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<p>Evaluate the feasibility, acceptability, and clinical effects, along with the therapeutic alliance, of a gender-informed online TF-CBT for a woman with PTSD, assessing posttraumatic symptoms, anxiety, depression, and emotion regulation at baseline, posttreatment, and 3-month follow-up. We report a single-case study of an adult woman survivor of sexual violence with PTSD who received a manualized, gender-informed TF-CBT protocol (13 weekly online sessions). Standardized measures of PTSD, anxiety, depression, and emotion regulation were administered at baseline, posttreatment, and three-month follow-up. Acceptability/satisfaction and self-reported therapeutic alliance were also assessed. Posttraumatic stress symptoms decreased to a non-clinical range and remained stable at 3-month follow-up; depressive symptoms showed additional improvement, and anxiety remained minimal throughout. Therapeutic alliance was high (total 100/114; mean 5.26/6), and acceptability/satisfaction were maximal. Outcomes align with TF-CBT learning mechanisms and indicate that adding a gender perspective can enhance perceived safety and adherence without compromising technical fidelity in online delivery. This case highlights feasibility and strong patient-reported engagement; however, causal inferences are limited by the single-case design. Future research should test these adaptations in controlled trials and diverse contexts to evaluate generalizability and mechanisms of change.</p>

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Trauma-Focused CBT with a Gender Perspective for PTSD After Sexual Violence: A Case Study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月5日

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  • Dulce María Díaz-Sosa,
  • Alfonso Mendoza Leal,
  • Anabel De la Rosa-Gómez,
  • Centli Guillén-Díaz-Barriga

摘要

Evaluate the feasibility, acceptability, and clinical effects, along with the therapeutic alliance, of a gender-informed online TF-CBT for a woman with PTSD, assessing posttraumatic symptoms, anxiety, depression, and emotion regulation at baseline, posttreatment, and 3-month follow-up. We report a single-case study of an adult woman survivor of sexual violence with PTSD who received a manualized, gender-informed TF-CBT protocol (13 weekly online sessions). Standardized measures of PTSD, anxiety, depression, and emotion regulation were administered at baseline, posttreatment, and three-month follow-up. Acceptability/satisfaction and self-reported therapeutic alliance were also assessed. Posttraumatic stress symptoms decreased to a non-clinical range and remained stable at 3-month follow-up; depressive symptoms showed additional improvement, and anxiety remained minimal throughout. Therapeutic alliance was high (total 100/114; mean 5.26/6), and acceptability/satisfaction were maximal. Outcomes align with TF-CBT learning mechanisms and indicate that adding a gender perspective can enhance perceived safety and adherence without compromising technical fidelity in online delivery. This case highlights feasibility and strong patient-reported engagement; however, causal inferences are limited by the single-case design. Future research should test these adaptations in controlled trials and diverse contexts to evaluate generalizability and mechanisms of change.