Cognitive-behavioral group therapy for girl victims of sexual violence in Brazil: Are there differences in effectiveness when applied by different groups of psychologists?

Luísa Fernanda Habigzang, Clarissa Pinto Pizarro de Freitas, Jean Von Hohendorff, Sílvia Helena Koller


The effectiveness of a cognitive-behavioral group therapy model for the treatment of girl victims of sexual violence (SV) was investigated when applied by different groups of professionals: researchers/psychologists who developed it (G1) and psychologists from the public social care network trained by the first group (G2). A quasi-experimental study was carried out, in which the group therapy model was applied by the two groups. A total of 103 girl victims of sexual violence (SV), aged between seven and 16 years (M=11.76 years, SD=2.02 years) were included, with 49 attended by G1, and 54 by G2. The results indicated a significant reduction in the symptoms of depression, anxiety, stress, and PTSD. The comparison between the results obtained by the two groups of professionals in the application of the model indicated no significant differences in the rates of improvement of the participants. These results indicate the effectiveness of the cognitive-behavioral group therapy model evaluated and the possibility of it being used as a care strategy by psychology professionals working in public services.


sexual violence; evidence-based treatments; cognitive-behavioral group therapy

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American Psychiatric Association. (2003). Manual Diagnóstico e Estatístico dos Transtornos Mentais (DSM-IV-TR) [Diagnostic and Statistical Manual of Mental Disorders] (4. ed. rev.). Porto Alegre: Artmed.

American Psychological Association. (2002). Criteria for evaluating treat-ment guidelines. American Psychologist, 57(12), 1052-1059. doi: 10.1037//0003-066X.57.12.1052

American Psychological Association Task Force on Evidence-Based Practice for Children and Adolescents. (2008). Disseminating evi-dence-based practice for children and adolescents: A systems approach to en-hancing care. Washington, DC: American Psychological Associa-tion. Retrieved from

Beck, A. T.; Ward, C. H.; Mendelson, M.; Mock, J., & Erbaugh, G. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 53-63.

Biaggio, A. & Spielberger, C. D. (1983). Inventário de Ansiedade Traço-Estado-Idate-C Manual. Rio de Janeiro: CEPA.

Castillo-Mayén, R., & Montes-Berges, B. (2014). Análisis de los estereo-tipos de género actuales [Analysis of current gender stereotypes]. Anales de Psicología, 30(3). doi: 10.6018/analesps.30.3.138981

Chowdhury, E. H. (2014). Rethinking patriarchy, culture and masculini-ty: Transnational narratives of gender violence and human rights advocacy. Journal of Women of the Middle East World and the Islamic World, 12, 79-100. doi: 10.1163/15692086-12341253

Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A (2004). A multisite, randomized controlled trial for children with sexual abuse–related PTSD symptoms. Journal American Academy of Child and Adolescent Psychiatry, 43(4), 393-402. doi: 10.1097/01.chi.0000111364.941169.f9

Del Ben, C. M., Vilela, J. A., Crippa, J.A., Hallak, J. E., Labate, C. M., & Zuardi, A. W. (2001). Confiabilidade da entrevista estruturada para o DSM-IV - versão clínica traduzida para o português [Interview reliability structured for DSM-IV - Clinical version translated into Portuguese]. Revista Brasileira de Psiquiatria, 23(3), 156-159. doi: 10.1590/S1516-44462001000300008

Field, A. (2005). Discovering Statistics Using SPSS. 2nd Ed. London: Sage.

Freitas, C. P. P., & Habigzang, L. F. (2013). Percepções de psicólogos sobre a capacitação para intervenção com vítimas de violência sexual [Psychologists' perceptions about training for intervention with victims of sexual violence]. Psicologia Clínica, 25(2), 215-230. doi: 10.1590/S0103-56652013000200013

Freitas, C. P. P., & Habigzang, L. F. (2014). Tecnologia Social de Capa-citação Profissional para Intervenção com adolescentes vítimas de violência sexual [Social Technology Professional Training for Intervention with adolescent victims of sexual violence]. In L. F. Habigzang, E. Diniz, & S. H. Koller (Eds.), Trabalhando com adoles-centes: Teoria e Pesquisa (pp. 309-327). Porto Alegre: Artmed.

