The effect of cognitive therapy on structural social capital: results from a randomized controlled trial among sexual violence survivors in the Democratic Republic of the Congo.

Journal: American journal of public health

Volume: 104

Issue: 9

Year of Publication: 2014

Affiliated Institutions:  Brian J. Hall is with the Department of Psychology, The University of Macau, Macau (SAR), People's Republic of China, and the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Bolton is with the Department of Mental Health and the Department of International Health, Johns Hopkins Bloomberg School of Public Health. Jeannie Annan and Talita Cetinoglu are with International Rescue Committee, New York, NY. Debra Kaysen is with Department of Psychiatry, University of Washington, Seattle, WA. Katie Robinette is with International Rescue Committee, Bukavu, Democratic Republic of the Congo. Karin Wachter is with the School of Social Work, University of Texas, Austin. Judith K. Bass is with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health.

Abstract summary 

We evaluated changes in social capital following group-based cognitive processing therapy (CPT) for female survivors of sexual violence.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.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.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.

Authors & Co-authors:  Hall Bolton Annan Kaysen Robinette Cetinoglu Wachter Bass

Study Outcome 

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Statistics
Citations :  Chen LP, Murad MH, Paras ML et al. Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clin Proc. 2010;85(7):618–629.
Authors :  8
Identifiers
Doi : 10.2105/AJPH.2014.301981
SSN : 1541-0048
Study Population
Women,Female
Mesh Terms
Adult
Other Terms
Study Design
Study Approach
Country of Study
Republic of the congo
Publication Country
United States