Development of a satisfaction with therapy and therapist scale
Abstract
OBJECTIVE: While much work has gone into developing measures of specific factors in psychotherapy for depression, measures for non-specific factors have been lacking. This paper aims to develop a scale for a non-specific factor called 'Satisfaction with Therapy and Therapist Scale'. METHOD: Sixty-seven patients with major depression completed the questionnaires during the fourth session of cognitive therapy. The patients went through an assessment clinical interview using a SCID. They also completed the ATQ, BDI and DAS questionnaires during the fourth session. RESULTS: Principal component factor analysis with varimax rotation showed that the scale possesses two factors, 'Satisfaction with Therapy' and 'Client Evaluation of Therapist', accounting for 64.7% of the total variance. The alpha Cronbach for the two factors is 0.91 and 0.80 with the total scale alpha at 0.90. The scale also possesses good concurrent and discriminant validity. CONCLUSION: The Satisfaction with Therapy and Therapist Scale is an adequate measure for measuring a non-specific factor in psychotherapy.
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The Therapy and Therapist Scale-Revised has proved to have good measures of internal consistency and validity.
“User experience and satisfaction, in the intervention group only, will be assessed with the Therapy and Therapist Scale-Revised (STTS-R), a scale assessing both the aspects of the therapy method and the satisfaction with the therapist, and which has proved to have good measures of internal consistency and validity (36).”
Cites
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696 · see citing works
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678 · 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
Handbook of Psychotherapy and Behavior Change
Garfield, S. L., Bergin, A. E., & Dryden, W. (1987) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.1.4.264a · Cited by 3,998 · see citing works
Elkin, I. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810110013002 · Cited by 2,300 · see citing works
Smith, M. L., Glass, G. V., & Miller, T. I. (1980) · Medical Entomology and Zoology · Cited by 2,123 · see citing works
Comparative Studies of Psychotherapies: Is It True That "Everyone Has Won and All Must Have Prizes"?
Luborsky, L. (1975) · Archives of General Psychiatry · doi:10.1001/archpsyc.1975.01760260059004 · Cited by 1,485 · see citing works
Cognitive self-statements in depression: Development of an automatic thoughts questionnaire
Hollon, S. D., & Kendall, P. C. (1980) · Cognitive Therapy and Research · doi:10.1007/bf01178214 · Cited by 1,482 · see citing works
The role of the therapeutic alliance in psychotherapy.
Horvath, A. O., & Luborsky, L. B. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.4.561 · Cited by 1,283 · see citing works
The role of the therapeutic alliance in psychotherapy.
Horvath, A. O., & Luborsky, L. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.4.561 · Cited by 1,279 · see citing works
KRUPNICK, J. L., Sotsky, S. M., Simmens, S., Moyer, J., & al, E. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.3.532 · Cited by 732 · see citing works
Robinson, L. A., Berman, J., & Neimeyer, R. (1990) · Psychological bulletin · doi:10.1037/0033-2909.108.1.30 · Cited by 691 · see citing works
KRUPNICK, J. L., Sotsky, S. M., Simmens, S. J., Moyer, J., Elkin, I., Watkins, J., & Pilkonis, P. A. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.64.3.532 · Cited by 603 · see citing works
Placebo Theory, Research , and Mechanisms
WHITE, L. E., Tursky, B., & SCHWARTZ, G. E. R. (1985) · Guilford Press eBooks · Cited by 485 · see citing works
Shapiro, D. A., Barkham, M., Rees, A., Hardy, G. E., Reynolds, S., & Startup, M. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.3.522 · Cited by 485 · see citing works
(1991) · Cited by 439 · see citing works
The concept of the alliance and its role in psychotherapy: Theoretical and empirical considerations.
Gaston, L. (1990) · Psychotherapy · doi:10.1037/0033-3204.27.2.143 · Cited by 408 · see citing works
Therapeutic Factors in Psychotherapy
Frank, J. D. (1971) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1971.25.3.350 · Cited by 344 · 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
Cognitive therapy and pharmacotherapy for depression.
Hollon, S. D., Shelton, R. C., & Loosen, P. T. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.1.88 · Cited by 297 · see citing works
Factor analysis of the Dysfunctional Attitude Scale in a clinical population.
