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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The impact of group counseling on depression, post-traumatic stress and function outcomes: A prospective comparison study in the Peter C. Alderman trauma clinics in northern Uganda
Journal of Affective Disorders, Volume 151, No. 1, Year 2013
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Description
Background: The effectiveness of group interventions for adults with mental distress in post-conflict settings is less clear in sub-Saharan Africa. Aim: To assess the impact of group counseling intervention on depression, post-traumatic stress and function outcomes among adults attending the Peter C. Alderman Foundation (PCAF) trauma clinics in northern Uganda. Methods: 631 War affected adults were enrolled into PCAF trauma clinics. Using a quasi-experimental design, assessments were conducted at baseline, at 3 and 6 months following initiation of care. Multivariate longitudinal regression models were used to determine change in depression, post- traumatic stress and function scores over time among group counseling participants and non- participants. Results: In comparison to non-participants, participants had faster reduction in depression scores during the 6-month follow-up period l/3=-184, 95%CI (-338 to -030), p=°°I91 and faster reduction in post- traumatic stress scores during the 3-month follow-up period 1/3= -214. 95%CI (-421 to -010). p=°°421. At 3-month follow up, participants who attended two or more sessions had faster increase in function scores 1/3=351, 95%CI (061-640), p=°°181 than participants who attended only one session. Limitations: Selection bias due to the use of non-random samples. Substantial attrition rates and small sample sizes may have resulted in insufficient statistical power to determine meaningful differences. Conclusion: The group counseling intervention offered in the PCAF clinics may have considerable mental health benefits over time. There is need for more research to structure, standardize and test the efficacy of this intervention using a randomized controlled trial. © 2013 Elsevier B.V. All rights reserved.
Authors & Co-Authors
Nakimuli-Mpungu, Etheldreda
Uganda, Kampala
Makerere University College of Health Sciences
Uganda, Kampala
Butabika National Referral and Mental Health Hospital
United States, Bedford
Peter C. Alderman Foundation
Okello, James Ezra
United States, Bedford
Peter C. Alderman Foundation
Uganda, Gulu
Gulu University
Kinyanda, Eugene
Uganda, Kampala
Makerere University College of Health Sciences
United States, Bedford
Peter C. Alderman Foundation
Uganda, Entebbe
Uganda Virus Research Institute
Alderman, Stephen
United States, Bedford
Peter C. Alderman Foundation
Nakku, Juliet E.M.
Uganda, Kampala
Makerere University College of Health Sciences
Uganda, Kampala
Butabika National Referral and Mental Health Hospital
United States, Bedford
Peter C. Alderman Foundation
Alderman, Jeffrey S.
United States, Bedford
Peter C. Alderman Foundation
Pavia, Alison
United States, Bedford
Peter C. Alderman Foundation
Adaku, Alex
United States, Bedford
Peter C. Alderman Foundation
Uganda
Arua Regional Referral Hospital
Allden, Kathleen
United States, Bedford
Peter C. Alderman Foundation
United States, Hanover
Geisel School of Medicine at Dartmouth
Musisi, Seggane M.
Uganda, Kampala
Makerere University College of Health Sciences
Uganda, Kampala
Butabika National Referral and Mental Health Hospital
United States, Bedford
Peter C. Alderman Foundation
Statistics
Citations: 31
Authors: 10
Affiliations: 7
Identifiers
Doi:
10.1016/j.jad.2013.05.055
ISSN:
01650327
e-ISSN:
15732517
Research Areas
Mental Health
Study Design
Randomised Control Trial
Cohort Study
Quasi Experimental Study
Study Approach
Quantitative
Study Locations
Uganda