Chen, Yumei O. https://orcid.org/0000-0002-0241-7577
Llabre, Maria M. https://orcid.org/0000-0002-7450-2498
Smit, Jennifer A.
Mosery, Nzwakie https://orcid.org/0000-0002-1722-0339
Kirakosian, Norik https://orcid.org/0000-0002-3245-183X
Mngomezulu, Sanelisiwe
Mhlaba, Nothando
Bedoya, C. Andres
Stanton, Amelia M. https://orcid.org/0000-0001-5918-6645
Safren, Steven A. https://orcid.org/0000-0002-0121-0806
Psaros, Christina https://orcid.org/0000-0002-0705-2239
Funding for this research was provided by:
National Institute of Mental Health (R01MH112385)
Article History
Accepted: 12 September 2025
First Online: 18 November 2025
Declarations
:
: S.A.S. receives royalties from Oxford University Press, Guilford Publications, and Springer/Humana Press for books on cognitive behavioral therapy. The authors have no other conflicts of interest to disclose.
: All research was performed in accordance with the Declaration of Helsinki and approved by the appropriate ethics committees. Ethics approval of the study protocol was obtained from the Human Research Ethics Committee (Medical) at The University of the Witwatersrand (170212, Johannesburg, SA) and the Mass General Brigham Institutional Review Board (2017P000952, Boston, Massachusetts, USA). Site support and approval were obtained from the District Hospital and the KZN Provincial Department of Health. Informed consent was obtained from all individual participants included in the study.
: All research was performed in accordance with the Declaration of Helsinki and approved by the appropriate ethics committees. Ethics approval of the study protocol was obtained from the Human Research Ethics Committee (Medical) at The University of the Witwatersrand (170212, Johannesburg, SA) and the Mass General Brigham Institutional Review Board (2017P000952, Boston, Massachusetts, USA). Site support and approval were obtained from the District Hospital and the KZN Provincial Department of Health. Informed consent was obtained from all individual participants included in the study.
: Not applicable.