ArticleFrontiers in psychology2026
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.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Background: 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. Objective: 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 → CBT vs. CBT → EMDR). Methods: Of 31 eligible participants, nine adult women (Mean age = 39.42 years, SD = 10.23) completed both phases and assessment (EMDR → CBT: Results: 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 → CBT showed larger effects in phobic anxiety and self-esteem, whereas CBT → EMDR showed larger effects in dissociation. Findings indicate exploratory sequence-related patterns rather than definitive treatment effects. Conclusion: 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.
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