Beck, A. T., Brown, G. P., Steer, R. A., & Weissman, A. (1991) · Psychological Assessment · doi:10.1037/1040-3590.3.3.478 · Cited by 203 · see citing works
Cognitive therapy and pharmacotherapy for depression.
Hollon, S. D., Shelton, R. C., & Loosen, P. T. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.88 · Cited by 172 · see citing works
Handbook of Psychotherapy and Behavior Change: An Empirical Analysis, 2nd ed
Bloch, S. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.7.1004-a · Cited by 144 · see citing works
The therapeutic alliance in psychodynamic-interpersonal and cognitive-behavioral therapy.
Raue, P. J., Goldfried, M. R., & Barkham, M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.4.582 · Cited by 132 · see citing works
The therapeutic alliance in psychodynamic-interpersonal and cognitive-behavioral therapy.
Raue, P. J., Goldfried, M. R., & Barkham, M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.4.582 · Cited by 86 · see citing works
Oei, T. P. S., & Free, M. L. (1995) · International Journal of Psychology · doi:10.1080/00207599508246564 · Cited by 71 · see citing works
The impact of variations in treatment rationales on expectancies for therapeutic change
Kazdin, A. E., & Krouse, R. (1983) · Behavior Therapy · doi:10.1016/s0005-7894(83)80058-6 · Cited by 69 · see citing works
The Strength of the Therapeutic Alliance in Three Treatments for Depression
Salvio, M.-A., Beutler, L. E., Wood, J. M., & Engle, D. E. (1992) · Psychotherapy Research · doi:10.1080/10503309212331333578 · Cited by 67 · see citing works
Free, M., & Oei, T. (1989) · Clinical Psychology Review · doi:10.1016/0272-7358(89)90017-2 · Cited by 44 · see citing works
Specific and nonspecific factors in psychotherapy: A case of cognitive therapy for depression
Oei, T. P. S., & Shuttlewood, G. J. (1996) · Clinical Psychology Review · doi:10.1016/0272-7358(96)00009-8 · Cited by 42 · see citing works
Comparison of specific and nonspecific factors in a group cognitive therapy for depression.
Oei, T., & Shuttlewood, G. (1997) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(97)00019-0 · Cited by 36 · see citing works
Treatment outcome of a group cognitive therapy program for depression.
Free, M., Oei, T., & Sanders, M. R. (1991) · International journal of group psychotherapy · doi:10.1080/00207284.1991.11490679 · Cited by 35 · see citing works
Torrey, Ε. F. (1972) · Cited by 33 · see citing works
The logical consequences of the common-factor definition of the term placebo..
Kirsch, I. (1985) · American Psychologist · doi:10.1037/0003-066x.40.2.237 · Cited by 15 · see citing works
The influence of therapy rationales upon perceptions of clinical problems1
Wollersheim, J. P., Bordewick, M. C., Knapp, M., McLellarn, R. W., & Paul, W. (1982) · Cognitive Therapy and Research · doi:10.1007/bf01183889 · Cited by 10 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The effectiveness of group cognitive behaviour therapy for unipolar depressive disorders
Oei, T. P. S., & Dingle, G. A. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.07.018 · Cited by 117 · see citing works
Oei, T. P. S., & Green, A. L. (2008) · Professional Psychology: Research and Practice · doi:10.1037/0735-7028.39.4.435 · Cited by 109 · see citing works
Olsen, S., Smith, S. S., Oei, T. P. S., & Douglas, J. A. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0026302 · Cited by 100 · see citing works
Xiao, J., Chow, K. M., Choi, K. C., Ng, M. S. N., Huang, C., Ding, J., & Chan, C. W. H. (2022) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2022.104217 · Cited by 79 · see citing works
Tailoring cannabis dependence treatment for a diverse population
Steinberg, K. L., Roffman, R. A., Carroll, K. M., Kabela, E., Kadden, R., Miller, M., Duresky, D., & The Marijuana Treatment Project Research Group (2002) · Addiction · doi:10.1046/j.1360-0443.97.s01.5.x · Cited by 64 · see citing works
Tsaousides, T., D'Antonio, E., Varbanova, V., & Spielman, L. (2014) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2014.907186 · Cited by 49 · see citing works
Client articulated avoidance goals in the therapy context.
