the adaptability of cognitive behavioral therapy techniques for depression in china a delphi study

2018 
1. Abstract 1.1. Objective: To explore the adaptability of Cognitive-Behavioral Therapy (CBT) techniques for depression in China among Chinese CBT experts. 1.2. Method: A 34-item rating list on CBT techniques was developed based on literature review. Thirty-one CBT experts in the Delphi study rated by two rounds each technique through four dimensions of maneuverability, frequency of use, contribution to outcomes, and acceptability by the patients. 1.3. Results: The establishment of therapeutic alliance, assessment, psycho-education, and identifying automatic thoughts ranked high on the list, while the pie chart method, social skill training, continuous calibration, problem solving, and cost-benefit analysis were among the least favorite ones. The Kendall’s concordance coefficients on the four dimensions ranged from 0.259 to 0.315 (p<0.05), but the coefficient of variation of social skill training, problem solving, activity monitoring/scheduling, suicidal behavior delay, and behavioral experiments on at least one or two dimensions were greater than 0.25. 1.4. Conclusions: The findings suggest that most CBT techniques are being acknowledged by Chinese CBT experts as adaptable to apply to depression except a few cognitive or certain behavioral ones. Further, the less adaptable behavioral techniques also reveal incongruous opinions among raters especially when considering their acceptability to patients. 2. Keywords: China; Cognitive-Behavioral Therapy; Depression; Delphi study; Techniques
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