Child abuse & neglect · 2026
A mixed-methods study of the development and evaluation of an Internal Family Systems (IFS)-based group intervention for post-traumatic cognitions and fear of compassion among trauma-exposed adolescents in Out-of-Home Care (OOHC).
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Habibi Narges, Basharpoor Sajjad, Atadokht Akbar, Narimani Mohammad, Hatami Varzaneh Abolfazl
Аннотация
BACKGROUND: Adolescents in Out-of-Home Care (OOHC) often suffer multiple Adverse Childhood Experiences, leading to high rates of distorted Post-Traumatic Cognitions (PTC) and Fear of Compassion (FC). Tailored, evidence-based psychological interventions are essential for this group.
OBJECTIVE: This mixed-methods study aimed to design, validate, and empirically evaluate a Internal Family Systems (IFS)-based group intervention for trauma-exposed adolescents in Out-of-Home Care (OOHC).
PARTICIPANTS AND SETTING: Fifty trauma-exposed adolescents (27 female, 23 male) were purposively selected from 180 OOHC residents and randomly assigned to the IFS (n = 25) or control (n = 25) group.
METHODS: The IFS protocol was first developed and validated qualitatively via content analysis and expert review. The quantitative quasi-experimental phase utilized a pre-post-follow-up design to assess PTC and FC using standardized measures across three time points.
RESULTS: IFS led to significant reductions across all PTC subscales. The strongest and most stable effect was on Negative Self-Cognitions (η2 = 0.40), while the most immediate change, aligning with IFS theory regarding Protector Parts, was seen in Self-Blame (η2 = 0.22). FC also decreased significantly, with the largest improvements in FC-for oneself (η2 = 0.31) and FC-for others (η2 = 0.27). These effects were maintained at the two-month follow-up.
CONCLUSIONS: Findings support the effectiveness of the IFS in improving trauma-related cognitive and emotional outcomes. Crucially, the change pattern suggests that IFS promotes recovery by first establishing internal self‑leadership and self-compassion, which then gradually generalizes to interpersonal relationships. This provides a promising model for structural trauma recovery in vulnerable youth.
OBJECTIVE: This mixed-methods study aimed to design, validate, and empirically evaluate a Internal Family Systems (IFS)-based group intervention for trauma-exposed adolescents in Out-of-Home Care (OOHC).
PARTICIPANTS AND SETTING: Fifty trauma-exposed adolescents (27 female, 23 male) were purposively selected from 180 OOHC residents and randomly assigned to the IFS (n = 25) or control (n = 25) group.
METHODS: The IFS protocol was first developed and validated qualitatively via content analysis and expert review. The quantitative quasi-experimental phase utilized a pre-post-follow-up design to assess PTC and FC using standardized measures across three time points.
RESULTS: IFS led to significant reductions across all PTC subscales. The strongest and most stable effect was on Negative Self-Cognitions (η2 = 0.40), while the most immediate change, aligning with IFS theory regarding Protector Parts, was seen in Self-Blame (η2 = 0.22). FC also decreased significantly, with the largest improvements in FC-for oneself (η2 = 0.31) and FC-for others (η2 = 0.27). These effects were maintained at the two-month follow-up.
CONCLUSIONS: Findings support the effectiveness of the IFS in improving trauma-related cognitive and emotional outcomes. Crucially, the change pattern suggests that IFS promotes recovery by first establishing internal self‑leadership and self-compassion, which then gradually generalizes to interpersonal relationships. This provides a promising model for structural trauma recovery in vulnerable youth.