TY  - JOUR
A1  - Maiwald, Lisa Marie
A1  - Junga, Yvonne Marie
A1  - Lang, Thomas
A1  - Montini, Romina
A1  - Witthöft, Michael
A1  - Heider, Jens
A1  - Schröder, Annette
A1  - Weck, Florian
T1  - The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia
JF  - Journal of clinical psychology
N2  - Objective
There is a very limited amount of research on the relationship between therapist and patient in‐session behavior and treatment outcome in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/AG). Additionally, the findings tend to be inconclusive. This study investigates the association between therapist competence, adherence, patient interpersonal behavior, and therapeutic alliance and outcome in a low‐control CBT setting by using comprehensive measures.

Methods
Twenty‐six patients with PD/AG received 12 sessions of exposure‐based CBT. With regard to the outcome, treatments were classified either as problematic or nonproblematic by means of distinct criteria. Two raters evaluated the in‐session behavior.

Results
Patient interpersonal behavior was significantly associated with outcome at follow‐up (r = 0.49). At posttreatment, the correlation did not reach significance ( r = 0.34). Competence, adherence, and alliance were not outcome associated.

Conclusion
The findings emphasize the need for therapists to pay particular attention to patients’ interpersonal behavior during treatment.
KW  - interpersonal behavior
KW  - panic disorder with agoraphobia
KW  - therapeutic alliance
KW  - therapist competence
KW  - treatment outcome
Y1  - 2018
U6  - https://doi.org/10.1002/jclp.22738
SN  - 0021-9762
SN  - 1097-4679
VL  - 75
IS  - 4
SP  - 614
EP  - 626
PB  - Wiley
CY  - Hoboken
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Meister, Ramona
A1  - Maass, Ulrike
A1  - Paunov, Tatjana
A1  - Weck, Florian
T1  - How reliable are therapeutic competence ratings?
BT  - results of a systematic review and meta-analysis
JF  - Cognitive therapy and research
N2  - Assessments of psychotherapeutic competencies play a crucial role in research and training. However, research on the reliability and validity of such assessments is sparse. This study aimed to provide an overview of the current evidence and to provide an average interrater reliability (IRR) of psychotherapeutic competence ratings. A systematic review was conducted, and 20 studies reported in 32 publications were collected. These 20 studies were included in a narrative synthesis, and 20 coefficients were entered into the meta-analysis. Most primary studies referred to cognitive-behavioral therapies and the treatment of depression, used the Cognitive Therapy Scale, based ratings on videos, and trained the raters. Our meta-analysis revealed a pooled ICC of 0.82, but at the same time severe heterogeneity. The evidence map highlighted a variety of variables related to competence assessments. Further aspects influencing the reliability of competence ratings and regarding the considerable heterogeneity are discussed in detail throughout the manuscript.
KW  - competency
KW  - therapist competence
KW  - adherence
KW  - psychotherapy
KW  - assessment
Y1  - 2019
U6  - https://doi.org/10.1007/s10608-019-10056-5
SN  - 0147-5916
SN  - 1573-2819
VL  - 44
IS  - 2
SP  - 241
EP  - 257
PB  - Springer
CY  - New York
ER  -