Identifying moderators of the adherence-outcome relation in cognitive therapy for XXXX .

@entity1 @entity308 @entity148
OBJECTIVE: Little is known about the influence of @entity1 ' pretreatment characteristics on the adherence-outcome relation in cognitive therapy (CT) for @entity308 . In a sample of 57 @entity308 adults participating in CT, the authors examined interactions between pretreatment @entity1 characteristics and therapist adherence in predicting session-to-session symptom change. METHOD: Using items from the Collaborative Study Psychotherapy Rating Scale, the authors assessed 3 facets of therapist adherence: cognitive methods, negotiating/structuring, and behavioral methods/homework. Two graduate students rated Sessions 1-4 for adherence. Symptoms were assessed prior to each session with the Beck Depression Inventory-II. Moderators were assessed as part of @entity1 ' intake evaluations. RESULTS: After correcting for multiple comparisons, @entity1 gender remained a significant moderator of the relationship between cognitive methods and next-session symptom change; cognitive methods more strongly predicted greater symptom improvement for @entity1 as compared to @entity1 . Pretreatment @entity148 and number of prior @entity308 episodes were significant moderators of the relationship between behavioral methods/homework and next-session symptom change, with greater behavioral methods/homework predicting symptom improvement more strongly among @entity1 high in pretreatment @entity148 and among @entity1 with relatively few prior @entity308 episodes. CONCLUSIONS: This is the first study to provide evidence of how therapist adherence is differentially related to outcome among @entity308 @entity1 with different characteristics. If replicated, these findings may inform clinical decisions regarding the use of specific facets of adherence in CT for @entity308 with specific @entity1 . (PsycINFO Database Record
