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Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.

Meffert SM; Neylan TC; McCulloch CE; Blum K; Cohen CR; Bukusi EA; Verdeli H; Markowitz JC; Kahn JG; Bukusi D; Thirumurthy H; Rota G; Rota R; Oketch G; Opiyo E; Ongeri L · PLoS medicine · 2021 · Randomized controlled trial

Original publication · Original publication · Original publication · Original publication · Original publication

Recorded summary

At three months, IPT reduced odds of major depression and PTSD in the mixed-GBV cohort. Partnered-subgroup IPV findings were exploratory and vulnerable to attrition/relationship-status changes.

Recorded limitations

Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Randomized controlled trial
assessment
category
rct
is Randomized Controlled Trial
true
basis
Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
sources

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

review Scope
full-text
trust Factor
scope
Paper
status
assessed
score
2
randomized Controlled Trial
true
peer Reviewed
true
blinding
not-confirmed
basis
Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
sources

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

review Scope
full-text
human Approval
false
display Crosses
2
masking Roles
participants
Not established from accessed source.
providers
Therapists and coordinator not masked.
assessors
Baseline and follow-up evaluators masked.
analysts
Not established from accessed source.
rating Scale
library-trust-factor/1-3
jadad
status
unassessed
score
Not recorded
evidence
evidence Type
Randomized controlled trial
intervention
Interpersonal psychotherapy integrated with HIV care. Twelve weekly individual sessions of approximately one hour.
comparator
Waitlist plus usual clinic/social resources; waitlist received IPT after the three-month comparison.
sample
256 randomized and included in longitudinal models; partnered baseline subgroup105 (56 IPT,49 control), with changing denominators later.
measurement
Major depression diagnosis; PTSD diagnosis; Physical IPV among partnered participants; Absenteeism
timing
Three months
trial Id
NCT02320799
relationship Note
Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable. See population and limitations; not a population-wide recommendation.
measured Genes
None recorded
pathways
None recorded
source Access
level
full-text
source URLs

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

retrieved At
2026-10-30T08:03:45.801817+00:00
outcomes
  1. name
    Major depression diagnosis
    follow Up
    Three months
    result
    Lower odds with IPT plus usual care.
    effect Estimate
    OR .26;95% CI .11–.60; p=.002
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Primary
  2. name
    PTSD diagnosis
    follow Up
    Three months
    result
    Lower odds with IPT plus usual care.
    effect Estimate
    OR .35;95% CI .14–.86; p=.02
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Primary
  3. name
    Physical IPV among partnered participants
    follow Up
    Three months
    result
    Exploratory reduction; changing partnership and differential attrition limit interpretation.
    effect Estimate
    Not recorded
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Secondary, not powered
  4. name
    Absenteeism
    follow Up
    Three months
    result
    No statistically significant comparative improvement.
    effect Estimate
    Difference -3.35 days;95% CI -6.83–.14; p=.06
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Secondary
quality
risk Of Bias
Provisional assessment; allocation, masking and missingness limitations explicitly retained.
attrition
At three months, 34/123 IPT versus16/133 control lost; overall90/256 did not complete all assessments. Completer primary data were also missing for13 IPT and1 control.
confounding
Random assignment supports group comparison; implementation, missingness and analysis remain relevant.
adverse Findings
Acute suicidality/GBV danger was screened and referred with escorted transport; systematic adverse-event totals not established.
transfer Limits
Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
jadad
not established
masking Roles
participants
Not established from accessed source.
providers
Therapists and coordinator not masked.
assessors
Baseline and follow-up evaluators masked.
analysts
Not established from accessed source.
population
relation
context
population
HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
exposure Evidence
HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
rationale
Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable.
transfer Limit
See population and limitations; not a population-wide recommendation.
Topics and recorded topic scores
  1. key
    language:domestic-family-violence
    title
    Domestic & Family Violence
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
dv-adult-therapy-33428625
doi
10.1371/journal.pmed.1003468
pmid
33428625
citation Snapshot
count
Not recorded
source
Not recorded
retrieved At
Not recorded
status
not-assessed
citations By Collection
language
Not recorded
Complete approved library record
publication Approval
status
approved-for-publication
approved By
Ben Korbel
approved At
2026-11-01
assessment
AI assessed; human approved for publication
scope
Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
source Revision
audit-r2-7ee0d1141e43
source Content Hash
7ee0d1141e4378dc9e52b7e89863a001bd1a30574844469b38267997689e9e22
source Access
level
full-text
source URLs

