03-09-2022 | Original Paper
Resilience Is Associated with Improved Emotion Regulation and Internalizing Symptoms Following Transdiagnostic Treatment in a Diverse Sample of Children
Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2023
Log in om toegang te krijgenAbstract
The study of child psychotherapy effectiveness is increasingly focused on identifying factors that predict positive outcomes. While prior studies suggest children’s resilience (i.e., self-esteem, social-support, and self-efficacy) may enhance the effectiveness of cognitive behavioral therapy (CBT), these findings are inconsistent, and it is unclear if these results extend to children from diverse racial/ethnic and socioeconomic (SES) backgrounds. This study aims to 1) evaluate associations between pre-treatment self-efficacy, self-esteem, and social support, and post-treatment internalizing symptoms and emotion regulation, and; 2) examine differences in treatment response between predominantly racial/ethnic minority and low SES youth, and predominantly White and high-SES youth. 252 children ages 7–12 years completed the Resilience Builder Program® (RBP), a group intervention, at either schools comprised of predominantly economically marginalized, ethnic/racial minority youth or at a private therapy practice, comprised of predominantly high-SES, White youth. Results showed that children in both settings significantly improved in internalizing symptoms and emotional control following participation in the RBP intervention. In the combined sample, pre-treatment social support was associated with greater improvement in post-treatment internalizing symptoms, and pre-treatment self-efficacy was associated with greater improvement in post-treatment emotional control. For children in the school setting only, higher baseline self-esteem and social support were associated with greater improvements in post-treatment internalizing symptoms and emotional control, respectively. Findings suggest that social support and self-esteem may be particularly important in enhancing treatment response for children from underrepresented ethnic/racial backgrounds and high poverty families.