In Reply: Dr Nemery raises important questions
that must be considered in carrying out similar studies in the developing
world, especially after violent conflict. He is quite correct in noting that
cultural factors do affect the research. We believe that it is very important
to involve people with a deep knowledge of the local culture in designing
the research project from the beginning. In our survey, one of the lead researchers
was Rwandan, another had been researching in Rwanda for more than a decade
and was familiar with the local language (Kinyarwanda), while a third was
based in Rwanda. We piloted the survey 6 times before launching it, allowing
us to make numerous revisions that improved the reliability of responses.
Pham PN, Weinstein HM, Longman T. Trauma and PTSD Symptoms in Rwanda—Reply. JAMA. 2004;292(17):2082–2083. doi:https://doi.org/10.1001/jama.292.17.2082-b
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