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

retrieved At
2026-10-30T08:03:45.801817+00:00
editorial Audit
auditor
Codex (AI)
completed At
2026-10-31T05:11:05.655793+00:00
prior Content Hash
Not recorded
prior Revision
Not recorded
prior Source
continuation-10
source Verification
id
dv-adult-therapy-33428625
doi
10.1371/journal.pmed.1003468
pmid
33428625
fresh Metadata
Europe PMC core
metadata Retrieved
true
metadata SHA256
ba50d6fb898f4ad25876f6d8a38fdc1f6955315df25050f0b2c5abedd3c6c7a0
claim Check
Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
sources

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

applied Proposals
None recorded
method
AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
limitations

Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.

study Family Id
NCT02320799
family Linkage Uncertain
false
approaches
None recorded
id
dv-adult-therapy-33428625
aliases
None recorded
title
Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
journal
PLoS medicine
neurotransmitters
None recorded
year
2021
authors
Meffert SM; Neylan TC; McCulloch CE; Blum K; Cohen CR; Bukusi EA; Verdeli H; Markowitz JC; Kahn JG; Bukusi D; Thirumurthy H; Rota G; Rota R; Oketch G; Opiyo E; Ongeri L
design
Randomized controlled trial
kind
Journal article
identity Conflict
Not recorded
doi
10.1371/journal.pmed.1003468
pmid
33428625
urls

https://doi.org/10.1371/journal.pmed.1003468 · https://pubmed.ncbi.nlm.nih.gov/33428625/ · https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

collections

language

categories

Clinical & self-report

targets
None recorded
priority
1
quotes
None recorded
summary
At three months, IPT reduced odds of major depression and PTSD in the mixed-GBV cohort. Partnered-subgroup IPV findings were exploratory and vulnerable to attrition/relationship-status changes.
limitation
Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
citation Count
Not recorded
citation Snapshot
count
Not recorded
source
Not recorded
retrieved At
Not recorded
status
not-assessed
study Design Assessment
category
rct
is Randomized Controlled Trial
true
basis
Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
sources

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

review Scope
full-text
paper Trust Assessment
scope
Paper
status
assessed
score
2
randomized Controlled Trial
true
peer Reviewed
true
blinding
not-confirmed
basis
Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
sources

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

review Scope
full-text
human Approval
false
display Crosses
2
masking Roles
participants
Not established from accessed source.
providers
Therapists and coordinator not masked.
assessors
Baseline and follow-up evaluators masked.
analysts
Not established from accessed source.
rating Scale
library-trust-factor/1-3
citations By Collection
language
Not recorded
topics
  1. key
    language:domestic-family-violence
    title
    Domestic & Family Violence
    collection
    language
    trust Score
    2
journal Key
plosmedicine
journal Label
PLoS medicine
chapter Entries
  1. id
    language-dv-dv-adult-therapy-33428625
    aliases
    None recorded
    title
    Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
    authors
    Meffert SM; Neylan TC; McCulloch CE; Blum K; Cohen CR; Bukusi EA; Verdeli H; Markowitz JC; Kahn JG; Bukusi D; Thirumurthy H; Rota G; Rota R; Oketch G; Opiyo E; Ongeri L
    year
    2021
    journal
    PLoS medicine
    doi
    10.1371/journal.pmed.1003468
    pmid
    33428625
    urls

    https://doi.org/10.1371/journal.pmed.1003468 · https://pubmed.ncbi.nlm.nih.gov/33428625/ · https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    collections

