An expert consensus on the most effective components of cognitive behavioural therapy for adults with depression: a modified Delphi study

Abigail Taylor, Debbie Tallon, David Kessler, Tim J Peters, Roz Shafran, Chris Williams, Nicola Wiles

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

1 Citation (Scopus)
95 Downloads (Pure)

Abstract

Designing new approaches to delivering cognitive behavioural therapy (CBT) requires an understanding of the key components. This study aimed to establish an expert consensus on the effective components of CBT for depressed adults. An international panel of 120 CBT experts was invited to participate in a modified Delphi study. Thirty-two experts participated in round 1; 21 also provided data in round 2. In round 1, experts rated the effectiveness of 35 content and process components. A priori rules identified components carried forward to round 2, in which experts re-rated items and final consensus items were identified. Consensus was achieved for nine content components (ensuring understanding; developing and maintaining a good therapeutic alliance; explaining the rationale for CBT; eliciting feedback; identifying and challenging avoidant behaviour; activity monitoring; undertaking an initial assessment; relapse prevention methods; homework assignments); and three process components (ensuring therapist competence; scheduling sessions flexibly; scheduling sessions for 45-60 mins). Five of the twelve components identified were generic therapeutic competences rather than specific CBT items. There was less agreement about the effectiveness of cognitive components of CBT. This is an important first step in the development of novel approaches to delivering CBT that may increase access to treatment for patients.
Original languageEnglish
Number of pages14
JournalCognitive Behaviour Therapy
DOIs
Publication statusPublished - 20 Aug 2019

Structured keywords

  • BRTC

Keywords

  • Cognitive Behavioural Therapy
  • Component Analysis
  • Consensus
  • Delphi Study
  • Depression

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