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November 3, 2004

Trauma and PTSD Symptoms in Rwanda—Reply

JAMA. 2004;292(17):2082-2083. doi:10.1001/jama.292.17.2082-b

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.