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The Cognitive Behaviour Therapy Scale for Children and Young People (CBTS-CYP): Development and Psychometric Properties

Published online by Cambridge University Press:  04 February 2014

Paul Stallard ,
Pam Myles  and
Amanda Branson
Paul Stallard*
Affiliation:
University of Bath, UK
Pam Myles
Affiliation:
University of Reading, UK
Amanda Branson
Affiliation:
University of Reading, UK
*
Reprint requests to Paul Stallard, Department of Health, University of Bath and Head of Psychological Therapies Oxford Health NHS Foundation Trust, Bath BA2 7AY, UK. E-mail: [email protected]
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Abstract

Background: There is increased interest in developing training in cognitive behaviour therapy (CBT) with children and young people. However, the assessment of clinical competence has relied upon the use of measures such as the Cognitive Therapy Scale-Revised (CTS-R: Blackburn et al., 2001) which has been validated to assess competence with adults. The appropriateness of this measure to assess competence when working with children and young people has been questioned. Aim: This paper describes the development and initial evaluation of the Cognitive Behaviour Therapy Scale for Children and Young People (CBTS-CYP) developed specifically to assess competence in CBT with children and young people. Method: A cross section of child CBT practitioners (n = 61) were consulted to establish face validity. Internal reliability, convergent validity and discriminative ability were assessed in two studies. In the first, 12 assessors independently rated a single video using both the Cognitive Behaviour Therapy Scale for Children and Young People (CBTS-CYP) and Cognitive Therapy Scale-Revised (CTS-Revised: Blackburn et al., 2001). In the second, 48 different recordings of CBT undertaken with children and young people were rated on both the CBTS-CYP and CTS-R. Results: Face validity and internal reliability of the CBTS-CYP were high, and convergent validity with the CTS-R was good. The CBTS-CYP compared well with the CTS-R in discriminative ability. Conclusion: The CBTS-CYP provides an appropriate way of assessing competence in using CBT with children and young people. Further work is required to assess robustness with younger children and the impact of group training in reducing inter-rater variations.

Keywords

AssessmentCBTchildren and adolescents
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 3 , May 2014 , pp. 269 - 282
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Barrett, P. M., Lowry-Webster, H. and Turner, C. M. (1999). Friends for Children Participant Workbook. Brisbane, Australia: Australian Academic Press.Google Scholar
Beck, A. T. and Dozois, D. J. A. (2011). Cognitive therapy: current status and future directions. Annual Review of Medicine, 62, 397–409.Google Scholar
Blackburn, I. M., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., et al. (2001). The revised cognitive therapy scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431–446.Google Scholar
Chu, B. C. and Kendall, P. C. (2009). Therapist responsiveness to child engagement: flexibility within manual based CBT for anxious children. Journal of Clinical Psychology, 65, 736–754.Google Scholar
Creed, T. A. and Kendall, P. C. (2005). Therapist alliance-building behavior within a cognitive-behavioural treatment for anxiety in youth. Journal of Consulting and Clinical Psychology, 73, 498–505.Google Scholar
Department of Health (2011). Children and Teenagers to Benefit from Successful Adult Mental Health Therapy. http://mediacentre.dh.gov.uk/2011/10/25/ Google Scholar
Dreyfus, H. L. (1986). The Dreyfus model of skill acquisition. In Burke, J. (Ed.), Competency Based Education and Training. London: Falmer Press.Google Scholar
Elvins, R. and Green, J. (2008). The conceptualisation and measurement of the therapeutic alliance: an empirical review. Clinical Psychology Review, 28, 1167–1187.Google Scholar
Fairburn, C. G. and Cooper, Z. (2011). Therapist competence, therapist quality, and therapist training. Behaviour Research and Therapy, 49, 373–378.CrossRefGoogle ScholarPubMed
Fjermestad, K. W., Haugland, B. S. M., Heiervang, E. and Ost, L. G. (2009). Relationship factors and outcome in child anxiety treatment studies. Clinical Child Psychology and Psychiatry, 14, 195–214.Google Scholar
Friedberg, R. D. and McClure, J. A. (2002). Clinical Practice of Cognitive Therapy with Children and Adolescents; the nuts and bolts. New York: Guilford Press.Google Scholar
Fuggle, P., Dunsmuir, S. and Curry, V. (2012). CBT with Children, Young People and Families. London: Sage Publications.Google Scholar
Karver, M. S., Handelsman, J. B., Fields, S. and Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: the evidence for different relationship variables in the child and adolescent outcome treatment literature. Clinical Psychology Review, 26, 50–65.CrossRefGoogle Scholar
Kazantzis, N. (2003). Therapist competence in cognitive-behavioural therapies: review of the contemporary empirical evidence. Behaviour Change, 20, 1–12.Google Scholar
Keen, A. J. A. and Freeston, M. H. (2008). Assessing competence in cognitive behaviour therapy. British Journal of Psychiatry, 193, 60–64.Google Scholar
McLeod, B. D. (2011). Relation of the alliance with outcomes in youth psychotherapy: a meta-analysis. Clinical Psychology Review, 31, 603–616.Google Scholar
McLeod, B. D. and Weisz, J. R. (2005). The therapy process observational coding system-alliance scale: measure characteristics and prediction of outcome in usual clinical practice. Journal of Consulting and Clinical Psychology, 73, 323–333.Google Scholar
Roth, A. D. and Pilling, S. (2008). Using an evidence-based methodology to identify the competencies required to deliver effective cognitive and behavioural therapy for depression and anxiety disorders. Behavioural and Cognitive Psychotherapy, 36, 129–147.Google Scholar
Roth, A. D., Calder, F. and Pilling, S. (2011). A Competence Framework for Child and Adolescent Mental Health Services. Edinburgh: NHS Education for Scotland.Google Scholar
Russell, R., Shirk, S. and Jungbluth, N. (2008). First-session pathways to the working alliance in cognitive-behavioural therapy for adolescent depression. Psychotherapy Research, 18, 15–27.CrossRefGoogle Scholar
Shirk, S. R. and Karver, M. (2003). Prediction of treatment outcome form relationship variables in child and adolescent therapy: a meta-analytic review. Journal of Consulting and Clinical Psychology, 71, 452–464.Google Scholar
Shrout, P. E. and Fleiss, J. L. (1979). Intraclass correlations: uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRefGoogle ScholarPubMed
Stallard, P. (2002). Think Good Feel Good: a cognitive behaviour therapy workbook for children and young people. Winchester: John Wiley.Google Scholar
Stallard, P. (2005). A Clinician's Guide to Think Good Feel Good: using CBT with children and young people. Winchester: John Wiley.Google Scholar
Young, J. E. and Beck, A. T. (1980). Cognitive Therapy Scale: rating manual. Unpublished manuscript, University of Pennsylvania, Philadelphia, PA.Google Scholar
Young, J. E. and Beck, A. T. (1988). Cognitive Therapy Scale: rating manual. Unpublished manuscript, University of Pennsylvania, Philadelphia, PA.Google Scholar
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