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<p>This 9-week AB single-case research study evaluated the degree to which CBT-based positive self-affirmations helped childhood sexual abuse (CSA) survivors increase their perceptions of hope and self-esteem. Participants included five females and one male, aged 24 to 46 years (<i>N</i> = 6) who received cognitive behavioral therapy (CBT)-based positive self-affirmation intervention for 6 weeks. The findings indicated that all six participants’ self-reports on the Rosenberg Self-Esteem Scale (RSES) experienced some levels of increase during CBT-based positive self-affirmation intervention, and five out of six participants’ self-reports on the Herth Hope Index (HHI) experienced some levels of increase during the CBT-based positive self-affirmation intervention. One participant’s HHI did not experience an increase as a result of the CBT-based positive self-affirmation intervention. However, all six participants evaluated the CBT-based positive self-affirmation intervention positively, expressing enthusiasm for the continued use of their self-generated positive self-affirmations. The results of this study support the idea that CBT-based positive self-affirmations may be an effective intervention for CSA survivors. Implications and recommendations for counselors working with CSA survivors are discussed.</p>

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The Effectiveness of CBT-Based Positive Self-Affirmations on Childhood Sexual Abuse Survivors’ Self-Esteem and Hope

  • 期刊论文

  • 发表日期：

    2025年5月14日

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  • Adachukwu Chinelo Uzondu,
  • Karen Michelle Hunnicutt Hollenbaugh

摘要

This 9-week AB single-case research study evaluated the degree to which CBT-based positive self-affirmations helped childhood sexual abuse (CSA) survivors increase their perceptions of hope and self-esteem. Participants included five females and one male, aged 24 to 46 years (N = 6) who received cognitive behavioral therapy (CBT)-based positive self-affirmation intervention for 6 weeks. The findings indicated that all six participants’ self-reports on the Rosenberg Self-Esteem Scale (RSES) experienced some levels of increase during CBT-based positive self-affirmation intervention, and five out of six participants’ self-reports on the Herth Hope Index (HHI) experienced some levels of increase during the CBT-based positive self-affirmation intervention. One participant’s HHI did not experience an increase as a result of the CBT-based positive self-affirmation intervention. However, all six participants evaluated the CBT-based positive self-affirmation intervention positively, expressing enthusiasm for the continued use of their self-generated positive self-affirmations. The results of this study support the idea that CBT-based positive self-affirmations may be an effective intervention for CSA survivors. Implications and recommendations for counselors working with CSA survivors are discussed.