Department of Psychology, Faculty of Health, York University, Canada.
Department of Psychology, Faculty of Health, York University, Canada.
Child Abuse Negl. 2024 Aug;154:106921. doi: 10.1016/j.chiabu.2024.106921. Epub 2024 Jul 29.
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.
To investigate the impact of trauma on school-aged children's self-concept and improvements following TF-CBT.
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.
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.
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.
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.
儿童期经历创伤与更严重的精神病理学和日后从事有害行为的风险增加有关。创伤暴露也会侵蚀儿童的自我概念。消极的自我概念与羞耻感、自我怀疑以及面对逆境时的无助感有关。创伤焦点认知行为疗法（TF-CBT）是一种针对儿童的循证模式；然而，关于其改善儿童自我概念的有效性的研究有限。
调查创伤对学龄儿童自我概念的影响以及 TF-CBT 后的改善情况。
一组来自加拿大社区机构的经历过创伤的学龄儿童和一组来自美国普通人群中随机挑选的学龄儿童组成了一个具有代表性的样本。
采用纵向设计，使用 Tennessee 自我概念量表第二版（TSCS：2；Fitts & Warren，1996）在 TF-CBT 之前和之后评估创伤暴露儿童的自我报告自我概念。
与常模样本相比，创伤暴露儿童的自我概念明显更为消极。在 TF-CBT 之后——而不仅仅是时间的推移——发现了改善，并且在治疗结束后六个月仍保持着这些改善。
在社区机构等待治疗的学龄儿童可能对自己持有临床关注的消极看法。TF-CBT 显著改善了他们的自我概念，并且在治疗结束后仍持续且持久地改善。
