Many survivors of human conflict witness or experience atrocities that leave them forever changed. Epidemiological studies reveal that psychiatric morbidity associated with mass violence in civilian and refugee populations is increased when compared with nontraumatized communities. In particular, posttraumatic stress disorder (PTSD) or symptoms of PTSD have been reported in approximately one-third of such populations1 and it has been associated with significant impairment in socio-occupational functioning. Providing evidence-based psychotherapy for large clusters of individuals with posttraumatic stress is an ongoing public health challenge.
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