Freitas, C. P. P., Habigzang, L. F., & Koller, S. H. (2015). Avaliação de uma capacitação para profissionais de psicologia que trabalham com vítimas de violência sexual [Evaluation of a training for psychology professionals working with victims of sexual violen-ce]. Psico, 46(1), 40-47. doi: 10.15448/1980-8623.2015.1.16718

Gouveia, V. V., Barbosa, G. A., Almeida, H. J. F., & Gaião, A. A. (1995). Inventário de Depressão Infantil - CDI: Estudo de adaptação com escolares de João Pessoa [Inventory Child Depression - CDI: Study adaptation with João Pessoa students]. Jornal Brasileiro de Psiquiatria, 44, 345-349.

Hetzel-Riggin, M., Brausch, A. M., & Montgomery, B. S. (2007). A meta-analytic investigation of therapy modality outcomes for sexually abused children and adolescents: An exploratory study. Child Abuse & Neglect, 31, 125–141. doi: 0.1016/j.chiabu.2006.10.007

Habigzang, L. F. (2006). Avaliação e intervenção clínica para meninas vítimas de abuso sexual intrafamiliar [Assessment and clinical intervention for girls victims of domestic abuse]. Unpublished master's disser-tation. Graduate school in Developmental Psychology at the Federal University of Rio Grande do Sul. Porto Alegre: UFRGS.

Habigzang, L. F. (2010). Avaliação de impacto e processo de um modelo de gru-poterapia cognitivo-comportamental para meninas vítimas de abuso sexual [Impact assessment and process a model of cognitive behavioral group therapy for sexually abused girls]. Unpublished doctoral's dissertation. Graduate school in Developmental Psychology at the Federal University of Rio Grande do Sul. Porto Alegre: UFRGS.

Habigzang, L. F., Damásio, B. F., Hohendorff, J. V., & Koller, S. H. (2011). Intersections between scientific research and public poli-cies for sexual abuse. International Society for the Study of Behavioural Development (ISSBD Bulletin). Retrieved from

Habigzang, L. F., Damásio, B. F., & Koller, S. H. (2013). Impact Evaluation of a Cognitive Behavioral Group Therapy Model in Brazilian Sexually Abused Girls. Journal of Child Sexual Abuse, 22(2), 173-190. doi: 10.1080/10538712.2013.737445

Habigzang, L. F., Stroeher, F., Hatzenberguer, R., Cunha, R. C., Ramos, M., & Koller, S. H. (2009). Grupoterapia cognitivo-comportamental para crianças e adolescentes vítimas de abuso sexual [Cognitive behavioral group therapy for children and adolescents victims of sexual abuse]. Revista de Saúde Pública, 43, 70-78. doi: 10.1590/S0034-89102009000800011

Hébert, M., Lavoie, F., & Blais, M. (2014). Post Traumatic Stress Disorder/PTSD in adolescent victims of sexual abuse: Resilience and social support as protection factors. Ciência & Saúde Coletiva, 19(3), 685–694. doi: 10.1590/1413-81232014193.15972013

Hohendorff, J. V., Salvador-Silva, R., Andrade, R., Habigzang, L. F., Koller, S. H. (2014). Adaptação e avaliação de uma intervenção cognitivo-comportamental para meninos vítimas de violência sexual [Adaptation and evaluation of a cognitive-behavioral intervention for children victims of sexual violence]. Psicologia: Reflexão e Crítica. doi: 10.1590/1678-7153.201427302

Kovacs, M. (1992). Children's Depression Inventory Manual. Los Angeles: Western Psychological Services.

