Child Sexual Abuse
Conditions
Brief summary
İn this study, it was aimed to examine the effectiveness of the psychological resilience program for adolescent girls after sexual abuse.This study is a randomized controlled trial.
Detailed description
Sexual abuse, which is a universal problem, affects the functioning of many institutions of society and can lead to lifelong physical, mental and social problems and health problems for children.The process of coping and adapting to stressful challenges such as sexual abuse is explained by psychological resilience. Social support provided by parents, peers and professionals from the onset of sexual abuse contributes positively to children's lives and facilitates adaptation.Group therapies to be applied to abuse victims can increase perceived social support by reducing negative effects such as shame and stigmatization.
Interventions
BEHAVIORALPsychological Resilience Program
The psychological resilience program was applied to the children in the intervention group twice a week for a total of 5 weeks. Each session consisted of 90 minutes of structured practice. The application is carried out using narrative therapy, cognitive behavioral therapy, psychodrama and analogy techniques, self-assessment and didactic teaching techniques. In addition, participants were engaged in self-regulation exercises and positive imagery activities. Each session includes practices on empathy, stress management, resilience, realistic and unrealistic thinking, optimism and pessimism, autonomy and humor related to resilience.
Sponsors
Sakarya University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Masking description
Children who met the criteria of the study and agreed to be included in the study were first divided according to age groups (11-13 years and 14-16 years) by block randomization and the sample group was formed. These individuals were then randomly assigned to the intervention and control groups by double-blinding method.
Intervention model description
The sample consisted of girls who agreed to participate in the study and one of their family members (mother, father, aunt, etc.).
Eligibility
Sex/Gender
FEMALE
Age
11 Years to 16 Years
Healthy volunteers
Yes
Inclusion criteria
* Having applied to a child advocacy center due to sexual abuse * Being a girl in the 11-18 age group * The cognitive competence required to maintain the measurement tools and the training process to have * Volunteering to participate in the research * Being open to communication and cooperation * No severe psychiatric disorder (such as psychosis, neurosis) * The child can become literate (to be able to use assessment tools)
Exclusion criteria
* Not wanting to participate in the research * To continue the group training or to fill in the measurement tools to be applied cognitive and physical dysfunction that would constitute an obstacle.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| For children Resiliency Attitudes and Skills Profile (RASP) | 6 months | The increase in the score obtained from the scale is associated with an increase in resilience. The aim is to define four sub-factors related to psychological resilience: (1) relationships and values, (2) insight and creativity, (3) independence and entrepreneurship, and (4) humor. The scale consists of 34 items on a 4-point Likert scale ranging from strongly disagree (1) to strongly agree (4) |
| For children Strengths and Difficulties Questionnaire (SDQ) Adolescent Form: | 6 months | It consists of 24 items and is a 7-point Likert scale ranging from (7) Strongly agree to (1) Strongly disagree. The lowest score obtained from the scale is 24, and the highest score is 168. A high score indicates a high level of self-recovery power. |
| For children Resilience Scale(RS) | 6 months | It consists of 24 items and is a 7-point Likert scale ranging from (7) Strongly agree to (1) Strongly disagree. The lowest score obtained from the scale is 24, and the highest score is 168. A high score indicates a high level of self-recovery power. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| For parents(Strengths and Difficulties Questionnaire Parent Form (SDQ) | 6 months | The scale consists of 25 questions and five sub-dimensions, as in the child form. The sub-dimensions, attention deficit and hyperactivity, behavioral problems, emotional problems, and peer problems, show the difficulties experienced separately. The total difficulty score can be calculated by summing these four sub-dimensions. The social behaviors sub-dimension refers to strength. |
Other
| Measure | Time frame | Description |
|---|---|---|
| For parents Beck Depression Inventory (BDI): | 6 months | The 21-item scale, each consisting of four options, includes assessments of how people have felt in the last week. A high score determines the severity of depressive symptoms. |
| For parents Beck Anxiety Scale (BAS) | 6 months | The scale consists of 21 items and is a 4-point Likert-type self-assessment scale scored between 0 and 3. The questions aimed to evaluate how people have felt in the last week. The increase in the obtained score determines the high level of anxiety. |
Countries
Turkey (Türkiye)
Outcome results
None listed