Effectiveness of a Trauma/Grief–Focused Group Intervention: A Qualitative Study with War–Exposed Bosnian Adolescents
Abstract
The effectiveness and impacts of a school-based, trauma/grief-focused group treatment program for war-exposed youth in Bosnia and Herzegovina were investigated using semistructured focus groups, conducted separately for students and their school counselor group leaders. Overall, students' and leaders' evaluations of the groups were generally positive. General themes of outcomes and impacts perceived by students and group leaders include: acquisition of coping skills and attitudes, willingness to advocate for peers, improved interpersonal relationships, negative impacts, general positive impacts, impacts in the schools, impacts on the group and logistics of the program, and broader impacts on the perception of mental health in the community. The broad positive impacts of this program suggest that trauma/grief-focused group treatment intervention programs targeting trauma-exposed youth may be effective on multiple levels with war-exposed youth and their communities.
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In an RCT with 127 war-exposed secondary school students, significant reductions in PTSD and depressive symptoms and improvements in maladaptive grief were found among intervention participants compared to an active-treatment comparison group.
“Significant reductions in PTSD and depressive symptoms, as well as improvements in maladaptive grief, were perceived among intervention participants as compared to an active-treatment comparison group that did not participate in the intervention.”
From Interventions for Children Affected by War: An Ecological Perspective on Psychosocial Support and Mental Health Care (2013) · cites this paper as [58]
Several studies reviewed highlight how paraprofessionals and lay facilitators may be successfully mobilized to deliver mental health and psychosocial interventions.
“Several of the studies reviewed here highlight how paraprofessionals and lay facilitators may be successfully mobilized to deliver mental health and psychosocial interventions.29,50–53,58,59,63”
From Interventions for Children Affected by War: An Ecological Perspective on Psychosocial Support and Mental Health Care (2013) · cites this paper as [58]
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Saltzman, W. R., Layne, C. M., Pynoos, R. S., Olafson, E., Kaplow, J. B., & Boat, B. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316443132.009
Self-citationMoneti, L., Braoudé, I., Chahraoui, K., Radjack, R., Moro, M. R., & Minassian, S. (2026) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2026.107972
Towards evidence-based post-war reconstruction
Maedl, A. (2010)
Clinician reluctance to refer to group psychotherapy
Kociol, B. E. (2011) · Rutgers University Community Repository (Rutgers University) · doi:10.7282/t3pn951s
- Authors
- Cox, J., Davies, D. R., Burlingame, G. M., Campbell, J. E., Layne, C. M., & Katzenbach, R. J.
- Affiliations
- Brigham Young University (US)
- University of Utah (US)
- University of California, Los Angeles (US)
- Corresponding author
- Cox, Jonathan
- Venue
- International Journal of Group Psychotherapy
- Publisher
- Informa UK Limited
- Published
- 2007-07
- Volume
- 57
- Issue
- 3
- Pages
- 319-345
- ISSN
- 0020-7284 (ISSN-L)
- 1943-2836
- OpenAlex
- W2070364436
- Cited by
- 82
- References
- 22
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 4 · 2018: 3 · 2017: 33 · 2016: 7 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 5.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Group Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- school-based mental health programs, school counselors, coping strategies, interpersonal relationships
- MeSH terms
- Adolescent, Female, Grief, Humans, Interpersonal Relations, Male, Psychotherapy, Group, Research Design, Stress Disorders, Post-Traumatic, Warfare, Treatment Outcome, Bosnia and Herzegovina
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