Elliot, A. J., & Church, M. A. (2002) · Journal of Counseling Psychology · doi:10.1037/0022-0167.49.2.243 · Cited by 78 · see citing works
Tsaousides, T., Spielman, L. A., Kajankova, M., Guetta, G., Gordon, W. A., & Dams-O’Connor, K. (2017) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000000345 · Cited by 32 · see citing works
HOW PSYCHIATRIC TREATMENTS CAN ENHANCE PSYCHOLOGICAL DEFENSE MECHANISMS
Bowins, B. E. (2006) · The American Journal of Psychoanalysis · doi:10.1007/s11231-006-9014-6 · Cited by 27 · see citing works
Gunst, A., Ventus, D., Arver, S., Dhejne, C., Öberg, K. G., Zamore-Söderström, E., & Jern, P. (2018) · The Journal of Sex Research · doi:10.1080/00224499.2018.1539463 · Cited by 21 · see citing works
Addressing Adoption in Counseling: A Study of Adult Adoptees' Counseling Satisfaction
Baden, A. L., Kitchen, A., Mazza, J. R., Harrington, E. S., & White, E. E. (2017) · Families in Society The Journal of Contemporary Social Services · doi:10.1606/1044-3894.2017.98.26 · Cited by 15 · see citing works
Dodgson, G., Alderson-Day, B., Smailes, D., Ryles, F., Mayer, C., Glen-Davison, J., Mitrenga, K., & Fernyhough, C. (2020) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000661 · Cited by 16 · see citing works
Dodgson, G., Aynsworth, C., Mitrenga, K. J., Gibbs, C., Patton, V., Fernyhough, C., Dudley, R. E. J., Ewels, C., Leach, L., Alderson‐Day, B., et al. (2020) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12323 · Cited by 14 · see citing works
Alfonsson, S., Olsson, E. M. G., & Hursti, T. J. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.07.005 · Cited by 14 · see citing works
Effect of patient dissatisfaction with the therapist on group therapy outcome
Ogrodniczuk, J. S., Joyce, A. S., & Piper, W. E. (2007) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.526 · Cited by 11 · see citing works
Chapellier, V., Pavlidou, A., Mueller, D. R., & Walther, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.909703 · Cited by 10 · see citing works
Service user satisfaction with individual psychotherapy for people with intellectual disabilities
Khan, M. M., & Beail, N. (2013) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/amhid-06-2013-0046 · Cited by 9 · see citing works
Acceptability of a transdiagnostic behavior therapy in veterans with affective disorders.
Shapiro, M. O., & Grös, D. F. (2020) · Psychological Services · doi:10.1037/ser0000490 · Cited by 8 · see citing works
Lebel, S., Maheu, C., Tomei, C., Mutsaers, B., Bernstein, L. J., Courbasson, C. M. A., Ferguson, S. E., Harris, C. A., Jolicoeur, L. J. A., Lefèbvre, M., et al. (2022) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000077 · Cited by 7 · see citing works
Randomized Clinical Trials in Counseling
Whiston, S. C., & Campbell, W. L. (2010) · Counseling Outcome Research and Evaluation · doi:10.1177/2150137809356681 · Cited by 7 · see citing works
Eze, A., Anyebe, M. O., Nnamani, R. G., Nwaogaidu, J. C., Mmegwa, P. U., Akubo, E. A., Bako, V. N., ISHAYA, S. N., Eze, M. I., Ekwueme, F. O., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1140300 · Cited by 6 · see citing works
Thonon, B., Levaux, M., Libera, C. D., & Larøi, F. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22963 · Cited by 6 · see citing works
Håkansson, A., Cronhjort, M., Lidin-Darlington, P., Lilja, G., Nilsson, A., Schandl, A., & Friberg, H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.907215 · Cited by 5 · see citing works
“User experience and satisfaction, in the intervention group only, will be assessed with the Therapy and Therapist Scale-Revised (STTS-R), a scale assessing both the aspects of the therapy method and the satisfaction with the therapist, and which has proved to have good measures of internal consistency and validity (36…”
