Participants
elevated psychiatric distress, depression, PTSD
EVENT
Two hundred girls were approached through a local government school and community organizations in Kabul and invited to participate. One hundred and sixty girls agreed to participate, and 125 girls aged 11 to 19 years met eligibility criteria and were randomly allocated to METRA or TAU. Eligibility criteria were as follows: Afghan girl aged 10 to 19 years with elevated psychiatric distress, defined as a score of greater than 30 on the Child Revised Impact of Event Scale–13 (CRIES-13)A priori power analysis was undertaken using G*Power for depression and PTSD outcomes to detect a small to moderate interaction effect (