Adherence Rating Scale for Cognitive Processing Therapy - Cognitive Only: Analysis of Psychometric Properties.


Journal Article

The assessment of therapeutic adherence is essential for accurately interpreting treatment outcomes in psychotherapy research. However, such assessments are often neglected.To fill this gap, we aimed to develop and test a scale that assessed therapeutic adherence to Cognitive Processing Therapy - Cognitive Only (CPT), which was adapted for a treatment study targeting patients with post-traumatic stress disorder and co-occurring borderline personality symptoms.Two independent, trained raters assessed 30 randomly selected treatment sessions involving seven therapists and eight patients who were treated in a multicentre randomized controlled trial.The inter-rater reliability for all items and the total score yielded good to excellent results (intraclass correlation coefficient [ICC] = 0.70 to 1.00). Cronbach's α was .56 for the adherence scale. Regarding content validity, three experts confirmed the relevance and appropriateness of each item.The adherence rating scale for the adapted version of CPT is a reliable instrument that can be helpful for interpreting treatment effects, analysing possible relationships between therapeutic adherence and treatment outcomes and teaching therapeutic skills.

Full Text

Duke Authors

Cited Authors

  • Dittmann, C; Müller-Engelmann, M; Resick, PA; Gutermann, J; Stangier, U; Priebe, K; Fydrich, T; Ludäscher, P; Herzog, J; Steil, R

Published Date

  • November 2017

Published In

Volume / Issue

  • 45 / 6

Start / End Page

  • 661 - 670

PubMed ID

  • 28219458

Pubmed Central ID

  • 28219458

Electronic International Standard Serial Number (EISSN)

  • 1469-1833

International Standard Serial Number (ISSN)

  • 1352-4658

Digital Object Identifier (DOI)

  • 10.1017/s1352465816000679


  • eng