Chapter 13: the research context of CBT

Question 1

clinical outcome: factors that contribute

Answer 1

1. client factors
2. therapist factors
3. relationship factors
4. treatment factors

Question 2

client variables related to better treatment outcome

Answer 2

• lower problem severity
• lower problem chronicity
• lower number of presenting problems; lack of comorbidity
• positive expectations about treatment

Question 3

relationship factors related to treatment outcome in psychotherapy

Answer 3

• alliance
• cohesion
• empathy
• collecting client feedback

Question 4

common principles of therapy (3)

Answer 4

• 3 transdiagnostic principles within CBT:
  1. altering the cognitive appraisals that precede emotional disturbance
  2. preventing the avoidance of negative emotional experience
  3. encouraging actions not associated with dysfunctional emotions

Question 5

what research is still needed?

Answer 5

• Evaluate both statistical and clinical significance.
  • Longitudinal studies
  • Cost-benefit and cost-effectiveness research
  • Examine client characteristics
  • Effectiveness research
  • dissemination research, that examines the optimal methods for developing the broad use of evidence-based therapies