Document Type : Original Article


1 Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences

2 Department of Psychiatry, Center of Excellence for Community Oriented for Medicine Education, Kermanshah University of Medical Sciences, Kermanshah, Iran


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
t‑test, and independent t‑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) (P < 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 (P > 0.001).
CONCLUSIONS: TF‑CBT can be used as an appropriate therapy intervention to improve social and
emotional self‑efficacy in abused children.


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