Parents experience differentiated emotions after learning of their child’s abuse; however, little is known about the effect of trauma therapy on these differentiated reactions and the factors associated with these reactions. This study examined the impact of child trauma therapy on parents’ distress, guilt, and shame over the course of treatment and following treatment, the correlates of these emotional reactions before treatment, and the correlates of changes in these reactions. The sample at pre-therapy included 92 trauma-exposed children (68.90% female, Mage = 9.58 years, 38.10% Caucasian) and their parents receiving Trauma-Focused Cognitive Behavioural Therapy (TF-CBT). Parents rated their distress, guilt, and shame, their functioning (stress-levels, parent support), and their child’s functioning (emotion regulation and internalizing/externalizing symptoms) at pre-therapy, post-therapy, and 6-month follow-up. Significant modest-to-large improvements in parent distress, guilt, and shame were found immediately following TF-CBT and from pre-therapy to 6-month follow up. Parent and child functioning, as well as characteristics of the child’s abuse, accounted for a significant proportion of the variance in parents’ distress, guilt, and shame prior to treatment, with child internalizing symptoms being a consistent correlate. Changes in parent support and child internalizing symptoms were associated with changes in parent distress and shame over the course of TF-CBT, and changes in child externalizing symptoms were associated with changes in parents’ shame from pre-therapy to follow-up. Improvements in parents’ discrete emotional reactions were observed throughout TF-CBT and months after therapy has ended. The implications of results, as related to the key factors associated with these reactions, are discussed.

父母在得知孩子受到虐待后会体验到不同的情绪；然而，关于创伤治疗对这些分化反应的影响以及与这些反应相关的因素知之甚少。本研究检查了儿童创伤治疗对治疗过程中和治疗后父母的痛苦、内疚和羞耻感的影响，治疗前这些情绪反应的相关性，以及这些反应变化的相关性。在治疗前的样品包括92创伤暴露儿童（68.90％为女性，中号年龄 = 9.58 岁，38.10% 白种人）和他们的父母接受以创伤为中心的认知行为疗法 (TF-CBT)。在治疗前、治疗后和 6 个月的随访中，父母对他们的痛苦、内疚和羞耻、他们的功能（压力水平、父母支持）和他们孩子的功能（情绪调节和内化/外化症状）进行评分. 在 TF-CBT 后以及从治疗前到 6 个月的随访后，父母的痛苦、内疚和羞耻感立即得到了显着的中到大改善。父母和孩子的功能，以及孩子被虐待的特征，在治疗前父母的痛苦、内疚和羞耻感的变化中占很大比例，孩子的内化症状是一致的相关因素。父母支持和儿童内化症状的变化与 TF-CBT 过程中父母痛苦和羞耻感的变化有关，而儿童外化症状的变化与从治疗前到随访期间父母羞耻感的变化有关。在整个 TF-CBT 和治疗结束后的几个月内，观察到父母离散情绪反应的改善。讨论了与这些反应相关的关键因素相关的结果的影响。