Outcomes, skill acquisition, and the alliance: Similarities and differences between clinical trial and student therapists.

ABSTRACT: Considerable evidence from clinical trials supports the efficacy of cognitive therapy (CT) of depression. Less is known about outcomes when provided in other contexts, such as when provided by student therapists. We conducted a non-randomized comparison of student therapists vs. clinical trial therapists on change in depressive symptoms, dropout, change in CT skills, and therapeutic alliance among 100 clients with moderate to severe depression. Treatment manual and duration were the same. Clients treated by student therapists had largely comparable outcomes on depressive symptom change, therapeutic alliance, and CT skills. Results supported non-inferiority of student therapists on change in depressive symptoms, but non-inferiority was not supported when using an interviewer evaluated measu

SUBMITTER: Goldstein LA 

PROVIDER: S-EPMC7329568 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature