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KMID : 0981220090090010057
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Congnitive Behavior Therapy in Korea
2009 Volume.9 No. 1 p.57 ~ p.73
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Effectiveness of Trauma-Focused Cognitive Behavioral Therapy for Sexually Abused Children: An Exploratory Study
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Choi Ji-Young
Shin Yee-Jin
Oh Kyung-Ja
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Abstract
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The purpose of the study was to examine the effectiveness of trauma-focused cognitive behavioral therapy for sexually abused children, and to identify the factors affecting treatment outcome. TF-CBT was comprised of exposure, cognitive and affective processing, and psycho-education regarding childhood sexual abuse, health sexuality and personal safety skills. The participants consisted of 27 sexually abused girls between the ages of 8 and 13 who were referred to psychotherapy by psychiatrists because their symptoms were severe enough to be in need of intervention. They received 8-24 sessions (mean=13 sessions) individually on a weekly base. The results showed PTSD symptom, dissociative symptom, sexual concern, anxiety and depression as children’s self-reported symptoms improved following therapy. There was also a significant improvement in internalizing problems and externalizing problems as reported by the parent. This results support the treatment effectiveness of TF-CBT. In addition, the study identified that PTSD diagnosis was the most significant predictor of treatment outcome of TF-CBT. Complex trauma, family structure, and number of sessions were also significant predictors. Clinical implications and limitations of this study were discussed.
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KEYWORD
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child sexual abuse, TF-CBT, factors affecting treatment outcome
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