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Outcomes of CPC-CBT in Sweden Concerning Psychosocial Well-Being and Parenting Practice: Children’s Perspectives
Linnaeus University, Faculty of Social Sciences, Department of Social Work.
Linköping university, Sweden.
Linköping university, Sweden.
Linnaeus University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-4416-1223
2019 (English)In: Research on social work practice, ISSN 1049-7315, E-ISSN 1552-7581Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study explores the outcome of the intervention combined parent child–cognitive behavioral therapy (CPC-CBT) for physically abused children. This study includes a clinical sample of children (n = 62) referred to Child Welfare Service due to reports of child physical abuse who completed CPC-CBT. A pretest/posttest design was applied to assess changes on the Trauma Symptom Checklist for Children (TSCC) after treatment and was compared with normative values. In addition, the occurrence of corporal punishment from pre to posttest was explored.

Children reported a significant decrease in parental use of corporal punishment after treatment and a significant reduction in symptoms associated with trauma (decreased to normal values for TSCC). The positive changes remained at the 6-month follow-up.

The CPC-CBT intervention seemed to decrease parental use of corporal punishment and increase the well-being of children. Clinical implications are discussed.

Place, publisher, year, edition, pages
Sage Publications, 2019.
National Category
Social Work
Research subject
Social Sciences, Social Work
Identifiers
URN: urn:nbn:se:lnu:diva-82030DOI: 10.1177/1049731519843352OAI: oai:DiVA.org:lnu-82030DiVA, id: diva2:1305751
Available from: 2019-04-18 Created: 2019-04-18 Last updated: 2019-05-06
In thesis
1. Putting words to child physical abuse: Possible consequences, the process of disclosure, and effects of treatment. From children’s perspectives
Open this publication in new window or tab >>Putting words to child physical abuse: Possible consequences, the process of disclosure, and effects of treatment. From children’s perspectives
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of the thesis is to explore the experiences and possible consequences concerning reported health and relations between a parent perpetrator of physical child abuse and the children who are victims of the parental physical abuse, the children’s thoughts when disclosing the abuse, and the impact of an intervention designed to support these children in a Swedish context – Combined Parent Child Cognitive Behavioral Therapy (CPC-CBT). Methods: This thesis has a mix-method design. Study I and IV used different self-assessment scales, and the outcomes were analysed using descriptive statistics, paired-samples t test, independent t test, ANOVA, Pearson correlations, and hierarchical linear regression. Study II and III consisted of interviews with 15 (Study II) and 20 (Study III) children, respectively. The interviews were transcribed verbatim and analysed using qualitative content analysis. Results: The results suggest that experiencing child physical abuse affects the relationship between a parent and a child as well as the child’s wellbeing in several ways. However, the results also suggest that participating in the CPC-CBT intervention could decrease parents’ use of violence and increase the child’s wellbeing. In addition, the results suggest that trust and participation influence whether a child discloses abuse and contributes to the success of treatment. Conclusion: The CPC-CBT could be seen as a successful turning point for the participating children, shifting from one trajectory (living in fear of violence) to another (living without fear). Furthermore, when children disclose to adults about their physical abuse, it is important that the adults recognise the children’s participatory rights and strive to earn their trust.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2019
Series
Linnaeus University Dissertations ; 351/2019
Keywords
child physical abuse, disclosure, participation, CPC-CBT, intervention
National Category
Social Sciences
Identifiers
urn:nbn:se:lnu:diva-82396 (URN)978-91-88898-57-9 (ISBN)978-91-88898-58-6 (ISBN)
Public defence
2019-05-24, IKEA, Hus N, Växjö, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2019-05-03 Created: 2019-05-02 Last updated: 2019-07-30Bibliographically approved

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Thulin, JohannaKjellgren, Cecilia

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