{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:17:26Z","timestamp":1788153446154,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the past five years alone, Lebanon has endured a series of unprecedented collective traumas culminating in direct military assaults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study examines the feasibility and acceptability of a cognitive\u2010behavioral skills\u2010building intervention called Creating Opportunities for Personal Empowerment (COPE) in alleviating trauma and mental distress in a sample of 14 to 17\u2009year\u2010old adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed\u2010method one\u2010group pretest\u2013posttest design was used. A total of 76 adolescent participants were enrolled for 7 sessions. Symptoms of trauma (PCL\u2010S), depression (PHQ\u20109), anxiety (GAD\u20107), quality of life (QOL Pediatric Quality of Life Inventory), body image dissatisfaction (BSQ\u20108c), and emotional eating (EES), were measured before and after COPE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Post\u2010intervention results showed large, significant reductions in trauma, depression, and anxiety symptoms, alongside improvements in quality of life and body image satisfaction. Adolescents also rated COPE as engaging and beneficial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>Our findings suggest that internal factors, such as emotional distress and daily functioning, play a strong role in shaping trauma outcomes in war\u2010exposed adolescents. COPE was associated with improvements in mental health and functioning of adolescents living in crisis\u2010affected contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70160","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T04:50:47Z","timestamp":1783399847000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The\n                    <scp>COPE<\/scp>\n                    Intervention for War\u2010Affected Adolescents: A Brief Cognitive\u2010Behavioral Skills\u2010Building Program to Enhance Quality of Life and Mental Health"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3397-9337","authenticated-orcid":false,"given":"Myriam","family":"El Khoury\u2010Malhame","sequence":"first","affiliation":[{"name":"Department of Psychology and Education, School of Arts and Sciences Lebanese American University  Byblos Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Zeeni","sequence":"additional","affiliation":[{"name":"Nutrition Department, School of Arts and Sciences Lebanese American University  Byblos Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joelle Abi","family":"Kharma","sequence":"additional","affiliation":[{"name":"Nutrition Department, School of Arts and Sciences Lebanese American University  Byblos Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riham","family":"El Bayah","sequence":"additional","affiliation":[{"name":"Department of Psychology and Education, School of Arts and Sciences Lebanese American University  Byblos Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1374-2751","authenticated-orcid":false,"given":"Rita","family":"Doumit","sequence":"additional","affiliation":[{"name":"Alice Ramez School of Nursing Lebanese American University  Byblos Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Israel's Extensive Destruction of Southern Lebanon","author":"Amnesty International","year":"2025"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108X(199507)18:1\u27e879::AID\u2010EAT2260180109\u27e93.0.CO;2\u2010V"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2024.101486"},{"key":"e_1_2_10_5_1","volume-title":"Cognitive Therapy of Depression","author":"Beck A. 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