A systematic review exploring therapist competence, adherence, and therapy outcomes in individual CBT for children and young people

Hannah A. Rapley*, Maria E. Loades

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

6 Citations (Scopus)

Abstract

Objective: Whilst the evidence base for cognitive behavioural therapy (CBT) with children and young people is growing, the mechanisms through which these beneficial effects occur are still unclear. This systematic review seeks to appraise the relationship between therapeutic outcomes in CBT and therapist adherence and competence, within the child and adolescent literature. Method: A systematic review was carried out, with five studies identified as meeting the inclusion criteria. Results: The literature is currently small and inconclusive. Amongst the studies reviewed, there were inconsistent findings, with minimal-to-no effect sizes found between adherence, competence, and outcomes. Conclusions: The current paucity of research in this area means that conclusions are currently limited. The role and impact of adherence and competence on therapeutic outcomes remains unclear within individual CBT in a child population. This is comparable with the current adult literature, where findings also remain inconclusive. Further research avenues are discussed.

Original languageEnglish
Number of pages10
JournalPsychotherapy Research
Early online date22 Apr 2018
DOIs
Publication statusE-pub ahead of print - 22 Apr 2018

Keywords

  • adherence
  • CBT
  • children
  • cognitive behaviour therapy
  • competence
  • young people

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