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Trauma Focused Cognitive Behavioral Therapy for Adolescents with Problem Sexual Behaviors: Feasibility and
Jamie Yoder1, Melissa D Grady2, Anette Birgersson3
1School of Social Work at Colorado State University in Fort Collins, Colorado, CO USA.
Journal of Child & Adolescent Trauma
|September 16, 2025
Summary
Childhood trauma is a key factor in adolescent sexual violence. Trauma-Focused Cognitive Behavioral Therapy for problem sexual behaviors among adolescents (TF-CBT for PSB-A) shows promise in treating these issues.
Area of Science:
- Psychology
- Adolescent Health
- Trauma Studies
Background:
- Childhood trauma and adversity are significant risk factors for adolescent sexual violence perpetration.
- Trauma sequelae like regulation deficits and attachment disruptions are modifiable targets for intervention.
- Existing problem sexual behavior treatment programs for adolescents often lack integrated trauma-informed approaches.
Purpose of the Study:
- To explore the feasibility and acceptability of an enhanced Trauma-Focused Cognitive Behavioral Therapy for problem sexual behaviors among adolescents (TF-CBT for PSB-A) intervention.
- To assess the preliminary promise of TF-CBT for PSB-A in community and juvenile justice settings.
- To identify readiness factors for implementing trauma-specific interventions for adolescents with problem sexual behaviors.
Main Methods:
- The study involved providing enhanced TF-CBT for PSB-A to adolescents with histories of victimization or adversity.
- The intervention was delivered in community-based and juvenile justice settings to youth and their caregivers.
- Feasibility, acceptability, and pre-to-post-test outcomes on treatment targets were evaluated.
Main Results:
- The enhanced TF-CBT for PSB-A intervention was found to be feasible and acceptable to both youth and caregivers.
- Notable readiness factors for implementation were identified.
- Statistical significance and positive trends were observed from pre-to-post-test on key treatment targets.
Conclusions:
- Trauma-Focused Cognitive Behavioral Therapy for problem sexual behaviors among adolescents (TF-CBT for PSB-A) demonstrates preliminary promise for youth with histories of trauma and problem sexual behaviors.
- The intervention is feasible and acceptable in community and juvenile justice settings.
- Further research and enhanced training are recommended for strengthening the implementation of trauma-specific services for this population.
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