The Effectiveness of Compassion-Focused Therapy (CFT) on Self-Criticism and Social Anxiety among Adolescents with a History of Domestic Violence

Authors
Abstract
Domestic violence during adolescence can be associated with various psychological consequences, including increased self-criticism and social anxiety. The present study aimed to investigate the effectiveness of Compassion-Focused Therapy (CFT) on self-criticism and social anxiety among adolescents with a history of domestic violence in Kerman, Iran, in 2025. This study employed a quasi-experimental design with a pretest–posttest control group. The statistical population consisted of adolescents with a history of domestic violence in Kerman. Thirty participants were selected using purposive sampling and randomly assigned to an experimental group (n = 15) and a control group (n = 15). Data were collected using the Self-Criticism Questionnaire and the Social Anxiety Scale for Adolescents. The experimental group received eight 90-minute sessions of Compassion-Focused Therapy, while the control group remained on a waitlist. Data were analyzed using multivariate analysis of covariance (MANCOVA). The results indicated that Compassion-Focused Therapy significantly reduced self-criticism and social anxiety among adolescents with a history of domestic violence compared with the control group (p < .05). These findings suggest that Compassion-Focused Therapy may serve as an effective intervention for reducing self-criticism and social anxiety among adolescents with a history of domestic violence.
Keywords

Allen, J. J., & Anderson, C. A. (2017). Aggression and violence: Definitions and distinctions. In The Wiley handbook of violence and aggression (pp. 1–14). https://doi.org/10.1002/9781119057574.whbva001
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Baron, R. A., & Richardson, D. R. (2004). Human aggression. Springer Science & Business Media.
Cao, W., Li, P., van der Wal, R. C., & Taris, T. W. (2023). Leadership and workplace aggression: A meta-analysis. Journal of Business Ethics, 186(2), 347–367. https://doi.org/10.1007/s10551-022-05184-0
Ciesinski, N. K., Sorgi-Wilson, K. M., Cheung, J. C., Chen, E. Y., & McCloskey, M. S. (2022). The effect of dialectical behavior therapy on anger and aggressive behavior: A systematic review with meta-analysis. Behaviour Research and Therapy, 154, 104122. https://doi.org/10.1016/j.brat.2022.104122
Cohen, R. J., Swerdlik, M. E., & Phillips, S. M. (2018). Psychological testing and assessment: An introduction to tests and measurement (9th ed.). Mayfield Publishing Co.
Cramer, P. (2015). Understanding defense mechanisms. Psychodynamic Psychiatry, 43(4), 523–552. https://doi.org/10.1521/pdps.2015.43.4.523
Gui, B., & Stanca, L. (2010). Happiness and relational goods: Well-being and interpersonal relations in the economic sphere. International Review of Economics, 57(2), 105–118. https://doi.org/10.1007/s12232-010-0099-0
Harford, T. C., Chen, C. M., Kerridge, B. T., & Grant, B. F. (2018). Self- and other-directed forms of violence and their relationship with lifetime DSM-5 psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Psychiatry Research, 262, 384–392. https://doi.org/10.1016/j.psychres.2017.09.012
Hershcovis, M. S., & Reich, T. C. (2013). Integrating workplace aggression research: Relational, contextual, and method considerations. Journal of Organizational Behavior, 34(S1), S26–S42. https://doi.org/10.1002/job.1886
Khormaei, F., & Farmani, A. (2014). Study of psychometric indices of the short form of the Big Five Personality Factors Questionnaire. Psychological Methods and Models, 4(16), 29–39. [Persian]
Kline, R. B. (2011). Principles and practice of structural equation modeling (4th ed.). Guilford Press.
Legas, G., Belete, H., & Asnakew, S. (2022). Prevalence and determinants of aggressive behavior among adults with problematic substance use in Northwest Ethiopia: A cross-sectional survey. BMC Psychiatry, 22(1), 402. https://doi.org/10.1186/s12888-022-04053-4
Lim, Y. O., & Suh, K. H. (2022). Development and validation of a measure of passive aggression traits: The Passive Aggression Scale (PAS). Behavioral Sciences, 12(8), 273. https://doi.org/10.3390/bs12080273
Long, N. J., Long, J. E., & Whitson, S. (2009). The angry smile: The psychology of passive–aggressive behavior in families, schools, and workplaces. Pro-Ed Inc.
Millon, T. (1993). Negativistic (passive-aggressive) personality disorder. Journal of Personality Disorders, 7(1), 78–85. https://doi.org/10.1521/pedi.1993.7.1.78
Neuman, J. H., & Baron, R. A. (2005). Aggression in the workplace: A social-psychological perspective. In S. Fox & P. E. Spector (Eds.), Counterproductive work behavior: Investigations of actors and targets (pp. 13–40). American Psychological Association. https://doi.org/10.1037/10893-001
Parrott, D. J., & Giancola, P. R. (2007). Addressing “the criterion problem” in the assessment of aggressive behavior: Development of a new taxonomic system. Aggression and Violent Behavior, 12(3), 280–299. https://doi.org/10.1016/j.avb.2006.08.002
Reynold, J., & Santos, A. (1999). Cronbach’s alpha: A tool for assessing the reliability of scales. The Journal of Extension, 37(7), 35–36.
Richard, Y., Tazi, N., Frydecka, D., Hamid, M. S., & Moustafa, A. A. (2023). A systematic review of neural, cognitive, and clinical studies of anger and aggression. Current Psychology, 42(20), 17174–17186. https://doi.org/10.1007/s12144-022-03143-6
Schanz, C. G., Equit, M., Schäfer, S. K., Käfer, M., Mattheus, H. K., & Michael, T. (2021). Development and psychometric properties of the test of passive aggression. Frontiers in Psychology, 12, Article 579183. https://doi.org/10.3389/fpsyg.2021.579183
Shams al-Dini, S., Ahmadi, A., & Mousavi, S. (2014). Normalization of the life satisfaction index of the elderly. Applied Psychology, 3(59), 477–495. [Persian]
Turp, M. (2007). Self-harm by omission: A question of skin containment. Psychodynamic Practice, 13(3), 229–244. https://doi.org/10.1080/14753630701455812