In this trial in the Democratic Republic of Congo, researchers randomly assigned 16 villages to provide cognitive processing therapy or individual support to female sexual-violence survivors with high levels of PTSD symptoms and combined depression and anxiety symptoms. Assessments of combined all symptoms were performed at baseline, at the end of treatment, and 6 months after treatment ended. In this study of sexual-violence survivors in a low-income, conflict-affected country, group psychotherapy reduced PTSD, depression and anxiety symptoms and improved overall functioning.