Client Perceptions of Therapy Component Helpfulness in Group Cognitive-Behavioral Therapy for Anxiety Disorders
Article first published online: 8 OCT 2012
© 2012 Wiley Periodicals, Inc.
Journal of Clinical Psychology
Volume 69, Issue 3, pages 229–239, March 2013
How to Cite
Smith, A. H., Norton, P. J. and McLean, C. P. (2013), Client Perceptions of Therapy Component Helpfulness in Group Cognitive-Behavioral Therapy for Anxiety Disorders. J. Clin. Psychol., 69: 229–239. doi: 10.1002/jclp.21926
- Issue published online: 5 FEB 2013
- Article first published online: 8 OCT 2012
- treatment credibility;
- therapy components;
- therapeutic processes;
- cognitive restructuring
Treatment credibility and client satisfaction have received relatively little research attention, but extant findings indicate that some clients and therapists differ in their perceptions of what is helpful about therapy, with greater divergence related to poorer outcomes. This study examined relationships between treatment credibility, perceptions of therapy helpfulness, and treatment response.
Participants were 48 individuals (60.4% female; 53.2% Caucasian; mean age 32.79 years) with an anxiety disorder diagnosis. Participants completed a 12-week transdiagnostic treatment protocol; treatment credibility was rated after session 2, and treatment component helpfulness was rated posttreatment.
Treatment response was significantly correlated with perceived helpfulness of cognitive restructuring and exposure techniques, but not treatment credibility. Treatment responders recognized the helpfulness of factors considered to be important therapeutic processes.
Findings emphasize the importance of client perceptions of cognitive and behavioral techniques in treatment and suggest the need to monitor client perceptions throughout the treatment process.