Resilience in Girls Victims of Sexual Abuse

Study Overview
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Brief Summary
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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
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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.

Official Title
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The Efficacy of the Psychological Resilience Program for the Adolescent Girls Who Are Victims of Sexual Abuse

Conditions
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Child Sexual Abuse

Intervention / Treatment
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* Behavioral: Psychological Resilience Program


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The sample consisted of girls who agreed to participate in the study and one of their family members (mother, father, aunt, etc.).
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Psychological resilience training program<br>Children in the intervention group participated in a psychological resilience program organized as a group activity. | Behavioral: Psychological Resilience Program<br>* 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.<br>|
| No Intervention: control group<br>Children in the control group did not receive any intervention. There was also no intervention for the family members accompanying the children. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| For children Resiliency Attitudes and Skills Profile (RASP) | 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) | 6 months | 
| For children Strengths and Difficulties Questionnaire (SDQ) Adolescent Form: | 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. | 6 months | 
| For children Resilience Scale(RS) | 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. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| For parents(Strengths and Difficulties Questionnaire Parent Form (SDQ) | 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. | 6 months |