Local perceptions of the impact of group interpersonal psychotherapy in rural Uganda

Abstract

Background. This study investigated local perceptions of changesstemming from a long-standing Group Interpersonal Psychotherapy (IPT-G)program for the treatment of depression in rural Uganda. The study wasconducted in a low-income, severely HIV/AIDS-affected area where in 2001the prevalence of depression was estimated at 21% among adults.Method. Data were collected using free-listing and key informantqualitative interviews. A convenience sample of 60 free-list respondentswas selected from among IPT-G participants, their families, and othercommunity members from 10 Ugandan villages. Twenty-two key informantsand six IPT-G facilitators were also interviewed.Results. Content analysis yielded five primary categories of change inthe community related to the IPT-G program: (1) improved schoolattendance for children; (2) improved productivity; (3) improvedsanitation in communities; (4) greater cohesion among community members;and (5) reduced conflict in families. Community members and IPT-Gfacilitators suggested that as depression remitted, IPT-G participantsbecame more hopeful, motivated and productive.Conclusion. Results suggest that providing treatment for depression incommunities with high depression prevalence rates may lead to positivechanges in a range of non-mental health outcomes.