Chapter 2: Assessment for CBT

Question 1

Goals of assessment for CBT

Answer 1

1. gathering information about the symptoms and concerns
2. determining strengths and problem areas
3. gathering contextual information the problem and the person’s life

Question 2

diagnostic utility

Answer 2

degree to which assessment data help to formulate a diagnosis

Question 3

treatment utility

Answer 3

degree to which assessment contributes to beneficial treatment outcome

Question 4

Tools for cognitive behavioural assessment (5)

Answer 4

1. interview
2. self-report measures
3. observational aids
4. self-monitoring
5. other sources of information

Question 5

interview

Answer 5

• most: determine diagnosis rather than problems (no thought patterns, functional analysis of behaviour)
• from semistructured to highly structured
• reliable and valid method to ensure that presenting symptoms meet DSM-5 criteria for certain diagnosis

Question 6

semistructured interview: comprehensive assessment to begin CBT should include…(9)

Answer 6

1. problems that bring client into therapy (Problem List)
2. triggers (antecedents) and consequences of the problems
3. clients reactions when experiencing the symptoms (affects, cognitions and behaviours)
4. current coping and approach-avoidance patterns
5. skill deficits, lack of knowledge, or other issues associated with the problems (e.g. lack of social skills due to low mood and anxiousness due to depression)
6. current social support, family concerns, or interpersonal or sexual problems
7. other current problems
8. the development and course of the problems
9. history of treatment

Question 7

self-report measures

Answer 7

divided into;
1. those that use symptom measures
and 2. those using cognitive and behavioural measures
- suitable for repeated assessment, so may be employed as index of treatment success

Question 8

observational aids

Answer 8

• observation of the client, e.g. verbal and nonverbal communication skills + note areas of avoidance
• behaviour during the assessment is a “sample” of the clients overall behaviour
• use of timer, counter, one-way mirror (for observations by other clinicians or students), digital taping…

Question 9

self-monitoring

Answer 9

-self-observation and recording of the occurrences (or non-occurrence) of specifies behaviours and events, e.g., Behavioural Activity Schedule

Question 10

other sources of information

Answer 10

1. family and significant others

2. prior documentation

Question 11

other considerations in selection of measurement tools

Answer 11

1. cost
2. availability
3. ease of administration
4. language level
5. acceptability

Question 12

progress monitoring

Answer 12

! measures need to be sensitive for change

1. within-session evaluation: verbal or written ratings of various experiences or ideas 2. periodic reevaluation of goals
2. ongoing outcome measures, e.g. symptoms
3. completion of treatment and follow-up assessment