The Effectiveness of CBT-Based Positive Self-Affirmations on Childhood Sexual Abuse Survivors’ Self-Esteem and Hope

Abstract This nine-week AB single case research study evaluated the degree to which CBT-based positive self-affirmations helped childhood sexual abuse (CSA) survivors increase their perceptions of hope and self-esteem. Participants included five females and one male, aged 24 to 46 years (N = 6). CBT-based positive self-affirmations were effective in increasing hope perceptions in three participants, as well as self-esteem perceptions in another three participants with statistically significant improvement (p < 0.05). The results of this study support the idea that CBT-based positive self-affirmations may be an effective intervention for CSA survivors. Implications and recommendations for counselors working with CSA survivors are discussed.