{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:56:22Z","timestamp":1763978182508,"version":"3.40.5"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1352465820000612_as1\"><jats:title>Background:<\/jats:title><jats:p>Evidence-based treatment for panic disorder consists of disorder-specific cognitive behavioural therapy (CBT) protocols. However, most measures of CBT competence are generic and there is a clear need for disorder-specific assessment measures.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000612_as2\"><jats:title>Aims:<\/jats:title><jats:p>To fill this gap, we evaluated the psychometric properties of the Cognitive Therapy Competence Scale (CTCP) for panic disorder.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000612_as3\"><jats:title>Method:<\/jats:title><jats:p>CBT trainees (<jats:italic>n<\/jats:italic>= 60) submitted audio recordings of CBT for panic disorder that were scored on a generic competence measure, the Cognitive Therapy Scale \u2013 Revised (CTS-R), and the CTCP by markers with experience in CBT practice and evaluation. Trainees also provided pre- to post-treatment clinical outcomes on disorder-specific patient report measures for cases corresponding to their therapy recordings.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000612_as4\"><jats:title>Results:<\/jats:title><jats:p>The CTCP exhibited strong internal consistency (\u03b1 = .79\u2013.91) and inter-rater reliability (ICC = .70\u2013.88). The measure demonstrated convergent validity with the CTS-R (<jats:italic>r<\/jats:italic>= .40\u2013.54), although investigation into competence classification indicated that the CTCP may be more sensitive at detecting competence for panic disorder-specific CBT skills. Notably, the CTCP demonstrated the first indication of a relationship between therapist competence and clinical outcome for panic disorder (<jats:italic>r<\/jats:italic>= .29\u2013.35); no relationship was found for the CTS-R.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465820000612_as5\"><jats:title>Conclusions:<\/jats:title><jats:p>These findings provide initial support for the reliability and validity of the CTCP for assessing therapist competence in CBT for panic disorder and support the use of anxiety disorder-specific competence measures. Further investigation into the psychometric properties of the measure in other therapist cohorts and its relationship with clinical outcomes is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1352465820000612","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T03:44:25Z","timestamp":1599536665000},"page":"197-205","source":"Crossref","is-referenced-by-count":4,"title":["Assessing panic disorder-specific competencies: evaluation of the Cognitive Therapy Competence Scale for panic disorder"],"prefix":"10.1017","volume":"49","author":[{"given":"Sheena","family":"Liness","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Beale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul M.","family":"Salkovskis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8742-0192","authenticated-orcid":false,"given":"Anke","family":"Ehlers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Wild","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"S1352465820000612_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7916(03)00022-3"},{"key":"S1352465820000612_ref20","unstructured":"National Institute of Health and Care Excellence (NICE) (2011). 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