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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

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  • Hall, B.J.
  • Bolton, P.A.
  • Annan, J.
  • Kaysen, D.
  • Robinette, K.
  • Cetinoglu, T.
  • Wachter, K.
  • Bass, J.K.

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.

Suggested Citation

  • Hall, B.J. & Bolton, P.A. & Annan, J. & Kaysen, D. & Robinette, K. & Cetinoglu, T. & Wachter, K. & Bass, J.K., 2014. "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," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1680-1686.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.301981_4
    DOI: 10.2105/AJPH.2014.301981
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    Cited by:

    1. Michael Vlassopoulos & Abu Siddique & Tabassum Rahman & Debayan Pakrashi & Asad Islam & Firoz Ahmed, 2024. "Improving Women's Mental Health during a Pandemic," American Economic Journal: Applied Economics, American Economic Association, vol. 16(2), pages 422-455, April.
    2. Alto, Michelle E. & Petrenko, Christie L.M., 2017. "Fostering secure attachment in low- and middle-income countries: Suggestions for evidence-based interventions," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 151-165.
    3. Hall, Brian J. & Tol, Wietse A. & Jordans, Mark J.D. & Bass, Judith & de Jong, Joop T.V.M., 2014. "Understanding resilience in armed conflict: Social resources and mental health of children in Burundi," Social Science & Medicine, Elsevier, vol. 114(C), pages 121-128.
    4. Paola Ilabaca Baeza & José Manuel Gaete Fiscella & Fuad Hatibovic Díaz & Helena Roman Alonso, 2022. "Social, Economic and Human Capital: Risk or Protective Factors in Sexual Violence?," IJERPH, MDPI, vol. 19(2), pages 1-21, January.
    5. Villalonga-Olives, E. & Wind, T.R. & Kawachi, I., 2018. "Social capital interventions in public health: A systematic review," Social Science & Medicine, Elsevier, vol. 212(C), pages 203-218.

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