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Culturally adapted CBT reduced anger in war-exposed Syrian and Palestinian adolescents in Jordan.

Culturally adapted CBT reduced anger in war-exposed Syrian and Palestinian adolescents in Jordan.
Photo by Ben Maffin / Unsplash
Key Takeaway
Consider culturally adapted CBT for war-exposed adolescents, noting preliminary evidence and lack of control data.

This single-arm pretest–posttest study involved 50 Syrian and Palestinian adolescents exposed to war-related trauma in Jordan. The intervention consisted of a culturally adapted cognitive behavioral group program comprising eight sessions focused on cognitive restructuring and emotion regulation. No comparator group was included in this design.

Primary analysis indicated statistically significant reductions in anger severity. Secondary outcomes demonstrated improvements in emotion regulation. The study reported high feasibility and acceptability with full participant retention and no reported adverse events or serious adverse events.

Key limitations include the absence of a control group and the lack of follow-up data. These factors limit causal interpretation and long-term assessment of the intervention's effects. Funding sources and potential conflicts of interest were not reported.

The intervention shows promise for integration into community and humanitarian mental health services. Clinicians should interpret these preliminary findings conservatively while awaiting more rigorous evidence.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
ObjectiveWar-traumatized adolescents are at heightened risk of persistent anger and emotional dysregulation, which can impair mental health, social functioning, and community adjustment. Evidence-based interventions that specifically address anger in humanitarian settings remain limited. This study aimed to examine the feasibility, acceptability, and preliminary outcomes of a culturally adapted cognitive behavioral group intervention for reducing anger among war-affected adolescents in Jordan.MethodsA single-arm pretest–posttest design was employed with 50 Syrian and Palestinian adolescents exposed to war-related trauma. Participants completed an eight-session group intervention focused on cognitive restructuring and emotion regulation. Anger severity and emotion regulation were assessed before and after the intervention using validated self-report measures.ResultsThe intervention demonstrated high feasibility, with full participant retention and strong treatment fidelity. Statistically significant reductions in anger severity were observed following the intervention, alongside improvements in emotion regulation. Outcomes were comparable across nationality and socioeconomic background.ConclusionThe findings indicate that a culturally adapted cognitive behavioral group intervention is feasible and acceptable in a humanitarian context and may reduce anger among war-traumatized adolescents. Although the absence of a control group and follow-up data limits causal interpretation, the intervention shows promise for integration into community and humanitarian mental health services. Future research should evaluate effectiveness using randomized controlled designs with longer-term follow-up.
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