以创伤为焦点的认知行为疗法：一项提高受虐小学生自我效能感的临床试验。
Trauma-focused cognitive behavioral therapy a clinical trial to increase self-efficacy in abused the primary school children.
作者信息
Farina Vahid, Salemi Safora, Tatari Faezeh, Abdoli Nasrin, Jouybari Touraj Ahmadi, Alikhani Mostafa, Basanj Behrad, Zakiei Ali
机构信息
Department of Psychiatry, Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
出版信息
J Educ Health Promot. 2018 Mar 1;7:33. doi: 10.4103/jehp.jehp_80_17. eCollection 2018.
BACKGROUND
Child abuse and violence toward children has become a complex phenomenon in nowadays societies leaving hurt children with numerous complications such as lowered self-efficacy. Hence, this study was conducted to assess the effect of trauma-focused cognitive behavioral therapy (TF-CBT) in physically abused children self-efficacy.
MATERIALS AND METHODS
This study was a randomized clinical trial. From this statistical population of all abused children aged 9-12 in Kermanshah in 2016-2017, 40 were divided into intervention and control groups randomly. Tools used in this study were Maurice self-efficacy questionnaire and child abuse questionnaire. Data analysis was done using Chi-square test, paired -test, and independent -test.
RESULTS
It was revealed that the mean difference between two groups was not meaningful before intervention. After TF-CBT in intervention group, self-efficacy mean scores of social (17.95 vs. 24.20) and emotional (15.05 vs. 19.05) domains showed meaningful differences, whereas academic self-efficacy mean score did not change significantly (14.10 vs. 14.65) ( < 0.086). In control group, social (16.20 vs. 15.55), emotional (13.90 vs. 14.35), and academic (13.40 vs. 13.90) mean self-efficacy scores were not of significant difference ( > 0.001).
CONCLUSIONS
TF-CBT can be used as an appropriate therapy intervention to improve social and emotional self-efficacy in abused children.
背景
虐待儿童以及对儿童的暴力行为在当今社会已成为一个复杂的现象，给受伤害的儿童带来了诸多并发症，如自我效能感降低。因此，本研究旨在评估创伤聚焦认知行为疗法（TF-CBT）对受身体虐待儿童自我效能感的影响。
材料与方法
本研究为随机临床试验。从2016 - 2017年克尔曼沙赫所有9 - 12岁受虐待儿童的统计总体中，随机选取40名儿童分为干预组和对照组。本研究使用的工具为莫里斯自我效能感问卷和儿童虐待问卷。数据分析采用卡方检验、配对检验和独立检验。
结果
结果显示，干预前两组之间的平均差异无统计学意义。干预组进行TF-CBT后，社交（17.95对24.20）和情感（15.05对19.05）领域的自我效能感平均得分显示出有统计学意义的差异，而学业自我效能感平均得分未显著变化（14.10对14.65）（P < 0.086）。对照组中，社交（16.20对15.55）、情感（13.90对14.35）和学业（13.40对13.90）自我效能感平均得分无显著差异（P > 0.001）。
结论
TF-CBT可作为一种合适的治疗干预措施，用于提高受虐待儿童的社交和情感自我效能感。
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