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CBT for Children Affected by Sexual Abuse or Trauma

1. Each of the following is an accurate statement about the use of trauma-focused cognitive behavioral therapy (TF-CBT) for children EXCEPT:  

A. It is an evidence-based treatment approach shown to help children, adolescents, and their caregivers overcome trauma-related difficulties

B. It is designed to reduce negative emotional and behavioral responses following child sexual abuse, domestic violence, traumatic loss, and other traumatic events

C. The treatment is based on social and family systems theories and focuses on creating a supportive environment in which children are encouraged to talk about their experiences

D. TF-CBT helps parents who were not abusive to cope effectively with their own emotional distress and develop skills that support their children


TF-CBT Addresses the Effects of Sexual Abuse and Trauma

2. Victims of sexual abuse often experience a sense of guilt for their role in the abuse,  feelings of powerlessness, a sense that they are in some way 'damaged goods', and a fear that people will treat them differently because of the abuse.

A. True

B. False


TF-CBT Integrates Several Established Treatment Approaches

3. TF‑CBT uses well-established cognitive-behavioral therapy and stress management procedures originally developed for the treatment of fear, anxiety, and depression in adults

A. True

B. False


Key Components

4. TF-CBT is a a short-term treatment typically provided in ________ sessions of ________ minutes, depending on treatment needs.  

A. 14 to 20; 60 to 120

B. 12 to 18; 50 to 90

C. 10 to 16; 45 to 60

D. 8 to 14; 30 to 50


Protocol Components

5. One of the most critical program components of TF-CBT is to reinforce healthy coping skills and encourage empowerment.

A. True

B. False


Limitations for Use of TF-CBT

6. Although TF-CBT is not recommended for children who are acutely suicidal or who actively abuse substances, it has proven to be effective for children and adolescents who have serious conduct problems or other behavior problems that existed prior to the trauma.

A. True

B. False


Effectiveness of TF-CBT

7. In TF-CBT studies, parents often report reductions in depression, emotional distress associated with the child's trauma, and PTSD symptoms, as well as an enhanced ability to:

A. Provide stability and boundaries

B. Cope with daily stressors

C. Communicate effectively with family members

D. Support their children


Questions to Ask Treatment Providers

8. When selecting a treatment provider who is sensitive to the needs of the child, appropriate questions to ask include what techniques the therapist will use to help the child manage emotions and behaviors, as well as how and when the therapist will ask the child to describe the trauma.

A. True

B. False


Alternatives for Family: A Cognitive-Behavioral Therapy (AF-CBT)

9. Caregivers in families where conflict, coercion, and physical abuse are present often report punitive or excessive parenting practices, frequent anger and hyperarousal, and negative child attributions, among other stressful conditions.

A. True

B. False


10. AF-CBT is an evidence-supported intervention that targets diverse individual child and caregiver characteristics related to conflict and intimidation in the home and:

A. Specific difficulties exhibited by children who live in these circumstances

B. Family interactions that enhance and accelerate conflict

C. The family context in which aggression or abuse may occur

D. Modification of unhealthy behaviors and relationships


Integrates Several Therapeutic Approaches

11. AF-CBT combines elements drawn from several approaches, including the psychology of causality, which describes how the specific effects of exposure to traumatic or abusive experiences may vary for children at different developmental stages and across the lifespan.

A. True

B. False


Tailors Treatment to Meet Specific Needs and Circumstances-Treatment Phases

12. The three treatment phases of AF-CBT include engagement and psychoeducation, ________________________, and family applications.

A. Individual skill building

B. Correction of maladaptive behavior

C. Stress and behavior management training

D. Trauma exposure and processing


13. AF-CBT is recommended for use with families that exhibit which of the following?

A. Caregivers whose disciplinary or management strategies range from mild physical discipline to physically aggressive or abusive behaviors, or who exhibit heightened levels of anger, hostility, or explosiveness

B. Children who exhibit significant externalizing or aggressive behavior, with or without significant physical abuse/discipline related trauma symptoms

C. Families who exhibit heightened conflict or coercion or who pose threats to personal safety

D. All of the above


Summary of AF-CBT Outcomes

14. Family outcomes for AF-CBT include greater child-reported family cohesion and reduced child-reported and parent-reported family conflict.

A. True

B. False


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