{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:57:19Z","timestamp":1790787439821,"version":"4.1.0"},"reference-count":38,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"unspecified","delay-in-days":109,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Glob. Ment. Health"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S205442512100011X_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>To assess whether Healing in Harmony (HiH), a form of music therapy, improved women's mental health following conflict-related trauma and sexual violence in the Democratic Republic of Congo.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205442512100011X_sec_a2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>This study used a step-wedged design and included 167 women, who completed up to two pre-tests, a post-test, and up to two follow-up interviews at 3 and 6 months after completing the program. The Hopkins Symptoms Checklist was used to measure anxiety and depression. The Harvard Trauma Questionnaire was used to measure post-traumatic stress disorder (PTSD). Generalized estimating equations with unstructured covariance were used to estimate mean change in mental health scores and relative risks (RRs) for screening positive.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205442512100011X_sec_a3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Prior to starting the HiH program, 73.9, 84.2, and 68.5% screened positive with median scores being 2.20, 2.70, and 2.06 for depression, anxiety, and PTSD, respectively. The RR for screening positive declined significantly (RR = 0.49 for depression, 0.61 for anxiety, and 0.54 for PTSD) and mean scores declined significantly by \u22120.54, \u22120.67, and \u22120.53 points, respectively, from the pre- to the post-test, declines that were sustained at the 3-month and 6-month follow-up interviews.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205442512100011X_sec_a4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusion<\/jats:title>\n\t    <jats:p>The HiH program was associated with significant improvement in women's mental health that was sustained up to 6 months post completion of the program despite instability in the region and evidence of continued experience of conflict-related trauma during the study. These data support the value of providing psychological care in the context of ongoing humanitarian crises.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/gmh.2021.11","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T08:15:16Z","timestamp":1618906516000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Impact of the Healing in Harmony program on women's mental health in a rural area in South Kivu province, Democratic Republic of Congo"],"prefix":"10.1017","volume":"8","author":[{"given":"Justin","family":"Cikuru","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Bitenga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juvenal Bazilashe Mukungu","family":"Balegamire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prince Mujumbe","family":"Salama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle M.","family":"Hood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhramar","family":"Mukherjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Mukwege","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9899-356X","authenticated-orcid":false,"given":"Sioban D.","family":"Harlow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"S205442512100011X_ref19","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2014.903953"},{"key":"S205442512100011X_ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1211853"},{"key":"S205442512100011X_ref15","unstructured":"Human Rights Watch (2002) The war within the war: Sexual violence against women and girls in Eastern Congo. Human Rights Watch. Available at https:\/\/www.hrw.org\/report\/2002\/06\/20\/war-within-war\/sexual-violence-against-women-and-girls-eastern-congo#page (Accessed May 6 2020)."},{"key":"S205442512100011X_ref35","unstructured":"RStudio Team (2015) RStudio: Integrated Development for R. RStudio, Inc., Boston, MA URL Available at http:\/\/www.rstudio.com\/."},{"key":"S205442512100011X_ref32","unstructured":"Panzi Foundation (2020) The Panzi Model: Compassionate, holistic healing for survivors of sexual violence. 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e13"}}