    language

    categories

    Clinical & self-report

    targets
    None recorded
    neurotransmitters
    None recorded
    conditions

    ptsd · trauma · depression

    condition Evidence
    1. id
      ptsd
      evidence
      1. field
        title
        text
        Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
        matched Text
        posttraumatic stress
      2. field
        population
        text
        HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
        matched Text
        PTSD
      3. field
        outcomes
        text
        Major depression diagnosis | PTSD diagnosis | Physical IPV among partnered participants | Absenteeism
        matched Text
        PTSD
      scope
      Study population or investigated outcome; not a diagnosis or efficacy claim.
    2. id
      trauma
      evidence
      1. field
        title
        text
        Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
        matched Text
        posttraumatic
      scope
      Study population or investigated outcome; not a diagnosis or efficacy claim.
    3. id
      depression
      evidence
      1. field
        title
        text
        Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
        matched Text
        depression
      2. field
        population
        text
        HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
        matched Text
        depression
      3. field
        outcomes
        text
        Major depression diagnosis | PTSD diagnosis | Physical IPV among partnered participants | Absenteeism
        matched Text
        depression
      scope
      Study population or investigated outcome; not a diagnosis or efficacy claim.
    age Groups

    adults

    age Population
    record Id
    dv-adult-therapy-33428625
    collections

    language

    groups

    adults

    reported Ages
    Eligibility at least 18; mean age about 37 years.
    youth Scope
    Not recorded
    youth Source Note
    Not recorded
    source URL
    https://europepmc.org/article/MED/33428625
    basis Type
    source-limited-ai-editorial-assessment
    classification Note
    Original age terms: adults. Programme targets or possible eligibility are not counted as observed ages.
    community Matches
    1. category Id
      domestic-violence
      relation
      context
    kind
    Journal article
    design
    Randomized controlled trial
    origin
    approved-dv-20261101
    priority
    1
    quotes
    None recorded
    finding
    At three months, IPT reduced odds of major depression and PTSD in the mixed-GBV cohort. Partnered-subgroup IPV findings were exploratory and vulnerable to attrition/relationship-status changes.
    summary
    At three months, IPT reduced odds of major depression and PTSD in the mixed-GBV cohort. Partnered-subgroup IPV findings were exploratory and vulnerable to attrition/relationship-status changes.
    limitation
    Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
    evidence
    evidence Type
    Randomized controlled trial
    intervention
    Interpersonal psychotherapy integrated with HIV care. Twelve weekly individual sessions of approximately one hour.
    comparator
    Waitlist plus usual clinic/social resources; waitlist received IPT after the three-month comparison.
    sample
    256 randomized and included in longitudinal models; partnered baseline subgroup105 (56 IPT,49 control), with changing denominators later.
    measurement
    Major depression diagnosis; PTSD diagnosis; Physical IPV among partnered participants; Absenteeism
    timing
    Three months
    trial Id
    NCT02320799
    relationship Note
    Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable. See population and limitations; not a population-wide recommendation.
    measured Genes
    None recorded
    pathways
    None recorded
    source Access
    level
    full-text
    source URLs

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    retrieved At
    2026-10-30T08:03:45.801817+00:00
    outcomes
    1. name
      Major depression diagnosis
      follow Up
      Three months
      result
      Lower odds with IPT plus usual care.
      effect Estimate
      OR .26;95% CI .11–.60; p=.002
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Primary
    2. name
      PTSD diagnosis
      follow Up
      Three months
      result
      Lower odds with IPT plus usual care.
      effect Estimate
      OR .35;95% CI .14–.86; p=.02
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Primary
    3. name
      Physical IPV among partnered participants
      follow Up
      Three months
      result
      Exploratory reduction; changing partnership and differential attrition limit interpretation.
      effect Estimate
      Not recorded
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Secondary, not powered
    4. name
      Absenteeism
      follow Up
      Three months
      result
      No statistically significant comparative improvement.
      effect Estimate
      Difference -3.35 days;95% CI -6.83–.14; p=.06
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Secondary
    quality
    risk Of Bias
    Provisional assessment; allocation, masking and missingness limitations explicitly retained.
    attrition
    At three months, 34/123 IPT versus16/133 control lost; overall90/256 did not complete all assessments. Completer primary data were also missing for13 IPT and1 control.
    confounding
    Random assignment supports group comparison; implementation, missingness and analysis remain relevant.
    adverse Findings
    Acute suicidality/GBV danger was screened and referred with escorted transport; systematic adverse-event totals not established.
    transfer Limits
    Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
    jadad
    not established
    masking Roles
    participants
    Not established from accessed source.
    providers
    Therapists and coordinator not masked.
    assessors
    Baseline and follow-up evaluators masked.
    analysts
    Not established from accessed source.
    population
    relation
    context
    population
    HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
    exposure Evidence
    HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
    rationale
    Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable.
    transfer Limit
    See population and limitations; not a population-wide recommendation.
    study Design Assessment
    category
    rct
    is Randomized Controlled Trial
    true
    basis
    Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
    sources

