{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:33:43Z","timestamp":1787870023071,"version":"build-2784847793"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100031705","name":"Universidad Internacional de Valencia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031705","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>CSA is associated with post-traumatic stress disorder (PTSD), dissociation, emotion-regulation difficulties and psychopathology. Trauma-focused cognitive behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are evidence-based interventions, but their sequential delivery in online groups for women with CSA-related complex trauma remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine feasibility and preliminary clinical outcomes of a 16-session online group intervention combining TF-CBT and EMDR Group Traumatic Episode Protocol (G-TEP), and to explore differences by sequence (EMDR \u2192 CBT vs. CBT \u2192 EMDR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Of 31 eligible participants, nine adult women (Mean age = 39.42 years, SD = 10.23) completed both phases and assessment (EMDR \u2192 CBT:\n                      <jats:italic>n<\/jats:italic>\n                      = 5; CBT \u2192 EMDR:\n                      <jats:italic>n<\/jats:italic>\n                      = 4). Assessments at baseline (T1), T2, and T3 included PTSD (EGS-R), dissociation (DES), psychopathology (SCL-90-R), emotion regulation (DERS), self-esteem (RSES), life satisfaction (SWLS), and treatment satisfaction (CRES-4). Non-parametric tests and effect sizes were used. An illustrative case was included.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intervention showed descriptive improvements across domains, including PTSD symptoms, dissociation, and psychopathology, with improved self-esteem and life satisfaction. However, most statistical tests were non-significant, consistent with the exploratory nature of the small sample. Effect sizes indicated variability across sequences: EMDR \u2192 CBT showed larger effects in phobic anxiety and self-esteem, whereas CBT \u2192 EMDR showed larger effects in dissociation. Findings indicate exploratory sequence-related patterns rather than definitive treatment effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sequential online delivery of TF-CBT and EMDR G-TEP appears feasible among completers, although substantial attrition limits feasibility. Findings are preliminary and require confirmation in future controlled studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1872104","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:11:41Z","timestamp":1784095901000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["A pilot study of the feasibility and preliminary outcomes of sequential TF-CBT and EMDR online group therapy for adult women with histories of childhood sexual abuse"],"prefix":"10.3389","volume":"17","author":[{"given":"Milagros","family":"Molero-Zafra","sequence":"first","affiliation":[{"name":"Faculty of Psychology, University of Valencia","place":["Valencia, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Jes\u00fas","family":"Hern\u00e1ndez-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Mental Health Unit (USM) Sedav\u00ed, Dr. Peset Hospital Health Department","place":["Valencia, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Fern\u00e1ndez-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, University of Valencia","place":["Valencia, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari\u00e1n","family":"P\u00e9rez-Mar\u00edn","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, University of Valencia","place":["Valencia, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"B1","volume-title":"Treating Trauma and Traumatic Grief in Children and Adolescents","author":"Cohen","year":"2017"},{"key":"B2","volume-title":"SCL-90-R: Administration, Scoring and Procedures Manual-II","author":"Derogatis","year":"2002"},{"key":"B3","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1207\/s15327752jpa4901_13","article-title":"The satisfaction with life scale","volume":"49","author":"Diener","year":"1985","journal-title":"J. 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