Therapist fidelity with an exposure-based treatment of ptsd in adults with schizophrenia or schizoaffective disorder

✍ Scribed by Mary E. Long; Anouk L. Grubaugh; Jon D. Elhai; Karen J. Cusack; Rebecca Knapp; B. Christopher Frueh

• Book ID: 102307199
• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 121 KB
• Volume: 66
• Category: Article
• ISSN: 0021-9762
• DOI: 10.1002/jclp.20657

✦ Synopsis

Abstract

This study examined therapists' fidelity to a manualized, multicomponent cognitive‐behavioral intervention for posttraumatic stress disorder (PTSD), including exposure therapy, among public sector patients with a psychotic disorder. Independent raters assessed therapists' competence and adherence, rating 20% of randomly selected audio taped sessions (n=57 sessions, coded by two raters, with strong interrater agreement). Adherence ratings indicated that therapists complied well with the protocol, and competency ratings typically averaged “very good” or higher (6 on 7‐point Likert scale). Findings suggest that therapists can effectively deliver a manualized cognitive‐behavioral intervention for PTSD, with exposure therapy, to patients with severe mental illness without compromise to the structure of sessions and/or the therapeutic relationship. © 2010 Wiley Periodicals, Inc. J Clin Psychol 66:1–11, 2010.