A community-based study of the impact of trauma exposure on school-aged children's self-concept and improvements following TF-CBT.

Autor: Konanur S; Department of Psychology, Faculty of Health, York University, Canada., Muller RT; Department of Psychology, Faculty of Health, York University, Canada. Electronic address: rmuller@yorku.ca.
Jazyk: angličtina
Zdroj: Child abuse & neglect [Child Abuse Negl] 2024 Aug; Vol. 154, pp. 106921. Date of Electronic Publication: 2024 Jul 29.
DOI: 10.1016/j.chiabu.2024.106921
Abstrakt: Background: Experiencing trauma in childhood has been associated with more severe psychopathology and a greater risk of engaging in harmful behavior later in life. Traumatic exposure can also erode a child's self-concept. Negative self-concept has been associated with shame, self-doubt, and helplessness in the face of adverse experiences. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based model for children; however, research on its effectiveness in improving children's self-concept is limited.
Objective: To investigate the impact of trauma on school-aged children's self-concept and improvements following TF-CBT.
Participants and Setting: A demographically diverse sample of trauma-exposed school-aged children referred to community-based agencies in Canada and a normative sample of school-aged children randomly selected from the general population in the United States.
Method: A longitudinal design was used to assess trauma-exposed children's self-reported self-concept using the short-form Tennessee Self-Concept Scale - Second Edition (TSCS:2; Fitts & Warren, 1996) prior to and following TF-CBT.
Results: Trauma-exposed children had a significantly more negative mean self-concept compared to that of the normative sample. Improvements following TF-CBT - and not the passage of time alone - were found with gains maintained six months post-therapy.
Conclusions: School-aged children awaiting treatment at community-based agencies are likely to hold clinically concerning negative views of themselves. TF-CBT was effective in significantly improving their self-concept with continued and lasting improvements observed after the therapy had been completed.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
Externí odkaz: