A systematic review exploring therapist competence, adherence, and therapy outcomes in individual CBT for children and young people
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.
Citations
Hannah A. Rapley & Maria E. Loades (2018) A systematic review exploring therapist competence, adherence, and therapy outcomes in individual CBT for children and young people, Psychotherapy Research [Epub ahead of print]
Sponsorship: Dr Loades is funded by the National Institute for Health Research (Doctoral Research Fellowship, DRF-2016-09-021). This report is independent research.
Page last reviewed: 12 June, 2025
Metadata
Author(s): Rapley, Hannah A.
Collection: 123456789/9
Subject(s): Children and Adolescents, Cognitive Behaviour Therapy
Format(s): Article
Date issued: 2018-04
ID: 9