Kristensen, C. H. (1996). Abuso sexual em meninos [Boys victims of sexual abuse]. Unpublished master's dissertation. Graduate school in Developmental Psychology at the Federal University of Rio Grande do Sul. Porto Alegre: UFRGS.

Lipp, M. E. & Lucarelli, M. D. M. (1998). Escala de stress infantil – ESI: Manual [Stress scale for children - SSC: Manual]. São Paulo: Casa do Psicólogo.

Macdonald, G., Higgins, J. P. T., Ramchandani, P., Valentine, J. C., Bronger, L. P., Klein, P. … Taylor, M. (2012). Cognitive-behavioural interventions for children who have been sexually abused. Cochrane Database of Systematic Reviews 2012(5), CD001930. doi: 10.1002/14651858.CD001930.pub3.

Martínez, C., & Paterna-Bleda, C. (2013). Ideología masculina e igual-dad de género: Valorando el neosexismo [Masculine ideology and gender equality: Valuing neosexism]. Anales de Psicología, 29(2), 558-564. doi: 10.6018/analesps.29.2.141311

Maniglio, R. (2009). The impact of child sexual abuse on health: A sys-tematic review of reviews. Clinical Psychology Review, 29, 647-657. doi: 10.1016/j.cpr.2009.08.003

Morelato, S. G. (2014). Evaluación de factores de resiliencia en niños argentinos en condiciones de vulnerabilidad familiar [Evaluation of resilience factors in Argentine children living in household vulnerability]. Universitas Psychologica, 13(4), 1473-1488. doi: 10.11144/Javeriana.UPSY13-4.efrn

Polanczyck, G. V., Zavaschi, L., Benetti, S., Zenker, R., & Gammerman (2003). Violência sexual e sua prevalência em adolescentes de Por-to Alegre, Brasil [Sexual violence and its prevalence in adoles-cents from Porto Alegre, Brazil]. Revista de Saúde Pública, 37(1), 8-14. doi: 10.1590/S0034-89102003000100004

Programa Nacional de Enfrentamento da Violência Sexual Contra Crianças e Adolescentes (2010). Relatório disque denúncia nacional [Report dial national reporting]. Brasília: Secretaria de Direitos Humanos da Presidência da República. Retrieved from

Rossi, P. H., Lipsey, M. W., & Freeman, H. E. (2004). Evaluation: A sys-tematic approach (7th ed.). Thousand Oaks: Sage.

Schneider, J. A., & Habigzang, L. F. (2014). Aplicação do programa cognitivo-comportamental Superar para atendimento individual de meninas vítimas de violência sexual: Estudos de caso [Applica-tion of “Superar” cognitive-behavioral program for girls victims of sexual vio-lence: Case studies]. Submitted article.

Stoltenborgh, M., van IJzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Mal-treatment, 16(79), 79-101. doi: 10.1177/1077559511403920

The Metropolitan Toronto Special Committee on Child Abuse (1995). Child Sexual Abuse Protocol (3rd. ed.). Toronto: Author.

Ullman, S. E. & Filipas, H. H. (2005). Gender differences in social re-actions to abuse disclosures, post-abuse coping, and PTSD of child sexual abuse survivors. Child Abuse & Neglect, 29, 767- 782. doi:10.1016/j.chiabu.2005.01.005

Walsh, K., Keyes, K. M., Koenen, K. C., & Hasin, D. (2015). Lifetime prevalence of gender-based violence in US women: Associations with mood/anxiety and substance use disorders. Journal of Psychiat-ric Research, 62, 7–13. doi: 10.1016/j.jpsychires.2015.01.002

World Health Organization (1999). WHO recognizes child abuse as a major public health problem. Retrieved from

World Health Organization & International Society for Prevention of Child Abuse and Neglect (2006). Preventing child maltreatment: A guide to taking action and generating evidence. Switzerland: World Health Organization. Retrieved from



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