Assessing panic disorder-specific competencies: evaluation of the Cognitive Therapy Competence Scale for panic disorder

• Published in: Behavioural and cognitive psychotherapy 2021-03, Vol.49 (2), p.197-205
• Main Authors: Liness, Sheena, Beale, Sarah, Clark, David M., Salkovskis, Paul M., Ehlers, Anke, Wild, Jennifer
• Format: Article
• Language: English
• Subjects: Anxiety; Anxiety Disorders; Clinical outcomes; Cognition & reasoning; Cognitive ability; Cognitive Behavioral Therapy; Cognitive therapy; Collaboration; Homework; Humans; Main; Mental depression; Mental disorders; Mental health; Panic attacks; Panic Disorder - therapy; Psychologists; Psychometrics; Reproducibility of Results; Social anxiety; Therapists; Validity
• ISSN: 1352-4658; 1469-1833
• DOI: 10.1017/S1352465820000612

Evidence-based treatment for panic disorder consists of disorder-specific cognitive behavioural therapy (CBT) protocols. However, most measures of CBT competence are generic and there is a clear need for disorder-specific assessment measures. To fill this gap, we evaluated the psychometric properties of the Cognitive Therapy Competence Scale (CTCP) for panic disorder. CBT trainees (n = 60) submitted audio recordings of CBT for panic disorder that were scored on a generic competence measure, the Cognitive Therapy Scale - Revised (CTS-R), and the CTCP by markers with experience in CBT practice and evaluation. Trainees also provided pre- to post-treatment clinical outcomes on disorder-specific patient report measures for cases corresponding to their therapy recordings. The CTCP exhibited strong internal consistency (α = .79-.91) and inter-rater reliability (ICC = .70-.88). The measure demonstrated convergent validity with the CTS-R (r = .40-.54), although investigation into competence classification indicated that the CTCP may be more sensitive at detecting competence for panic disorder-specific CBT skills. Notably, the CTCP demonstrated the first indication of a relationship between therapist competence and clinical outcome for panic disorder (r = .29-.35); no relationship was found for the CTS-R. These findings provide initial support for the reliability and validity of the CTCP for assessing therapist competence in CBT for panic disorder and support the use of anxiety disorder-specific competence measures. Further investigation into the psychometric properties of the measure in other therapist cohorts and its relationship with clinical outcomes is recommended.