مداخله تلفيقي درمان شناختي-رفتاري متمركز بر ضربه رواني با تجربه زيسته ضربه رواني پيچيده دختران شبه ¬خانواده 9 تا 11 سال و مقايسه اثربخشي آن با درمان شناختي رفتاري متمركز بر ضربه رواني بر اختلال استرس پس از سانحه پيچيده، مشكلات رفتاري، ناگويي هيجاني و تاب‌آوري

Integrating Trauma-Focused Cognitive Behavioral Therapy with With lived experience of complex trauma for foster girls aged 9 to 11, an‎d Comparing its Effectiveness with Trauma-Focused Cognitive Behavioral Therapy on Complex Posttraumatic Stress Disorder, Behavioral Disorder, Alexithymia, an‎d Resilience

روان شناسي

Abstract The purpose of this research is to examine the phenomenology of complex trauma in foster children an‎d then develop an integrating trauma-focused cognitive behavioral therapy with foster care childrenʹs lived experience of complex trauma, an‎d compare its effectiveness with Trauma-focused cognitive behavioral therapy on complex post-traumatic stress disorder, behavioral disorder, alexithymia, an‎d resilience. The current research was conducted in two parts, qualitative an‎d quantitative. In the qualitative part, data collection was carried out in a semi-structured manner using the phenomenological method. The scope of the research in this part included girls aged 9 to 11 years living in foster care in Isfahan in 2022. Purposive sampling was carried out on 8 children until data saturation was reached. The findings were analyzed using the Giorgi method an‎d 5 main themes were identified, including belonging, relationship, self-concept, previous life challenges, an‎d psychological capital. The common factors approach was used to develop an integrated intervention among various integration methods. For the content validity of the intervention, the opinions of 8 experts have used the Delphi method. In the following, by integrating cognitive-behavioral intervention based on the lived experiences of foster children was developed in 10 sessions an‎d each session included two parts of caregivers (group), an‎d children (individual). The quantitative part was conducted in a quasi-experimental manner with two experimental an‎d a control group, an‎d eva‎luation was conducted as a pre-/post-test an‎d a one-month follow-up. The research population consisted of foster children aged 9 to 10 in Isfahan in 2023. Taking into account the entry an‎d exit criteria an‎d using the available sampling method, 3 foster care, each containing 10 children, were selec‎ted as intervention an‎d control groups. For data collection, International Trauma Questionnaire, Children’s Alexithymia Measure, Child Behavior Checklist, an‎d Resiliency scales of children an‎d adolescents were used, an‎d mixed multivariate analysis of variance was used to analyze the data. The results showed that both integrated intervention an‎d trauma-focused cognitive behavioral therapy were significantly effective in reducing, behavioral disorder an‎d alexithymia, an‎d increasing resilience. In behavioral disorder an‎d resilience, integrated intervention was more effective than trauma-focused cognitive behavioral therapy. However, there was no significant difference between the effects of the two treatments on complex post-traumatic stress an‎d alexithymia. Therefore, the present integrating intervention is an attempt to formulate a child-centered therapeutic intervention for foster children to reduce some of the gaps in Trauma-Focused Cognitive Behavioral Therapy has also used the capacities of this therapy. Keywords: Cognitive-Behavioral Therapy, Complex Trauma, Foster children, Lived Experience, Complex post-traumatic stress disorder, Alexithymia, Resilience

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