Lauren M Borges1,2, Nazanin H Bahraini1,2,3, Brooke Dorsey Holliman1,4, Maura R Gissen1, W Cole Lawson1, Sean M Barnes1,2. 1. Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC), Aurora, Colorado. 2. Department of Psychiatry, University of Colorado School of Medicine, Aurora, Colorado. 3. Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, Colorado. 4. Department of Community and Behavioral Health, Colorado School of Public Health, Aurora, Colorado.
Abstract
OBJECTIVE: We examined Veterans' perspectives on discussing moral injury in veterans affairs (VA) evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) and other VA treatment. METHODS: Fourteen male warzone veterans (ages 25-74) who completed an EBP for PTSD within the past year participated in semistructured interviews related to discussing moral injury in VA treatment (e.g., EBPs for PTSD, chaplaincy). Qualitative interviews were evaluated using a thematic analysis. RESULTS: Four themes were identified; moral injury is often not identified or discussed during therapy, therapeutic relationships can promote or inhibit discussion of moral injury, treatment has limited impact on moral injury, and it is difficult to cope with moral injury even after treatment. CONCLUSION: The majority of Veterans interviewed identified moral injury persisting within a year of completing a PTSD EBP. These findings highlight the value of asking about, assessing, and treating moral injury in Veterans. Our results suggest the importance of developing specific moral injury interventions for warzone Veterans. Published 2019. This article is a U.S. Government work and is in the public domain in the USA.
OBJECTIVE: We examined Veterans' perspectives on discussing moral injury in veterans affairs (VA) evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) and other VA treatment. METHODS: Fourteen male warzone veterans (ages 25-74) who completed an EBP for PTSD within the past year participated in semistructured interviews related to discussing moral injury in VA treatment (e.g., EBPs for PTSD, chaplaincy). Qualitative interviews were evaluated using a thematic analysis. RESULTS: Four themes were identified; moral injury is often not identified or discussed during therapy, therapeutic relationships can promote or inhibit discussion of moral injury, treatment has limited impact on moral injury, and it is difficult to cope with moral injury even after treatment. CONCLUSION: The majority of Veterans interviewed identified moral injury persisting within a year of completing a PTSDEBP. These findings highlight the value of asking about, assessing, and treating moral injury in Veterans. Our results suggest the importance of developing specific moral injury interventions for warzone Veterans. Published 2019. This article is a U.S. Government work and is in the public domain in the USA.
Entities:
Keywords:
mental health; moral injury; thematic analysis; trauma; veterans; warzone
Authors: Fardous Hosseiny; Andrea J Phelps; Kimberley A Jones; Isabella Freijah; Lindsay Carey; R Nicholas Carleton; Peter Devenish-Meares; Lisa Dell; Sara Rodrigues; Kelsey Madden; Lucinda Johnson Journal: J Relig Health Date: 2022-03-15