Integrating Trauma-Focused Cognitive Behavioral Therapy with Foster Care Children's Lived Experience of Complex Trauma, and Comparing its Effectiveness with Trauma-Focused Cognitive Behavioral Therapy on Complex Posttraumatic Stress Disorder, Behavioral Disorder, Alexithymia, and Resilience

The aim of the present trial is to investigate the effectiveness of the integrated intervention of trauma- focused cognitive behavioral therapy with the lived experience of complex trauma in foster care children compared to trauma- focused cognitive behavioral therapy on complex post-traumatic stress, behavioral disorder, alexythimia, resilient

The clinical trial has a control group, one-sided blind, is randomized, and a table of random numbers is used for randomization.

Children from quasi-families with complex trauma experience will be selected by purposive sampling method and screened for eligibility in the research. Then they will be randomly assigned to groups. Participants will be evaluated before and after the intervention. The study is one-sided blind and only the participants are unaware of the allocation of the study groups

1. Living in foster care 2. Complex trauma experience 3. 9 to 11 years old 4. Not receiving psychological treatment and drug treatments at the same time as the research is being conducted 5. Desire to participate in research 6. Obtaining a clinical score in questionnaires of complex post-traumatic stress, behavioral disorder and alexythimia

This trial is divided into three groups: intervention of trauma- focused cognitive behavioral therapy, integrated intervention and control group. The treatment is done on the intervention groups and the control group does not receive treatment, but due to the preservation of ethics in the research, this group is placed on the waiting list and after the end of the research, they receive the necessary treatment.

on Complex Posttraumatic Stress Disorder, Behavioral Disorder, Alexithymia, and Resilience

In this trial, simple individual randomization method will be used. Randomization will be done using a table of random numbers and by someone other than the researchers, and therefore, allocation concealment will be done. For each participant, a number will be selected from the random table. With his eyes closed, this person will put his finger randomly on a part of the table and choose the corresponding number. If the 1st digit of this number is 1, 2 or 3, that participant will be assigned to the combined intervention group. If the 1st digit of this number was 4, 5, or 6, that participant would be assigned to the trauma-focused cognitive-behavioral therapy group. Finally, if the 1st digit of this number was 7, 8 or 9, that participant will be assigned to the control group. It should be noted that if the target number was zero, or if the group corresponding to a number was already filled, another number will be extracted from the table.

The participants and officials of quasi-family centers do not know which groups are the intervention group and which group is the control group, but they are aware that they are participating in a clinical trial and participate in this research with full consent.

The treatment protocol and study results will be available to other in the dissertation and article.

After the publication of the results, it will be available forever in the form of a thesis.

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