MethodHamilton, J., Arnott, B., Aynsworth, C., Barclay, N. A., Birkett, L., Brandon, T., Dixon, L., Dudley, R. E. J., Einbeck, J., Gibbs, C., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-076101 · Cited by 5 · see citing works
Dodgson, G., Singh, A., Barclay, N. A., Birkett, L., Boyle, C., Brandon, T., Dudley, R., Einbeck, J., Gibbs, C., Hamilton, J., et al. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116564 · Cited by 4 · see citing works
Luo, Y., Wang, J., Gan, G., Liu, M., Lu, Z., Jia, S., Huang, M., Wang, S., Gan, M., Xie, J., et al. (2024) · BMC Psychology · doi:10.1186/s40359-024-02215-5 · Cited by 4 · see citing works
Nauphal, M., Leyfer, O. T., Ward‐Ciesielski, E. F., & Pincus, D. B. (2020) · Child Psychiatry & Human Development · doi:10.1007/s10578-020-01052-y · Cited by 4 · see citing works
Malta, G. D., She, Z., Raymond‐Barker, B., & Cooper, M. (2023) · Journal of Clinical Psychology · doi:10.1002/jclp.23525 · Cited by 4 · see citing works
Davis, N. O., Eichner, B., Gibson, M., & Lunsford‐Avery, J. R. (2026) · Frontiers in Sleep · doi:10.3389/frsle.2025.1662221 · Cited by 3 · see citing works
Kayser, J., Zheng, C., Turner, S., & Xiang, X. (2024) · Clinical Gerontologist · doi:10.1080/07317115.2024.2440373 · Cited by 3 · see citing works
Maheu, C., Parkinson, M., Johnson, K., Tock, W. L., Dolgoy, N. D., Dupuis, S.-P., & Singh, M. D. (2025) · Current Oncology · doi:10.3390/curroncol32050266 · Cited by 2 · see citing works
Olsen, S., Smith, S. S., Oei, T. P. S., & Douglas, J. A. (2011) · Centre for Accident Research & Road Safety - Qld (CARRS-Q); Faculty of Health; Institute of Health and Biomedical Innovation · Cited by 2 · see citing works
Moccia, C., & Bowyer, H. L. (2024) · Counselling and Psychotherapy Research · doi:10.1002/capr.12748 · Cited by 1 · see citing works
Harris, C. A., Giguère, L., Chu, A. K., Lamarche, J., Langmuir, T., Menelas, K., Rutkowski, N. A., Sehabi, G., & Lebel, S. (2025) · Psycho-Oncology · doi:10.1002/pon.70140 · Cited by 1 · see citing works
Egger, M., Strobl, R., Vogelgesang, L., Reitelbach, J., Grill, E., & Jahn, K. (2026) · Journal of Neurology · doi:10.1007/s00415-026-13693-5 · Cited by 1 · see citing works
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McCombie, I. F. (2009) · Cross Connect (Southern Cross University)
Qin, N., Luo, Y., Wang, S., Li, Y., Li, J., Luo, J., Zhou, J., Zhang, Q., Xie, J., & Cheng, A. S. K. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-086489
McKenzie, R., Hwang, L. J., Feng, B., & Phillips, E. J. (2025) · Journal of American College Health · doi:10.1080/07448481.2025.2496979
O’Neil-Pirozzi, T. M., & Kolesnik, S. (2025) · American Journal of Speech-Language Pathology · doi:10.1044/2025_ajslp-24-00542
Fitzpatrick, S., Arunagiri, V., Traynor, J. M., Fredborg, B. K., Daros, A. R., Crenshaw, A. O., Fitzpatrick, D., McMain, S., Monson, C. M., Courey, L., et al. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08374-6
- Authors
- Oei, T. P. S., & Shuttlewood, G. J.
- Affiliations
- The University of Queensland (AU)
- ORCID
- Oei, Tian P. S.
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 1999-10
- Volume
- 33
- Issue
- 5
- Pages
- 748-753
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2100776791
- Cited by
- 43
- References
- 34
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 4 · 2020: 5 · 2018: 1 · 2017: 3 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Research Council
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- major depressive disorder, cognitive therapy, scale development, psychometric validation, concurrent validity, discriminant validity
- MeSH terms
- Adult, Aged, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Professional-Patient Relations, Psychiatric Status Rating Scales, Psychotherapy, Surveys and Questionnaires, Treatment Outcome, Patient Satisfaction
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