PSYCHOSOCIAL SUPPORT FOR ADOLESCENTS AFFECTED BY WAR-RELATED STRESS: A COMPREHENSIVE MULTIMODAL REHABILITATION PROGRAM

Abstract

The article presents the theoretical rationale and the results of an empirical verification of a comprehensive multimodal psychosocial rehabilitation program designed for adolescents (14-18 years old) experiencing Continuous Traumatic Stress (CTS) due to prolonged military aggression. The intervention is grounded in the principle of hierarchical neuropsychological regulation, utilizing a three-stage progression: stabilization (somatic), processing (emotional), and integration (meaning-making). A core premise of the study is that under conditions of chronic threat, physiological stabilization must precede cognitive-behavioral interventions to be effective. The program synthesizes original therapeutic techniques—such as 'Web of Unity', 'Cinema', and 'Ship of Life'—with established evidence-based practices including somatic therapy, neuroregulation, cognitive-behavioral therapy (CBT), and art therapy. Empirical testing, conducted at a residential rehabilitation center in Spain (n=96), demonstrated high efficacy of the intervention. A statistically significant (p < 0.001) decrease in anxiety levels (GAD-7), flashback intensity (PCL-5), and improvement in sleep quality (PSQI) were recorded. Simultaneously, a significant increase in psychological resilience indicators (CD-RISC-10) and self-confidence (Rosenberg SES) was revealed. Follow-up measurement after 3 months confirmed the stability of the obtained results (effect retention at the level of 87-91%). Qualitative analysis (semi-structured interviews, n=24) showed the restoration of body awareness, a sense of social belonging, and the ability to plan for the future in adolescents. Methodological recommendations for practical psychologists on implementing the program are proposed, emphasizing the need to comply with safety protocols and prevent re-traumatization. The study provides a ready-to-use, empirically tested protocol that can be implemented in rehabilitation centers, school psychological services, and non-governmental organizations to support youth affected by military conflicts. The three-stage structure of the program (stabilization, processing, integration) has proven its theoretical validity and empirical effectiveness in working with continuous traumatic stress in adolescents.