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    review Scope
    full-text
    paper Trust Assessment
    scope
    Paper
    status
    assessed
    score
    2
    randomized Controlled Trial
    true
    peer Reviewed
    true
    blinding
    not-confirmed
    basis
    Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
    sources

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    review Scope
    full-text
    human Approval
    false
    display Crosses
    2
    masking Roles
    participants
    Not established from accessed source.
    providers
    Therapists and coordinator not masked.
    assessors
    Baseline and follow-up evaluators masked.
    analysts
    Not established from accessed source.
    rating Scale
    library-trust-factor/1-3
    jadad
    status
    unassessed
    score
    Not recorded
    citation Snapshot
    count
    Not recorded
    source
    Not recorded
    retrieved At
    Not recorded
    status
    not-assessed
    citation Count
    Not recorded
    publication Approval
    status
    approved-for-publication
    approved By
    Ben Korbel
    approved At
    2026-11-01
    assessment
    AI assessed; human approved for publication
    scope
    Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
    source Revision
    audit-r2-7ee0d1141e43
    source Content Hash
    7ee0d1141e4378dc9e52b7e89863a001bd1a30574844469b38267997689e9e22
    source Access
    level
    full-text
    source URLs

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    retrieved At
    2026-10-30T08:03:45.801817+00:00
    study Family Id
    NCT02320799
    family Linkage Uncertain
    false
    approaches
    None recorded
    record Id
    dv-adult-therapy-33428625
    source Pages
    None recorded
    editorial Audit
    auditor
    Codex (AI)
    completed At
    2026-10-31T05:11:05.655793+00:00
    prior Content Hash
    Not recorded
    prior Revision
    Not recorded
    prior Source
    continuation-10
    source Verification
    id
    dv-adult-therapy-33428625
    doi
    10.1371/journal.pmed.1003468
    pmid
    33428625
    fresh Metadata
    Europe PMC core
    metadata Retrieved
    true
    metadata SHA256
    ba50d6fb898f4ad25876f6d8a38fdc1f6955315df25050f0b2c5abedd3c6c7a0
    claim Check
    Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
    sources

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    applied Proposals
    None recorded
    method
    AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
    limitations

    Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.

    assessment Record
    id
    dv-adult-therapy-33428625
    title
    Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
    authors

    Meffert SM · Neylan TC · McCulloch CE · Blum K · Cohen CR · Bukusi EA · Verdeli H · Markowitz JC · Kahn JG · Bukusi D · Thirumurthy H · Rota G · Rota R · Oketch G · Opiyo E · Ongeri L

    year
    2021
    journal
    PLoS medicine
    doi
    10.1371/journal.pmed.1003468
    pmid
    33428625
    trial Registration

    NCT02320799

    collection
    language
    intervention Family
    Interpersonal psychotherapy integrated with HIV care.
    publication Type
    Primary intervention study
    study Family Id
    NCT02320799
    family Linkage Uncertain
    false
    existing Repository Matches
    None recorded
    relevance
    relation
    context
    population
    HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
    exposure Evidence
    HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
    rationale
    Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable.
    transfer Limit
    See population and limitations; not a population-wide recommendation.
    age
    groups

