期刊
AMERICAN JOURNAL OF PUBLIC HEALTH
卷 104, 期 9, 页码 1680-1686出版社
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.2014.301981
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资金
- US Agency for International Development Victims of Torture Fund
- World Bank
- Swedish International Development Cooperation Agency
- US Agency for International Development Mission in the Democratic Republic of Congo
- Open Square Foundation
- European Community Humanitarian Office
- National Institute of Mental Health T32 in Psychiatric Epidemiology [T32MH014592-35]
- National Institutes of Health Fogarty Center Global Health Fellows Program [1R25TW009340-01]
Objectives. We evaluated changes in social capital following group-based cognitive processing therapy (CPT) for female survivors of sexual violence. Methods. We compared CPT with individual support in a cluster-randomized trial in villages in South Kivu province, Democratic Republic of the Congo. Local psychosocial assistants delivered the interventions from April through July 2011. We evaluated differences between CPT and individual support conditions for structural social capital (i.e., time spent with nonkin social network, group membership and participation, and the size of financial and instrumental support networks) and emotional support seeking. We analyzed intervention effects with longitudinal random effects models. Results. We obtained small to medium effect size differences for 2 study outcomes. Women in the CPT villages increased group membership and participation at 6-month follow-up and emotional support seeking after the intervention compared with women in the individual support villages. Conclusions. Results support the efficacy of group CPT to increase dimensions of social capital among survivors of sexual violence in a low-income conflict-affected context.
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