Literature DB >> 34148181

Treatment of Moral Injury in U.S. Veterans with PTSD Using a Structured Chaplain Intervention.

Donna Ames1,2, Zachary Erickson3, Chelsea Geise3, Suchi Tiwari3, Sergii Sakhno3, Alexander C Sones3, Chaplain Geoffrey Tyrrell3, Chaplain Robert B Mackay3, Chaplain William Steele3, Therese Van Hoof3, Heidi Weinreich3, Harold G Koenig4,5.   

Abstract

Moral injury is a complex phenomenon characterized by spiritual, psychological, and moral distress caused by actions or acts of omission inconsistent with an individual's moral and ethical values. We present two cases from an ongoing randomized controlled trial of a spiritually integrated structured intervention delivered by chaplains for individuals suffering from moral injury. Chaplains met with Veterans for twelve 50-min sessions that each focused on a specific domain of moral injury. Participants were asked to complete validated scales assessing symptoms of moral injury and PTSD, including the PTSD Checklist for DSM-5 (PCL-5), Moral Injury Symptom Scale-Military Version Short Form, and Moral Injury Symptom Scale-Military Version Long Form. We report on two Veterans who completed the intervention and demonstrated significant improvement in moral injury and PTSD symptoms.

Entities:  

Keywords:  Intervention; Moral injury; PTSD; Religion; Spirituality; Veterans

Year:  2021        PMID: 34148181     DOI: 10.1007/s10943-021-01312-8

Source DB:  PubMed          Journal:  J Relig Health        ISSN: 0022-4197


  13 in total

1.  The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation.

Authors:  Christy A Blevins; Frank W Weathers; Margaret T Davis; Tracy K Witte; Jessica L Domino
Journal:  J Trauma Stress       Date:  2015-11-25

Review 2.  Moral Injury and Definitional Clarity: Betrayal, Spirituality and the Role of Chaplains.

Authors:  Timothy J Hodgson; Lindsay B Carey
Journal:  J Relig Health       Date:  2017-08

3.  Moral injury, suicide ideation, and behavior among combat veterans: The mediating roles of entrapment and depression.

Authors:  Yossi Levi-Belz; Gadi Zerach
Journal:  Psychiatry Res       Date:  2018-08-27       Impact factor: 3.222

4.  The PHQ-9: validity of a brief depression severity measure.

Authors:  K Kroenke; R L Spitzer; J B Williams
Journal:  J Gen Intern Med       Date:  2001-09       Impact factor: 5.128

5.  Spiritually integrated care for PTSD: A randomized controlled trial of "Building Spiritual Strength".

Authors:  J Irene Harris; Timothy Usset; Cory Voecks; Paul Thuras; Joseph Currier; Christopher Erbes
Journal:  Psychiatry Res       Date:  2018-06-20       Impact factor: 3.222

6.  Screening for Moral Injury: The Moral Injury Symptom Scale - Military Version Short Form.

Authors:  Harold G Koenig; Donna Ames; Nagy A Youssef; John P Oliver; Fred Volk; Ellen J Teng; Kerry Haynes; Zachary D Erickson; Irina Arnold; Keisha O'Garo; Michelle Pearce
Journal:  Mil Med       Date:  2018-11-01       Impact factor: 1.437

Review 7.  Moral Injury, Spiritual Care and the Role of Chaplains: An Exploratory Scoping Review of Literature and Resources.

Authors:  Lindsay B Carey; Timothy J Hodgson; Lillian Krikheli; Rachel Y Soh; Annie-Rose Armour; Taranjeet K Singh; Cassandra G Impiombato
Journal:  J Relig Health       Date:  2016-08

Review 8.  Moral injury and moral repair in war veterans: a preliminary model and intervention strategy.

Authors:  Brett T Litz; Nathan Stein; Eileen Delaney; Leslie Lebowitz; William P Nash; Caroline Silva; Shira Maguen
Journal:  Clin Psychol Rev       Date:  2009-07-29

9.  The Moral Injury Symptom Scale-Military Version.

Authors:  Harold G Koenig; Donna Ames; Nagy A Youssef; John P Oliver; Fred Volk; Ellen J Teng; Kerry Haynes; Zachary D Erickson; Irina Arnold; Keisha O'Garo; Michelle Pearce
Journal:  J Relig Health       Date:  2018-02

10.  Chaplaincy, Spiritual Care and Moral Injury: Considerations Regarding Screening and Treatment.

Authors:  Lindsay B Carey; Timothy J Hodgson
Journal:  Front Psychiatry       Date:  2018-12-05       Impact factor: 4.157

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  3 in total

Review 1.  Complex Moral Injury: Shattered Moral Assumptions.

Authors:  Wesley H Fleming
Journal:  J Relig Health       Date:  2022-03-10

Review 2.  Moral Injury, Chaplaincy and Mental Health Provider Approaches to Treatment: A Scoping Review.

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

Review 3.  Moral Injury: An Increasingly Recognized and Widespread Syndrome.

Authors:  Harold G Koenig; Faten Al Zaben
Journal:  J Relig Health       Date:  2021-07-10
  3 in total

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