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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