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In Reply: In response to Dr Baolu, only 42% of our study sample reported a history of abduction and exposure to war and were therefore "survivors" as he appears to be defining the term. The remainder were adolescents whose experience was not one of violence resulting from war but of displacement and years of living in 1 of the 2 crowded internally displaced persons camps where the study was conducted. In screening adolescents for inclusion in the study (we ultimately screened approximately two-thirds of the adolescent population of the camps), traumatic stress reactions and anxiety symptoms do seem to have been common in the local forms described in our article. However, these were highly comorbid with depression. While some of this comorbidity may reflect increased risk for depression among traumatized youth, depression appeared to us to be the most common disorder among those we interviewed and therefore of . . . [Full Text of this Article]

Paul Bolton, MBBS
pbolton@jhsph.edu
Center for Refugee and Disaster Response
Johns Hopkins University Bloomberg School of Public Health
Baltimore, Maryland

Theresa Betancourt, ScD
Harvard University School of Public Health
Boston, Massachusetts

Richard Neugebauer, PhD
New York State Psychiatric Institute
Columbia University College of Physicians and Surgeons
New York, New York

Liesbeth Speelman, MA
War Child Holland
Gulu, Uganda

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Group Interpersonal Psychotherapy for Depression in Rural Uganda: A Randomized Controlled Trial
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