冲突背景下现金与团体治疗的效果:来自埃塞俄比亚随机对照试验的证据
The effects of cash and group therapy in the context of conflict: Evidence from a randomized evaluation in Ethiopia
Journal of Development Economics · 2026 · [{"name": "Mélissa Hidrobo", "affiliation": ["International Food Policy Research Institute"]}, {"name": "Harold Alderman", "affiliation": ["International Food Policy Research Institute"]}, {"name": "Negussie Deyessa", "affiliation": ["Addis Ababa University"]}, {"name": "Daniel O. Gilligan", "affiliation": ["International Food Policy Research Institute"]}, {"name": "Parthu Kalva", "affiliation": ["University of Illinois Urbana-Champaign"]}, {"name": "Jessica Leight", "affiliation": ["International Food Policy Research Institute"]}, {"name": "Michael Mulford", "affiliation": ["International Trachoma Initiative"]}, {"name": "Heleene Tambet", "affiliation": ["International Food Policy Research Institute"]}]
中文摘要
在低收入环境中, 尤其是受冲突影响的环境中, 抑郁症患病率仍然居高不下。本文报告了一项在埃塞俄比亚农村开展的随机对照试验, 评估由非专科卫生人员实施的心理干预 (团体治疗) 的效果, 以及在治疗后发放的一次性大额现金转移支付的效果。该试验包含三个试验组, 在基线时报告存在一定抑郁症状或功能受损的个体样本中, 将单独接受团体治疗、单独获得现金、以及二者联合三种干预分别与现状对照组进行比较。研究在 2022 年至 2024 年间开展, 其间正值武装冲突活跃期。研究发现, 在基线后 16 个月, 单独的团体治疗没有持续的正向效应; 单独的现金转移改善了时间利用和经济结果; 团体治疗与现金联合干预改善了心理社会技能、时间利用和经济结果, 并且在未受冲突影响的地区, 联合干预还改善了心理健康。
Abstract
: The prevalence of depression remains high in low-income contexts, particularly those affected by conflict. This paper reports on a randomized controlled trial conducted in rural Ethiopia assessing the effects of a psychological (group therapy) intervention delivered by non-specialist health staff, as well as a large one-time cash transfer delivered post-therapy. The trial includes three arms comparing group therapy, cash, and both jointly to a status quo control within a sample of individuals reporting some depressive symptoms or functional impairment at baseline. The study occurred between 2022 and 2024, during a period of active armed conflict. Findings show that sixteen months post-baseline, there are no persistent positive effects of group therapy alone; cash alone improves time use and economic outcomes. Group therapy and cash jointly improve psychosocial skills, time use, and economic outcomes, and in areas not affected by conflict, the joint intervention also improves mental health.