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Validation of Process-Based Components of the LIBET-Q: An Innovative Instrument for Case Conceptualization

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Abstract

Case conceptualization is a widely used tool to describe and organize patient information and plan interventions in psychotherapy. Life themes and semi-adaptive plans: Implications of biased beliefs, elicitation, and treatment (LIBET) is a new method for case conceptualization that validates the diathesis-stress model and incorporates elements from the most important theories in the CBT field. LIBET also includes process-based components as maintaining factors of psychological distress, and it is not anchored to a specific kind of psychotherapeutic approach. The LIBET-Questionnaire (LIBET-Q) is a structured interview which helps clinicians achieve a LIBET case conceptualization, co-constructed with patients. The aim of the present study was to validate the process-based section of the LIBET-Q by analyzing its factorial structure, internal consistency, convergent validity, and clinical relevance. A sample of 396 outpatients was recruited to validate the LIBET-Q, which was administered along with interviews and self-report questionnaires to investigate the presence of diagnoses, anxiety, and depression levels and global functioning and wellbeing. Results from both exploratory and confirmatory factor analyses showed a four-factor structure, with adequate consistency and good convergent validity. Process-based elements investigated with the LIBET-Q resulted in identifying different clinical populations. With satisfactory psychometric properties, the LIBET-Q turned out to be a suitable support for case conceptualization and treatment formulation. The independence of the LIBET method from a specific intervention can improve its sharing between clinicians by offering a common frame in which the rationale of every specific technique can be explained.

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Data Availability

The data that support the findings of this study are not openly available due to reasons of sensitivity. Located in controlled-access data storage at the Studi Cognitivi Clinical and Research Centre, the data are available from the corresponding author upon reasonable request.

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Authors and Affiliations

  1. Cognitive Psychotherapy School and Research Centre, Studi Cognitivi, Foro Bonaparte, 57, 20121, Milan, Italy

    Alessia Offredi, Giovanni Maria Ruggiero, Gabriele Caselli, Giovanni Mansueto, Sara Palmieri & Sandra Sassaroli

  2. Department of Psychology, Sigmund Freud University, Ripa Di Porta Ticinese 77, 20143, Milan, Italy

    Alessia Offredi, Annalisa Oppo, Giovanni Maria Ruggiero, Gabriele Caselli, Giovanni Mansueto, Simona Scaini, Sara Palmieri & Sandra Sassaroli

  3. Sigmund Freud University, Freudplatz 1, Messestraße 1, 1020, Vienna, Austria

    Alessia Offredi & Sandra Sassaroli

  4. Cognitive Psychotherapy School and Research Centre, Psicoterapia Cognitiva e Ricerca, Foro Bonaparte, 57, 20121, Milan, Italy

    Giovanni Maria Ruggiero

  5. Studi Cognitivi Clinics, Ripa Di Porta Ticinese 77, 20143, Milan, Italy

    Gabriele Caselli, Simona Scaini & Sandra Sassaroli

  6. Department of Health Sciences, University of Florence, Florence, Italy

    Giovanni Mansueto

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Offredi, A., Oppo, A., Ruggiero, G.M. et al. Validation of Process-Based Components of the LIBET-Q: An Innovative Instrument for Case Conceptualization. J Rat-Emo Cognitive-Behav Ther (2024). https://doi.org/10.1007/s10942-024-00542-5

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