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Therapy, mental health, and human capital accumulation among adolescent girls in Uganda

Author

Listed:
  • Baird, Sarah
  • Özler, Berk
  • Dell’Aira, Chiara
  • Parisotto, Luca
  • Us-Salam, Danish

Abstract

Using a cluster-randomized controlled trial, this study evaluates the impact of group-based interpersonal therapy (IPT-G) on mental health and human capital accumulation among adolescent girls in Uganda who were at risk of moderate to severe depression at baseline. The study was designed to test whether lay provider-led IPT-G for adolescents could be effectively implemented using modest resources in a low-income country. It also tested whether a lump-sum cash transfer offered at the end of therapy provided any additional benefit. The therapy intervention alone increased the share of individuals with no depression by 5.4 percentage points (from 18.4% in the control group) 12 months after therapy, but these effects dissipated by the 30-month follow-up. Similarly, small positive effects on human capital accumulation at 12 months were not sustained at 30 months. Surprisingly, the marginal effect of offering cash transfers to IPT-G beneficiaries was large and negative on their mental health, persisting two years after baseline. The paper provides suggestive evidence that the adolescents were frustrated by their inability to use the cash towards their own goals because of the need to divert funds towards the essential needs of their families during the COVID-19 pandemic.

Suggested Citation

  • Baird, Sarah & Özler, Berk & Dell’Aira, Chiara & Parisotto, Luca & Us-Salam, Danish, 2025. "Therapy, mental health, and human capital accumulation among adolescent girls in Uganda," Journal of Development Economics, Elsevier, vol. 176(C).
    • Handle: RePEc:eee:deveco:v:176:y:2025:i:c:s0304387825000240
    DOI: 10.1016/j.jdeveco.2025.103473
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    More about this item

    Keywords

    Adolescence; Mental health; Group interpersonal psychotherapy; Cash transfers; COVID-19;
    All these keywords.

    JEL classification:

    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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