Facets of clinicians' anxiety and the delivery of cognitive behavioral therapy

Psychological therapists commonly fail to adhere to treatment protocols in everyday clinical practice. In part, this pattern of drift is attributable to anxious therapists being less likely to undertake some elements of evidence-based therapies – particularly the exposure-based elements. This study...

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Bibliographic Details
Published in:Behaviour research and therapy 2016-02, Vol.77, p.157-161
Main Authors: Levita, Liat, Salas Duhne, Paulina Gonzalez, Girling, Carla, Waller, Glenn
Format: Article
Language:English
Subjects:
Adult
Anxiety
Anxiety - psychology
Anxiety Disorders - therapy
Attitude of Health Personnel
Behavior modification
Clinical medicine
Clinician anxiety
Cognitive ability
Cognitive behavioral therapy
Cognitive therapy
Cognitive Therapy - methods
Cognitive-behavioral factors
Conductance
Evidence based
Exposure
Female
Galvanic skin response
Heart rate
Humans
Intolerance
Male
Physicians
Physiological reactivity
Professional Competence
Reactivity
Risk taking
Skin conductance response
Therapists
Uncertainty
Variability
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Summary:Psychological therapists commonly fail to adhere to treatment protocols in everyday clinical practice. In part, this pattern of drift is attributable to anxious therapists being less likely to undertake some elements of evidence-based therapies – particularly the exposure-based elements. This study considers what facets of anxiety (cognitive, behavioral, physiological) are related to junior clinicians' reported use of cognitive-behavioral therapy techniques. Thirty-two clinicians (mean age = 28.9 years; mean length of CBT experience = 1.5 years; 23 female, nine male) who offered CBT were assessed for their cognitive, behavioral and physiological characteristics (Intolerance of Uncertainty scale; risk taking; skin conductance response and heart rate variability). While the three different facets of anxiety were relatively poorly associated with each other, as is usual in this literature, each facet was linked differently to the reported delivery of CBT techniques (P 
ISSN:0005-7967
1873-622X
DOI:10.1016/j.brat.2015.12.015