    adults

    reported Range
    Eligibility at least 18; mean age about 37 years.
    youth Scope
    Not recorded
    country
    Kenya
    setting
    FACES HIV clinic, Kisumu.
    sample Size
    randomized
    256
    analyzed
    256
    description
    256 randomized and included in longitudinal models; partnered baseline subgroup105 (56 IPT,49 control), with changing denominators later.
    intervention
    description
    Interpersonal psychotherapy integrated with HIV care.
    dose
    Twelve weekly individual sessions of approximately one hour.
    provider
    Trained local female nonspecialists, with expert and peer supervision.
    comparator
    Waitlist plus usual clinic/social resources; waitlist received IPT after the three-month comparison.
    outcomes
    1. name
      Major depression diagnosis
      follow Up
      Three months
      result
      Lower odds with IPT plus usual care.
      effect Estimate
      OR .26;95% CI .11–.60; p=.002
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Primary
    2. name
      PTSD diagnosis
      follow Up
      Three months
      result
      Lower odds with IPT plus usual care.
      effect Estimate
      OR .35;95% CI .14–.86; p=.02
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Primary
    3. name
      Physical IPV among partnered participants
      follow Up
      Three months
      result
      Exploratory reduction; changing partnership and differential attrition limit interpretation.
      effect Estimate
      Not recorded
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Secondary, not powered
    4. name
      Absenteeism
      follow Up
      Three months
      result
      No statistically significant comparative improvement.
      effect Estimate
      Difference -3.35 days;95% CI -6.83–.14; p=.06
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Secondary
    finding
    At three months, IPT reduced odds of major depression and PTSD in the mixed-GBV cohort. Partnered-subgroup IPV findings were exploratory and vulnerable to attrition/relationship-status changes.
    limitation
    Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
    design
    type
    Randomized controlled trial
    randomization Evidence
    Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
    masking
    participants
    Not established from accessed source.
    providers
    Therapists and coordinator not masked.
    assessors
    Baseline and follow-up evaluators masked.
    analysts
    Not established from accessed source.
    crosses
    1
    cross Rationale
    One cross: explicit random allocation; double-blinded treatment not established.
    quality
    risk Of Bias
    Provisional assessment; allocation, masking and missingness limitations explicitly retained.
    attrition
    At three months, 34/123 IPT versus16/133 control lost; overall90/256 did not complete all assessments. Completer primary data were also missing for13 IPT and1 control.
    confounding
    Random assignment supports group comparison; implementation, missingness and analysis remain relevant.
    adverse Findings
    Acute suicidality/GBV danger was screened and referred with escorted transport; systematic adverse-event totals not established.
    transfer Limits
    Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
    jadad
    not established
    access
    level
    full-text
    source URLs

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    retrieved At
    2026-10-30T08:03:45.801817+00:00
    sources
    1. url
      https://europepmc.org/article/MED/33428625
      type
      Primary publication abstract in Europe PMC MEDLINE record
      retrieved At
      2026-10-30T07:15:55.705516+00:00
      identity Verified
      true
      notes
      Retained source retrieved in first-round API search; newly inspected in continuation. DOI/title checked against Crossref.
      retrieval Query URL
      https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=TITLE_ABS%3A%28%22intimate+partner+violence%22+OR+%22domestic+violence%22+OR+%22battered+women%22%29+AND+TITLE_ABS%3A%28randomized+OR+randomised%29+AND+TITLE_ABS%3A%28therapy+OR+psychological+OR+psychotherapy+OR+cognitive+OR+counseling+OR+counselling+OR+%22motivational+interviewing%22%29&format=json&resultType=core&pageSize=1000
      inspected At
      2026-10-30T08:12:46.998330+00:00
    2. url
      https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML
      type
      Primary full-paper XML
      retrieved At
      2026-10-30T08:03:42.509974+00:00
      identity Verified
      true
      notes
      Methods/results inspected.
    3. url
      https://api.crossref.org/works/10.1371/journal.pmed.1003468
      type
      Crossref DOI registration
      retrieved At
      2026-10-30T08:03:45.801817+00:00
      identity Verified
      true
      notes
      Title/authors and update/relation metadata checked.
    publication Status
    status
    Published
    correction Retraction Check
    europe PMCpub Types

    Research Support, Non-U.S. Gov't · research-article · Randomized Controlled Trial · Journal Article · Research Support, N.I.H., Extramural

    crossref Update Relations
    None recorded
    crossref Relations
    crossref Checked
    true
    uncertainty
    No comprehensive publisher/Crossmark audit claimed.
    recommendation Rationale
    Pending evidence record retaining limitations and null outcomes; no clinical endorsement implied.
    review
    status
    pending
    reviewer
    Not recorded
    assessment Status
    assessed
    assessment Notes

    Original schema completed using primary source or explicit access limit. Frozen first-batch files were not changed. · Table1 denominator clarification:61% past-week physical IPV concerns the partnered subgroup, not all256 women. Mental-health effects refer to the full mixed-GBV cohort. Unclear IPV model units and textual risk ratios are not reproduced. · Newly screened in continuation; bibliographic source had previously been retrieved but left in the unscreened queue.

