Depressive symptomatology of Congolese refugees Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult <18 years 2. Living in Kyangwali (updated 22/07/2019, previously: Nakivale) settlement, Uganda and Gihembe refugee camp, Rwanda 3. Identify as Congolese refugees 4. Have a self-reported good level of fluency in the languages that aCBS will be delivered in (Kinyarwanda in Rwanda / Kiswahili in Uganda).
Exclusion criteria
Exclusion criteria: 1. Current diagnosis of a complex mental disorder (e.g. psychotic disorders, PTSD, substance dependence) 2. Severe cognitive impairment (e.g. severe intellectual disability, dementia) 3. Actively express suicidal intent Individuals that are excluded because of a diagnosis of a mental disorder or imminent risk of suicide will be referred for urgent local mental health support.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Depressive symptomatology score as measured on the PHQ-937 at 16-weeks (primary endpoint) and 32-weeks (secondary endpoint) compared between the aCBS programme and ECU. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Self-Reporting Questionnaire for detecting CMDs in primary health care settings. 2. Checklist for Daily Life Stressors (CDES), WHO-5 for wellbeing. 3. WHO Quality of Life BREF, Shortened and Adapted Social Capital Assessment Tool, PTSD Check List – Screener (PCL-6) and Multi-dimensional Scale of Perceived Social Support to measure social connectivity. Outcomes will be assessed at baseline, and at 16- (primary outcome)- and 32-weeks (secondary outcome) post-baseline. The Major Depressive Episode module of the MINI will be used at baseline only. | — |
Countries
Rwanda, Uganda