title: 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.
abstract: OBJECTIVE
  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.
authors.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.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Hall
authors.forename: Paul A
authors.initials: PA
authors.lastname: Bolton
authors.forename: Jeannie
authors.initials: J
authors.lastname: Annan
authors.forename: Debra
authors.initials: D
authors.lastname: Kaysen
authors.forename: Katie
authors.initials: K
authors.lastname: Robinette
authors.forename: Talita
authors.initials: T
authors.lastname: Cetinoglu
authors.forename: Karin
authors.initials: K
authors.lastname: Wachter
authors.forename: Judith K
authors.initials: JK
authors.lastname: Bass
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011203:Poverty; D012742:Sex Offenses / Q000523:psychology / Q000706:statistics & numerical data*; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data*