TY - JOUR
T1 - Cognitive-behavioral-interpersonal scenarios
T2 - Interformulator reliability and convergent validity
AU - Mumma, Gregory H.
AU - Smith, Jason L.
PY - 2001
Y1 - 2001
N2 - Although a clinical case formulation can help focus treatment, little is known about the reliability and convergent validity of independently generated, cognitive-behavioral or cognitive-interpersonal formulations. Using videotapes of a semi-structured interview, pairs of clinicians independently formulated 2-3 cognitive-behavioral-interpersonal scenarios (CBISs) on each of 4 women with mood or comorbid mood and anxiety disorders. Ten licensed psychologists then rated each CBIS on 15 dimensions involving cognition, affect, symptoms, and interpersonal functioning. Reliability of the mean ratings (aggregated over the 10 raters) was >.83 for all dimensions. The set of CBISs formulated by a clinician for a patient generally demonstrated good convergent (same patient/different formulator) and discriminant (different patient/same or different formulator) validity on three factor-analytically derived general dimensions of depression, anxiety, and interpersonal functioning. Within each of three patients, pairs of formulators generally agreed on the situational components of the CBISs and demonstrated adequate to very good convergent validity of corresponding CBIS content. These results contribute to accumulating evidence for the reliability and validity of clinical scenarios as an idiographic, situation-level case formulation. Such formulations can help identify multiple cognitive, behavioral, or interpersonal intervention points in the causal chain leading to distress or dysfunction.
AB - Although a clinical case formulation can help focus treatment, little is known about the reliability and convergent validity of independently generated, cognitive-behavioral or cognitive-interpersonal formulations. Using videotapes of a semi-structured interview, pairs of clinicians independently formulated 2-3 cognitive-behavioral-interpersonal scenarios (CBISs) on each of 4 women with mood or comorbid mood and anxiety disorders. Ten licensed psychologists then rated each CBIS on 15 dimensions involving cognition, affect, symptoms, and interpersonal functioning. Reliability of the mean ratings (aggregated over the 10 raters) was >.83 for all dimensions. The set of CBISs formulated by a clinician for a patient generally demonstrated good convergent (same patient/different formulator) and discriminant (different patient/same or different formulator) validity on three factor-analytically derived general dimensions of depression, anxiety, and interpersonal functioning. Within each of three patients, pairs of formulators generally agreed on the situational components of the CBISs and demonstrated adequate to very good convergent validity of corresponding CBIS content. These results contribute to accumulating evidence for the reliability and validity of clinical scenarios as an idiographic, situation-level case formulation. Such formulations can help identify multiple cognitive, behavioral, or interpersonal intervention points in the causal chain leading to distress or dysfunction.
KW - Case formulation
KW - Clinical scenarios
KW - Cognitive-behavioral therapy
KW - Convergent validity
KW - Idiographic assessment
UR - http://www.scopus.com/inward/record.url?scp=4544286771&partnerID=8YFLogxK
U2 - 10.1023/A:1012738802126
DO - 10.1023/A:1012738802126
M3 - Article
AN - SCOPUS:4544286771
SN - 0882-2689
VL - 23
SP - 203
EP - 221
JO - Journal of Psychopathology and Behavioral Assessment
JF - Journal of Psychopathology and Behavioral Assessment
IS - 4
ER -