    review Ready
    true
    review Readiness
    ai-editorial-audit-complete-release-pending
    publication Recommendation
    status
    recommended-summary
    reason
    Suitable as a qualified research-library summary at the stated source-access level. This is not a conclusion that the intervention is effective or safe.
    scope
    Research summary only; no treatment recommendation
    human Release Approval
    false
    editorial Audit
    auditor
    Codex (AI)
    completed At
    2026-10-31T05:11:05.655793+00:00
    prior Content Hash
    Not recorded
    prior Revision
    Not recorded
    prior Source
    continuation-10
    source Verification
    id
    dv-adult-therapy-33428625
    doi
    10.1371/journal.pmed.1003468
    pmid
    33428625
    fresh Metadata
    Europe PMC core
    metadata Retrieved
    true
    metadata SHA256
    ba50d6fb898f4ad25876f6d8a38fdc1f6955315df25050f0b2c5abedd3c6c7a0
    claim Check
    Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
    sources

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    applied Proposals
    None recorded
    method
    AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
    limitations

    Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.

    study Design Assessment
    category
    rct
    is Randomized Controlled Trial
    true
    basis
    Excel-generated random color sequence in blocks of ten; coordinator assigned next color after baseline, with the next allocation visible.
    sources

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    review Scope
    full-text
    paper Trust Assessment
    scope
    Paper
    status
    assessed
    score
    2
    randomized Controlled Trial
    true
    peer Reviewed
    true
    blinding
    not-confirmed
    basis
    One cross: explicit random allocation; double-blinded treatment not established.
    sources

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    review Scope
    full-text
    human Approval
    false
    display Crosses
    1
    masking Roles
    participants
    Not established from accessed source.
    providers
    Therapists and coordinator not masked.
    assessors
    Baseline and follow-up evaluators masked.
    analysts
    Not established from accessed source.
    jadad
    status
    unassessed
    score
    Not recorded
    evidence
    population
    relation
    context
    population
    HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
    exposure Evidence
    HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
    rationale
    Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable.
    transfer Limit
    See population and limitations; not a population-wide recommendation.
    intervention
    description
    Interpersonal psychotherapy integrated with HIV care.
    dose
    Twelve weekly individual sessions of approximately one hour.
    provider
    Trained local female nonspecialists, with expert and peer supervision.
    comparator
    Waitlist plus usual clinic/social resources; waitlist received IPT after the three-month comparison.
    outcomes
    1. name
      Major depression diagnosis
      follow Up
      Three months
      result
      Lower odds with IPT plus usual care.
      effect Estimate
      OR .26;95% CI .11–.60; p=.002
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Primary
    2. name
      PTSD diagnosis
      follow Up
      Three months
      result
      Lower odds with IPT plus usual care.
      effect Estimate
      OR .35;95% CI .14–.86; p=.02
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Primary
    3. name
      Physical IPV among partnered participants
      follow Up
      Three months
      result
      Exploratory reduction; changing partnership and differential attrition limit interpretation.
      effect Estimate
      Not recorded
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Secondary, not powered
    4. name
      Absenteeism
      follow Up
      Three months
      result
      No statistically significant comparative improvement.
      effect Estimate
      Difference -3.35 days;95% CI -6.83–.14; p=.06
      uncertainty
      Confidence intervals provided when source establishes them; otherwise unresolved.
      primary Status
      Secondary
    access
    level
    full-text
    source URLs

    https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

    retrieved At
    2026-10-30T08:03:45.801817+00:00
    citation Snapshot
    count
    Not recorded
    source
    Not recorded
    retrieved At
    Not recorded
    status
    not-assessed
    provenance
    Discovered by AI
    content Hash
    7ee0d1141e4378dc9e52b7e89863a001bd1a30574844469b38267997689e9e22
    revision
    audit-r2-7ee0d1141e43
    archive Entries
    None recorded
    collection
    language
    chapter Number
    5
    topic Id
    domestic-family-violence
    topic Title
    Domestic & Family Violence
    trust Score
    2
evidence
evidence Type
Randomized controlled trial
intervention
Interpersonal psychotherapy integrated with HIV care. Twelve weekly individual sessions of approximately one hour.
comparator
Waitlist plus usual clinic/social resources; waitlist received IPT after the three-month comparison.
sample
256 randomized and included in longitudinal models; partnered baseline subgroup105 (56 IPT,49 control), with changing denominators later.
measurement
Major depression diagnosis; PTSD diagnosis; Physical IPV among partnered participants; Absenteeism
timing
Three months
trial Id
NCT02320799
relationship Note
Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable. See population and limitations; not a population-wide recommendation.
measured Genes
None recorded
pathways
None recorded
source Access
level
full-text
source URLs

