Background: The effectivenessofgroupinterventionsforadultswithmentaldistressinpost-conflict
settings islessclearinsub-SaharanAfrica.
Aim: Toassesstheimpactofgroupcounselinginterventionondepression,post-traumaticstressand
function outcomesamongadultsattendingthePeterC.AldermanFoundation(PCAF)traumaclinicsin
northern Uganda.
Methods: 631WaraffectedadultswereenrolledintoPCAFtraumaclinics.Usingaquasi-experimental
design, assessmentswereconductedatbaseline,at3and6monthsfollowinginitiationofcare.
Multivariatelongitudinalregressionmodelswereusedtodeterminechangeindepression,post-
traumatic stressandfunctionscoresovertimeamonggroupcounselingparticipantsandnon-
participants.
Results: In comparisontonon-participants,participantshadfasterreductionindepressionscoresduring
the 6-monthfollow-upperiod[β¼−1.84,95%CI(−3.38 to −0.30), p¼0.019]andfasterreductioninpost-
traumatic stressscoresduringthe3-monthfollow-upperiod[β¼−2.14,95%CI(−4.21to −0.10), p¼0.042].
At 3-monthfollowup,participantswhoattendedtwoormoresessionshadfasterincreaseinfunction
scores [β¼3.51,95%CI(0.61–6.40), p¼0.018]thanparticipantswhoattendedonlyonesession.
Limitations: Selection biasduetotheuseofnon-randomsamples.Substantialattritionratesandsmall
sample sizesmayhaveresultedininsufficient statisticalpowertodeterminemeaningfuldifferences.
Conclusion: The groupcounselinginterventionofferedinthePCAFclinicsmayhaveconsiderablemental
health benefits overtime.Thereisneedformoreresearchtostructure,standardizeandtesttheefficacy
of thisinterventionusingarandomizedcontrolledtrial.
Background: The effectivenessofgroupinterventionsforadultswithmentaldistressinpost-conflictsettings islessclearinsub-SaharanAfrica.Aim: Toassesstheimpactofgroupcounselinginterventionondepression,post-traumaticstressandfunction outcomesamongadultsattendingthePeterC.AldermanFoundation(PCAF)traumaclinicsinnorthern Uganda.Methods: 631WaraffectedadultswereenrolledintoPCAFtraumaclinics.Usingaquasi-experimentaldesign, assessmentswereconductedatbaseline,at3and6monthsfollowinginitiationofcare.Multivariatelongitudinalregressionmodelswereusedtodeterminechangeindepression,post-traumatic stressandfunctionscoresovertimeamonggroupcounselingparticipantsandnon-participants.Results: In comparisontonon-participants,participantshadfasterreductionindepressionscoresduringthe 6-monthfollow-upperiod[β¼−1.84,95%CI(−3.38 to −0.30), p¼0.019]andfasterreductioninpost-traumatic stressscoresduringthe3-monthfollow-upperiod[β¼−2.14,95%CI(−4.21to −0.10), p¼0.042].At 3-monthfollowup,participantswhoattendedtwoormoresessionshadfasterincreaseinfunctionscores [β¼3.51,95%CI(0.61–6.40), p¼0.018]thanparticipantswhoattendedonlyonesession.Limitations: Selection biasduetotheuseofnon-randomsamples.Substantialattritionratesandsmallsample sizesmayhaveresultedininsufficient statisticalpowertodeterminemeaningfuldifferences.Conclusion: The groupcounselinginterventionofferedinthePCAFclinicsmayhaveconsiderablementalhealth benefits overtime.Thereisneedformoreresearchtostructure,standardizeandtesttheefficacyof thisinterventionusingarandomizedcontrolledtrial.
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ประวัติ : effectivenessofgroupinterventionsforadultswithmentaldistressinpost ความขัดแย้งการตั้งค่า islessclearinsub saharanafrica
.
เล็ง : toassesstheimpactofgroupcounselinginterventionondepression โพสต์ traumaticstressand
ฟังก์ชัน outcomesamongadultsattendingthepeterc . aldermanfoundation ( pcaf ) traumaclinicsin
วิธีการภาคเหนือยูกันดา 631waraffectedadultswereenrolledintopcaftraumaclinics .usingaquasi ทดลองออกแบบ assessmentswereconductedatbaseline
, ,
at3and6monthsfollowinginitiationofcare . multivariatelongitudinalregressionmodelswereusedtodeterminechangeindepression โพสต์ -
-
stressandfunctionscoresovertimeamonggroupcounselingparticipantsandnon traumatic เข้าร่วม ผล : ในผู้เข้าร่วม comparisontonon participantshadfasterreductionindepressionscoresduring
,การ 6-monthfollow-upperiod [ β¼− 1.84,95 % CI ( −− 3.38 กับ 0.30 ) , P ¼ 0.019 ] andfasterreductioninpost -
traumatic stressscoresduringthe3 monthfollow upperiod [ β¼− 2.14,95 % CI ( −− 4.21to 0.10 ) , P ¼ 0.042 ] .
ที่ 3-monthfollowup participantswhoattendedtwoormoresessionshadfasterincreaseinfunction
, [ β¼คะแนน 3.51,95 % CI ( 0.61 – 6.40 ) , P ¼ 0.018 ] thanparticipantswhoattendedonlyonesession .
ข้อจำกัด :การเลือก biasduetotheuseofnon randomsamples . substantialattritionratesandsmall
ตัวอย่าง sizesmayhaveresultedininsufficient statisticalpowertodeterminemeaningfuldifferences .
สรุป : สุขภาพประโยชน์ groupcounselinginterventionofferedinthepcafclinicsmayhaveconsiderablemental
thereisneedformoreresearchtostructure standardizeandtesttheefficacy , ค่าล่วงเวลาของ thisinterventionusingarandomizedcontrolledtrial .
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