School-based intervention for prevention and treatment of elementary-students' terror-related distress in Israel: a quasi-randomized controlled trial

J Trauma Stress. 2007 Aug;20(4):541-51. doi: 10.1002/jts.20225.


A school-based intervention for preventing and reducing children's posttraumatic stress-related symptoms, somatic complaints, functional impairment, and anxiety due to exposure to terrorism was evaluated. In a quasi-randomized controlled trial, elementary school students were randomly assigned to an eight-session structured program, "Overshadowing the Threat of Terrorism" or to a waiting list control comparison group. Two months postintervention, the study group reported significant improvement on all measures. The authors conclude that a school-based universal intervention may significantly reduce posttraumatic stress disorder- (PTSD-) related symptoms in children repeatedly exposed to terrorist attacks and propose that it serve as a component of a public mental health approach dealing with children exposed to ongoing terrorism in a country ravaged by war and terrorism.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adaptation, Psychological
  • Child
  • Cognitive Behavioral Therapy*
  • Curriculum
  • Female
  • Health Education
  • Humans
  • Israel
  • Male
  • Personality Assessment
  • School Health Services*
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / prevention & control*
  • Stress Disorders, Post-Traumatic / psychology
  • Students / psychology*
  • Surveys and Questionnaires
  • Terrorism / psychology*