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The Development and Psychometric Evaluation of the Group Schema Therapy Rating Scale – Revised

Published online by Cambridge University Press:  26 January 2018

Emily Bastick ,
Suili Bot ,
Simone J. W. Verhagen ,
Gerhard Zarbock ,
Joan Farrell ,
Odette Brand-de Wilde ,
Arnoud Arntz  and
Christopher William Lee
Emily Bastick
Affiliation:
Murdoch University, Murdoch, Western Australia
Suili Bot
Affiliation:
Maastricht University, Maastricht, The Netherlands
Simone J. W. Verhagen
Affiliation:
Maastricht University, Maastricht, The Netherlands
Gerhard Zarbock
Affiliation:
IVAH – Institut für Verhaltenstherapie-Ausbildung, Hamburg, Germany
Joan Farrell
Affiliation:
Indiana University-Purdue University, Indianapolis, Indiana, USA Centre for Borderline Personality Disorder Treatment and Research, Indianapolis, Indiana, USA
Odette Brand-de Wilde
Affiliation:
University of Amsterdam, Amsterdam, The Netherlands De Viersprong, Halsteren, The Netherlands
Arnoud Arntz
Affiliation:
University of Amsterdam, Amsterdam, The Netherlands
Christopher William Lee*
Affiliation:
University of Western Australia, Crawley, Western Australia
*
Reprint requests to Dr Christopher Lee, Faculty of Health and Medical Sciences, University of Western Australia. E-mail: [email protected]
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Abstract

Background: Recent research has supported the efficacy of schema therapy as a treatment for personality disorders. A group format has been developed (group schema therapy; GST), which has been suggested to improve both the clinical and cost-effectiveness of the treatment. Aims: Efficacy studies of GST need to assess treatment fidelity. The aims of the present study were to improve, describe and evaluate a fidelity measure for GST, the Group Schema Therapy Rating Scale – Revised (GSTRS-R). Method: Following a pilot study on an initial version of the scale (GSTRS), items were revised and guidelines were modified in order to improve the reliability of the scale. Students highly experienced with the scale rated recorded GST therapy sessions using the GSTRS-R in addition to a group cohesion measure, the Harvard Community Health Plan Group Cohesiveness Scale – II (GCS-II). The scores were used to assess internal consistency and inter-rater reliability. Discriminant validity was assessed by comparing the scores on the GSTRS-R with the GCS-II. Results: The GSTRS-R displayed substantial internal consistency and inter-rater reliability, and adequate discriminate validity, evidenced by a weak positive correlation with the GCS-II. Conclusions: Overall, the GSTRS-R is a reliable tool that may be useful for evaluating therapist fidelity to GST model, and assisting GST training and supervision. Initial validity was supported by a weak association with GCS-II, indicating that although associated with cohesiveness, the instrument also assesses factors specific to GST. Limitations are discussed.

Keywords

group schema therapytreatment adherencetreatment competencefidelityreliabilitypsychometric
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 5 , September 2018 , pp. 601 - 618
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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