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Children’s resilience and trauma-specific cognitive behavioral therapy: Comparing resilience as an outcome,a trait,and a process
Institution:1. University of Tampere, Finland;2. Gaza Community Mental Health Programme, Gaza, Palestine;3. Islamic University, Gaza, Palestine;1. Osaka University Unit Graduate School of Child Development, Research Center for Child Mental Development Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi 260-8670, Japan;2. School of Human Life Sciences, Tokushima Bunri University, 180 Nishihamaboji, Yamashiro-machi, Tokushima- shi, Tokushima, 770-8514, Japan;3. Melbourne Graduate School of Education, University of Melbourne, 234 Queensberry Street, Carlton 3053, Australia;1. Ulm University, Clinic for Child and Adolescent Psychiatry/Psychotherapy, Steinhövelstr. 1, 89075 Ulm, Germany;2. University of Zurich, Institute of Psychology, Department of Child and Adolescent Health Psychology, Binzmuehlestrasse 14, 8050 Zürich, Switzerland;3. University Children''s Hospital Zurich, Department of Psychosomatics and Psychiatry, Steinwiesstrasse 75, 8032 Zürich, Switzerland
Abstract:Resilience, which is associated with relatively positive outcomes following negative life experiences, is an important research target in the field of child maltreatment (Luthar et al., 2000). The extant literature contains multiple conceptualizations of resilience, which hinders development in research and clinical utility. Three models emerge from the literature: resilience as an immediate outcome (i.e., behavioral or symptom response), resilience as a trait, and resilience as a dynamic process. The current study compared these models in youth undergoing trauma-specific cognitive behavioral therapy. Results provide the most support for resilience as a process, in which increase in resilience preceded associated decrease in posttraumatic stress and depressive symptoms. There was partial support for resilience conceptualized as an outcome, and minimal support for resilience as a trait. Results of the models are compared and discussed in the context of existing literature and in light of potential clinical implications for maltreated youth seeking treatment.
Keywords:Resilience  Maltreatment  Trauma-specific CBT  PTSD
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