https://europepmc.org/article/MED/33428625 · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7799784/fullTextXML · https://api.crossref.org/works/10.1371/journal.pmed.1003468

retrieved At
2026-10-30T08:03:45.801817+00:00
outcomes
  1. name
    Major depression diagnosis
    follow Up
    Three months
    result
    Lower odds with IPT plus usual care.
    effect Estimate
    OR .26;95% CI .11–.60; p=.002
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Primary
  2. name
    PTSD diagnosis
    follow Up
    Three months
    result
    Lower odds with IPT plus usual care.
    effect Estimate
    OR .35;95% CI .14–.86; p=.02
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Primary
  3. name
    Physical IPV among partnered participants
    follow Up
    Three months
    result
    Exploratory reduction; changing partnership and differential attrition limit interpretation.
    effect Estimate
    Not recorded
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Secondary, not powered
  4. name
    Absenteeism
    follow Up
    Three months
    result
    No statistically significant comparative improvement.
    effect Estimate
    Difference -3.35 days;95% CI -6.83–.14; p=.06
    uncertainty
    Confidence intervals provided when source establishes them; otherwise unresolved.
    primary Status
    Secondary
quality
risk Of Bias
Provisional assessment; allocation, masking and missingness limitations explicitly retained.
attrition
At three months, 34/123 IPT versus16/133 control lost; overall90/256 did not complete all assessments. Completer primary data were also missing for13 IPT and1 control.
confounding
Random assignment supports group comparison; implementation, missingness and analysis remain relevant.
adverse Findings
Acute suicidality/GBV danger was screened and referred with escorted transport; systematic adverse-event totals not established.
transfer Limits
Sequence visible to coordinator; differential attrition and mixed GBV exposure. Later follow-up lacks an untreated comparison and cannot establish persistent comparative benefit.
jadad
not established
masking Roles
participants
Not established from accessed source.
providers
Therapists and coordinator not masked.
assessors
Baseline and follow-up evaluators masked.
analysts
Not established from accessed source.
population
relation
context
population
HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
exposure Evidence
HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
rationale
Psychological intervention with explicitly reported domestic/IPV exposure; mixed-cohort transfer is qualified where applicable.
transfer Limit
See population and limitations; not a population-wide recommendation.
jadad
status
unassessed
score
Not recorded
condition Evidence
  1. id
    ptsd
    evidence
    1. field
      title
      text
      Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
      matched Text
      posttraumatic stress
    2. field
      population
      text
      HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
      matched Text
      PTSD
    3. field
      outcomes
      text
      Major depression diagnosis | PTSD diagnosis | Physical IPV among partnered participants | Absenteeism
      matched Text
      PTSD
    scope
    Study population or investigated outcome; not a diagnosis or efficacy claim.
  2. id
    trauma
    evidence
    1. field
      title
      text
      Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
      matched Text
      posttraumatic
    scope
    Study population or investigated outcome; not a diagnosis or efficacy claim.
  3. id
    depression
    evidence
    1. field
      title
      text
      Interpersonal psychotherapy delivered by nonspecialists for depression and posttraumatic stress disorder among Kenyan HIV-positive women affected by gender-based violence: Randomized controlled trial.
      matched Text
      depression
    2. field
      population
      text
      HIV-positive women with gender-based violence exposure, major depression and PTSD; IPV was assessed in the partnered subgroup.
      matched Text
      depression
    3. field
      outcomes
      text
      Major depression diagnosis | PTSD diagnosis | Physical IPV among partnered participants | Absenteeism
      matched Text
      depression
    scope
    Study population or investigated outcome; not a diagnosis or efficacy claim.
conditions

ptsd · trauma · depression

topic Trust Scores

2

full Text
status
not-indexed
retrieval Available
false

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