Volume 6, Issue 3 (Vol6,No3(21) 2025)
2025, 6(3): 492-509 |
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Karami K, Emami M, Noorafkan F, Pouraghaei Dizji M, arab A, Gholamipour N. (2025). Comparing the Effects of Emotion-focused Individual Therapy and Schema Therapy on PTSD, Complex Trauma, and Suicidal Ideation in Sexually Abused Adolescents. Journal of Childhood Health and Education. 6(3), 492-509. doi:10.32598/JECHE.6.3.394.1
URL: http://jeche.ir/article-1-354-en.html
URL: http://jeche.ir/article-1-354-en.html
Khadijeh Karami1 
, Masoumeh Emami2 , Fahimeh Noorafkan3 , Masoumeh Pouraghaei Dizji4 , Ali Arab *5 , Niloufar Gholamipour6
, Masoumeh Emami2 , Fahimeh Noorafkan3 , Masoumeh Pouraghaei Dizji4 , Ali Arab *5 , Niloufar Gholamipour6
1- Department of Clinical Psychology, Ilam Branch, Islamic Azad University, Ilam, Iran.
2- Department of Psychology of Assessment and Measurement, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
3- Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
4- Department of Clinical Psychology, Research Sciences Branch, Islamic Azad University, Azerbaijan, Iran.
5- Department of Psychology, Faculty of Social Sciences and Psychology, University of Sistan and Baluchestan, Zahedan, Iran.
6- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Shahid Bahonar University, Kerman, Iran.
2- Department of Psychology of Assessment and Measurement, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
3- Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
4- Department of Clinical Psychology, Research Sciences Branch, Islamic Azad University, Azerbaijan, Iran.
5- Department of Psychology, Faculty of Social Sciences and Psychology, University of Sistan and Baluchestan, Zahedan, Iran.
6- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Shahid Bahonar University, Kerman, Iran.
Abstract: (839 Views)
Background and Aim The behavioral and mental problems of sexually abused adolescents highlight the need for more attention to them. This study aimed to compare the effectiveness of emotion-focused individual therapy (EFIT) and schema therapy (ST) on posttraumatic stress disorder (PTSD), complex trauma, and suicidal ideation in sexually abused adolescents in Iran.
Research Methods In this quasi-experimental study, 60 sexually abused adolescents from Tehran, Tabriz, and Ilam cities of Iran were selected via purposive sampling and randomly assigned to two intervention groups (EFIT and ST) and one control group. The childhood trauma questionnaire, the Mississippi scale for combat-related PTSD , and the adolescent suicidal ideation questionnaire were used to collect data. The EFIT group received ten 90-min sessions based on an emotion-focused therapy based on individual approach. The ST group received ten 90-minute sessions of ST based on Yang's model. The control group was placed on a waiting list. ANCOVA, ANOVA, and independent t-test were used to analyze the data in SPSS v.26 software.
Results There was a significant difference among the EFIT, ST, and control groups in post-test scores of PTSD (F=307.77, P<0.001), complex trauma (F=66.88, P<0.001), and suicidal ideation (F=107.53, P<0.001). Effect sizes for these variables were 85.1%, 55.3%, and 66.6%, respectively, demonstrating strong intervention effects. No significant difference was found between EFIT and ST groups in reducing complex trauma or suicidal ideation; however, EFIT demonstrated a superior impact on PTSD symptoms (P<0.001).
Discussion Both EFIT and ST are effective in reducing PTSD, complex trauma, and suicidal ideation in sexually abused adolescents; however, EFIT is more effective than ST in alleviating PTSD.
Research Methods In this quasi-experimental study, 60 sexually abused adolescents from Tehran, Tabriz, and Ilam cities of Iran were selected via purposive sampling and randomly assigned to two intervention groups (EFIT and ST) and one control group. The childhood trauma questionnaire, the Mississippi scale for combat-related PTSD , and the adolescent suicidal ideation questionnaire were used to collect data. The EFIT group received ten 90-min sessions based on an emotion-focused therapy based on individual approach. The ST group received ten 90-minute sessions of ST based on Yang's model. The control group was placed on a waiting list. ANCOVA, ANOVA, and independent t-test were used to analyze the data in SPSS v.26 software.
Results There was a significant difference among the EFIT, ST, and control groups in post-test scores of PTSD (F=307.77, P<0.001), complex trauma (F=66.88, P<0.001), and suicidal ideation (F=107.53, P<0.001). Effect sizes for these variables were 85.1%, 55.3%, and 66.6%, respectively, demonstrating strong intervention effects. No significant difference was found between EFIT and ST groups in reducing complex trauma or suicidal ideation; however, EFIT demonstrated a superior impact on PTSD symptoms (P<0.001).
Discussion Both EFIT and ST are effective in reducing PTSD, complex trauma, and suicidal ideation in sexually abused adolescents; however, EFIT is more effective than ST in alleviating PTSD.
Keywords: Emotion-focused therapy, Schema Therapy, Post-traumatic Disorder, Complex Trauma, Suicidal ideation, Sexual abuse, Adolescents
Type of Study: Research |
Subject:
Special
Received: 2025/06/29 | Accepted: 2025/10/7 | Published: 2025/12/16
Received: 2025/06/29 | Accepted: 2025/10/7 | Published: 2025/12/16
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