Table 2.
Adherence and Competence Rating Differences for Two Therapy Conditions
| Therapy Conditions | ||||||
|---|---|---|---|---|---|---|
| DFST | IDC | t (341)= | p< | |||
| Mean | SD | Mean | SD | |||
| General Skillfulness | 5.79 | .46 | 5.25 | .50 | 10.34 | .001 |
| General Effectiveness and Skill | 5.73 | .58 | 4.95 | .63 | 11.72 | .001 |
| Maintaining Session Structure | 5.67 | .60 | 4.81 | .70 | 11.84 | .001 |
| Collaboration | 5.52 | .64 | 4.87 | .71 | 8.84 | .001 |
| Empathy | 5.52 | .67 | 4.98 | .64 | 7.51 | .001 |
| Spontaneity and Openness | 5.53 | .68 | 4.96 | .67 | 7.66 | .001 |
| Non-interference by Therapist Issues1 | 6.76 | .37 | 6.50 | .62 | 4.44 | .001 |
| Clarifying Misunderstandings1 | 6.41 | .61 | 6.28 | .82 | 1.51 | .132 |
| Alliance | 5.18 | .68 | 4.66 | .71 | 6.82 | .001 |
|
DFST Techniques A
C |
2.91 | .68 | 1.65 | .41 | 21.26 | .001 |
| 5.27 | .53 | 4.65 | .49 | 11.05 | .001 | |
| Schema Identification and Education | 3.46 | 1.95 | 1.09 | .33 | 17.04 | .001 |
| Functional Analysis of Current Problems | 3.39 | 1.65 | 1.82 | 1.13 | 10.43 | .001 |
| Linking Schema-Driven Situations | 3.02 | 1.81 | 1.23 | .63 | 13.03 | .001 |
| Empathic Confrontation and Validation | 2.15 | 1.07 | 1.79 | .95 | 3.28 | .001 |
| Maladaptive Schema Coping | 2.18 | 1.68 | 1.04 | .21 | 9.62 | .001 |
| Behavioral Pattern Breaking | 3.08 | 1.65 | 2.20 | 1.24 | 5.67 | .001 |
| Cognitive Techniques | 2.91 | 1.40 | 1.68 | .86 | 10.05 | .001 |
| Use of Therapeutic Relationship | 3.67 | 1.32 | 2.66 | 1.17 | 7.18 | .001 |
| Early Origins and Past Problems | 3.43 | 2.03 | 1.88 | 1.27 | 8.73 | .001 |
| Experiential or Emotive Techniques | 1.84 | 1.64 | 1.15 | .43 | 5.73 | .001 |
|
IDC Techniques A
C |
1.52 | .34 | 2.16 | .53 | -12.55 | .001 |
| 4.88 | .57 | 4.83 | .51 | .80 | .423 | |
| Maintains an Addiction Focus | 2.95 | 1.54 | 3.93 | 1.52 | -5.83 | .001 |
| Psychoeducation About Substance Abuse | 1.19 | .60 | 1.64 | 1.18 | -4.12 | .001 |
| Disease Concept of Addiction | 1.14 | .42 | 1.86 | 1.28 | -6.38 | .001 |
| Exploration or Confrontation of Denial | 1.18 | .53 | 1.58 | 1.12 | -3.92 | .001 |
| Reality Therapy Concepts | 1.73 | .97 | 2.11 | 1.08 | -3.40 | .001 |
| Healthy Lifestyle and Risk Reduction | 1.23 | .60 | 2.06 | 1.57 | -5.91 | .001 |
| Addressing Other Compulsive Behaviors | 1.13 | .50 | 1.54 | 1.12 | -3.97 | .001 |
| Self-Help Group Involvement | 1.22 | .66 | 2.78 | 1.83 | -9.62 | .001 |
| Codependent and Enabling Relationships | 1.22 | .54 | 1.28 | .85 | -.76 | .446 |
| Recovery-oriented Needs and Feelings | 2.21 | 1.08 | 2.88 | 1.65 | -4.22 | .001 |
|
Other Therapeutic Techniques A
C |
3.04 | .46 | 3.07 | .50 | -.56 | .579 |
| 5.20 | .45 | 4.80 | .46 | 8.03 | .001 | |
| Treatment Agenda, Goals, and Rationale | 4.57 | .97 | 4.00 | 1.07 | 5.16 | .001 |
| Motivational Interviewing Techniques | 6.06 | .71 | 5.62 | 1.10 | 4.14 | .001 |
| Problem Discussion and Feedback | 4.82 | 1.4 | 4.04 | 1.47 | 5.00 | .001 |
| Addressing Psychopathology | 1.32 | .79 | 1.36 | .96 | -.33 | .741 |
| Pros and Cons of Change | 1.61 | 1.01 | 1.36 | .75 | 2.56 | .016 |
| Authoritative Advice or Direction Giving | 2.02 | 1.24 | 2.67 | 1.55 | -4.10 | .001 |
| Relapse Prevention Skills | 1.61 | 1.03 | 2.92 | 1.74 | -8.73 | .001 |
| Involvement in Other Program Activities | 3.79 | 1.55 | 4.08 | 1.45 | -1.74 | .082 |
| Social Functioning and Support | 3.50 | 1.45 | 3.58 | 1.57 | -.53 | .598 |
| Psychodynamic Interventions | 1.08 | .31 | 1.05 | .23 | .84 | .399 |
Note: A=Adherence or the “frequency and extensiveness” with which a therapist performed techniques of particular approach. C=Competence or “skillfulness” with which therapist performed techniques of approach. Means (SDs) for each of the scale items refer to Adherence only. DFST=Dual Focus Schema Therapy. IDC=Individual Drug Counseling.
1
These items were reverse score with high scores indicating absence of this behavior.