Citation

Hall BJ, Bolton PA, Annan J, Kaysen D, Robinette K, Cetinoglu T, Wachter K, Bass JK. Am. J. Public Health 2014; 104(9): 1680-1686.

Affiliation

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.

Copyright

(Copyright © 2014, American Public Health Association)

DOI

10.2105/AJPH.2014.301981

PMID

25033113

Abstract

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. (Am J Public Health. Published online ahead of print July 17, 2014: e1-e7. doi:10.2105/AJPH.2014.301981).

Language: en