5 · 2012: 3
FWCI: 5.77
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Psychological Assessment (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (K24 MH001571; R01 MH58397; R01 MH69619, R01 MH58356; R01 MH69618)
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: cognitive therapy, coping strategies, depression, scale development, psychometric properties, predictive validity, concurrent validity, internal consistency, patient self-report, therapist ratings
MeSH terms: Adult, Attitude to Health, Major Depressive Disorder, Factor Analysis, Statistical, Humans, Predictive Value of Tests, Professional Competence, Psychiatric Status Rating Scales, Psychological Tests, Surveys and Questionnaires, Reproducibility of Results, Cognitive Behavioral Therapy, Treatment Outcome, Comprehension

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Skills of Cognitive Therapy (SoCT): a new measure of patients' comprehension and use

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