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Culturally adapted CBT reduced anger in war-exposed Syrian and Palestinian adolescents in JordanNew Group Therapy Cuts Anger in War-Traumatized Teens

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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.

Many teenagers who have seen war struggle with intense rage. They feel trapped by emotions they cannot control. This anger often pushes them away from friends and family.

War leaves deep scars on young minds. In places like Jordan, many Syrian and Palestinian teens face these daily. They often feel hopeless and angry. Current help is hard to find in these areas. Most standard treatments do not fit their culture.

The surprising shift

Doctors used to think these teens needed long individual therapy. But that is too hard in a crisis. This study tested a different idea. It used a group setting instead.

But here is the twist. The group format worked better than expected. It built support while teaching skills.

Think of your brain like a traffic jam. Anger is a car stuck in the middle. It blocks everything else. This therapy acts like a traffic cop. It teaches teens to stop and rethink their thoughts.

They learn to spot angry thoughts. Then they swap them for calmer ones. This is called cognitive restructuring. It is like changing a map to find a new route.

Fifty teens took part in this trial. They were from Syria and Palestine. All had seen war violence. They joined an eight-session group. Each session lasted about an hour. The goal was simple: reduce anger and improve mood control.

The results were clear and positive. Every single teen stayed in the program. No one dropped out. Their anger scores dropped significantly after the sessions. They also felt more in control of their feelings.

These improvements happened for everyone. It did not matter if they were Syrian or Palestinian. It did not matter if their family was rich or poor. The skills worked for all of them.

This doesn't mean this treatment is available yet.

The catch

There is a reason for caution. The study did not have a control group. We do not know if time alone caused the change. We also did not check them months later. We need to see if the skills stick.

Mental health experts see this as a strong start. It fits well with community needs. Humanitarian workers can use these tools easily. They do not need expensive equipment. Just trained leaders and a safe space.

If you know a teen affected by war, talk to a doctor. Ask about anger management groups. These skills can change lives. They help teens handle school and friendships.

This study has limits. It was short-term. It only looked at one group. We need bigger studies to be sure. We also need to check if it works years later.

Researchers will now plan bigger trials. They will compare this therapy to other methods. The goal is official approval for use everywhere. Until then, it remains a promising tool for helpers on the ground.

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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