Trauma-focused cognitive behavioral therapy: Cultural adaptations for application in Jordanian culture

Jalal Kayed Mustafa Damra, Yahia Nassar, Thaer Ghabari

Research output: Contribution to journalArticlepeer-review


The aims of this study were twofold: (1) to test the feasibility and acceptability
of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) as implemented
by Jordanian counselors working in child protection organizations and schools,
and (2) to examine the effect of TF-CBT on reducing the Post-Traumatic Stress
Disorder (PTSD) and depression symptomatology of a sample of Children with
Abuse Histories in Jordan. Methods: Ten experts and four children counselors
were involved in the feasibility study. Eighteen abused children referred from

Community Local Organizations associated with PTSD symptoms and depres-
sion, were randomly assigned to control and TF-CBT groups. The repeated

measures design and thematic content analysis method were used for analyzing
qualitative and quantitative results. Results: The results indicated the possibility
of implementing TF-CBT in Jordanian culture. Most TF-CBT components
were accepted and evaluated positively by children, parents, and children
counselors. The descriptive statistics demonstrated significant post-treatment

improvements for the TF-CBT group in all outcome measures and sustainabil-
ity of the treatment gains for the TF-CBT group at 4 months follow-up. The

study results support other reports on the rapid effects of TF-CBT intervention
on abused children with PTSD and depression.
Original languageEnglish
Article number
Pages (from-to)308-328
Number of pages20
JournalCounselling Psychology Quarterly
Issue number3
Publication statusPublished - 2015

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