Background: War contributes to sleep disorders and posttraumatic stress disorder by war experiences. Theses mental and psychological troubles are a common symptom in children and adolescents during Wartime. Aim: The objective of this study was the first to evaluate the effects of the method of Therapy by Repeating Phrases of Positive Thoughts (TRPPT) and Cognitive and Positive psychotherapy (CPPT) training during Wartime among children and adolescents in Syria. This study attempted to treat the evils of wars, which cause deep wounds and psychological scares because of their horrors. Method: The sample consisted of 41 Syrian children and adolescents, aged 13 to 17 years. Results: 41 Syrian children and adolescents (experimental group) who benefited from TRPPT have the decreasingon Posttraumatic stress disorder (PTSD), Sleep Disorders (SD) and remember of War Experiences (WE). The results showed a significant decrease in PTSD in throughout the Therapy (p<0.05) and a significant reduction in SD following the TRPPT protocol (p<0.001), and also less Negative War Experiences (p<0.01). Conclusions: States of mind and psychologic were improved after the TRPPT. Treatment by repeating phrases positive thoughts will be significant among children and adolescents refugees subjected to war or no. Cognitive and positive psychotherapy based on TRPPT have an impact positive on evils of wars, which cause Posttraumatic stress disorder, Sleep Disorders and Negatives War Experiences. There is a dose effect: the higher the level of activity of the CPPT and TRPPT, the lower the psychiatric disorder, and the better of the health.

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Introduction: Psychological troubles (PSYT) are common co-morbidities symptoms in multiple sclerosis (MS). Negative verbal thinking style plays a causal role in maintaining intrusions, perhaps serving to trigger subsequent depressive and anxious symptoms and psychological distress. Positive verbal thinking style plays protective role against these symptoms. Objective: The objective of this study was the first to evaluate the short-term effects of the TRPPT method (Treatment by Repeating Phrases of Positive Thoughts). Method: The total of (27) participants, 20 students from the University of Damascus and 7 MS patients from Damascus Hospital and Ibn Alnafees Hospital. Results: Experimental group who has benefited from RPPT have had less depression, less anxiety and less stress and there were significant differences between experimental and control groups. According to value of effect size (Cohen's d), NAT (1.595; 1.822), depression (1.446; 2.615), anxiety (1.492; 2.286), stress (1.395; 2.363) decrease after TRPPT; and PAT (1.643; 2.162) self-esteem (2.204; 1.676) and satisfaction in life (1.432; 1.781) improveamong MS patients and students after TRPPT, respectively. The results showed a significant reduction in psychological disturbances throughout the experimental group (p<0.05) and a significant reduction in stress following the RPPT protocol (p<0.01), less anxiety (p<0.001) and also less depression (p<0.05). The short-term effect RPPT (repeating phrases positive thoughts) is significant. A low score of psychological disorders have emerged as one independent variable predictive of a good response to treatment by RPPT method. Conclusion: The positive cognitions improve the treatment of depression, anxiety and stress in clinical sample (MS patients) and non-clinical one (students) and it also enhance their selfesteem and their quality of life. Unlike medicinal treatments, there is no consumption limit or adverse side effects. TRPPT is new psychotherapeutic approach against psychological disorders. Contrary to NAT, increased PAT predicted decreased psychopathy. So, the optimal state of mind based on TRPPT is characterized by the optimal balance between cognitive and affective structure, corresponding to an adaptive and flexible balance in healthy persons in neutral situations. This theoretically optimal state of mind is positively balanced, but at the same time includes sufficient negative cognition to remain realistically cautious.

Introduction: Mental and psychological troubles are a common symptom in war. The prevalence of psywar and phywar difficulties among refugees and people subjected to war is highest in psychotraumatology. International guidelines recommend to treat these difficulties.

Objective: Our study has validated the Automatic thoughts Questionnaire among Syrian multiple sclerosis patients. The Automatic Thoughts Questionnaire-18 item-Multiple Sclerosis-Arabic has included both the version of the 8-item Negative Automatic Thoughts Questionnaire and 10 positive items from the Automatic Thoughts Questionnaire-Revised. Method: A total of 65 Syrian multiple sclerosis patients have been recruited in Damascus Hospital and Ibn Alnafees Hospital for validation of Automatic Thought Questionnaire-18 item-Multiple Sclerosis-Arabic. Results: The internal consistency reliability (alpha>0.70) and the split-half reliability were very good. Exploratory factor analysis (accounted for 72.28% of total variance) indicated 3 factors for the Automatic Thought Questionnaire-18 item-Multiple Sclerosis-Arabic: negative thought, positive thought (emotional), and positive thought (cognitive). The Negative Automatic Thoughts Questionnaire was positively related to depression, stress and anxiety (p<0.01), and negatively related to self-esteem and life satisfaction (p<0.01). The Positive Automatic Thoughts Questionnaire subscale score was negatively related to depression, stress and anxiety (p<0.05), and positively related to self-esteem and life satisfaction (p<0.01). Conclusion: This study is the first research that examines the positive and negative cognitions in multiple sclerosis patients and confirms the internal and external validity of the Automatic Thought Questionnaire-18 item-Multiple Sclerosis-Arabic. This study suggested that an examination of both the positive and negative dimensions of thoughts contribute to understanding of the depression in multiple sclerosis. Clinical implications: The validation of a tool (Automatic Thought Questionnaire-18 item-Multiple Sclerosis-Arabic) has three important clinical implications: deposit a valid research instrument in multiple sclerosis. Ability to evaluate two style of thinking, negative and positive and study their role in the initiation, maintenance and treatment of depression in multiple sclerosis patients. Automatic Thought Questionnaire-18 item-Multiple Sclerosis-Arabic minimizes the diagnostic false for evaluate the depression in multiple sclerosis patients. Examination of both the positive and negative dimensions of cognition might contribute to a greater understanding of the psychopathology of depression in multiple sclerosis.