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Journal of Religion and Health

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17.04.2021 | Original Paper

Mental Health Clinician Community Clergy Collaboration to Address Moral Injury Symptoms: A Feasibility Study

verfasst von: Jeffrey M. Pyne, Steve Sullivan, Traci H. Abraham, Aline Rabalais, Michael Jaques, Brandon Griffin

Erschienen in: Journal of Religion and Health | Ausgabe 5/2021

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Abstract

Moral injury (MI) symptoms (guilt, shame, isolation) can be associated with military experiences. While a degree of overlap is recognized between MI and posttraumatic stress disorder (PTSD) symptoms, MI symptoms do not always respond to evidence-based treatments for PTSD. Mental Health Clinician Community Chaplain Collaboration (MC4) was delivered by community clergy to address MI symptoms through facilitation of forgiveness and community reintegration. Thirteen veterans participated and the results suggested that MC4 was generally feasible and acceptable. However, it is unlikely community clergy time could keep up with demand. Shifting intervention delivery to Department of Veterans Affairs (VA) chaplains will alleviate many barriers experienced in this feasibility study.

Abraham, T. H., Wright, P., White, P., Booth, B. M., & Cucciare, M. A. (2017). Feasibility and acceptability of shared decision-making to promote alcohol behavior change among women veterans: Results from focus groups. Journal of Addictive Diseases, 36(4), 252–263. https://doi.org/10.1080/10550887.2017.1373318.CrossRefPubMed

Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059.CrossRef

Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders-fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254.CrossRefPubMed

Carey, L. B., & Hodgson, T. J. (2018). Chaplaincy, spiritual care and moral injury: Considerations regarding screening and treatment. Frontiers in Psychiatry, 9(619), 1–10. https://doi.org/10.3389/fpsyt.2018.00619.

Carey, L. B., Hodgson, T. J., Krikheli, L., Soh, R. Y., Armour, A. R., Singh, T. K., & Impiombato, C. G. (2016). Moral injury, spiritual care and the role of chaplains: An exploratory scoping review of literature and resources. Journal of Religion and Health, 55(4), 1218–1245. https://doi.org/10.1007/s10943-016-0231-x.CrossRefPubMed

Curran, G. M., Pyne, J., Fortney, J. C., Gifford, A., Asch, S. M., Rimland, D., Rodriguez-Barradas, M., Monson, T. P., Kilbourne, A. M., Hagedorn, H., & Atkinson, J. H. (2011). Development and implementation of collaborative care for depression in HIV clinics. AIDS Care, 23(12), 1626–1636. https://doi.org/10.1080/09540121.2011.579943.CrossRefPubMed

Currier, J. M., Holland, J. M., Drescher, K., & Foy, D. (2015). Initial psychometric evaluation of the Moral Injury Questionnaire-Military Version. Clinical Psychology & Psychotherapy, 22(1), 54–63. https://doi.org/10.1002/cpp.1866.CrossRef

Currier, J. M., Isaak, S. L., & McDermott, R. C. (2020). Validation of the expressions of Moral Injury Scale-Military Version-Short Form. Clinical Psychology & Psychotherapy, 27(1), 61–68. https://doi.org/10.1002/cpp.2407.CrossRef

Currier, J. M., McCormick, W., & Drescher, K. D. (2015). How do morally injurious events occur? A qualitative analysis of perspectives of veterans with PTSD. Traumatology, 21(2), 106–116. https://doi.org/10.1037/trm0000027.CrossRef

Devilly, G. J., & Borkovec, T. D. (2000). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31(2), 73–86. https://doi.org/10.1016/s0005-7916(00)00012-4.CrossRefPubMed

Gray, M. J., Schorr, Y., Nash, W., Lebowitz, L., Amidon, A., Lansing, A., Maglione, M., Lang, A. J., & Litz, B. T. (2012). Adaptive disclosure: An open trial of a novel exposure-based intervention for service members with combat-related psychological stress injuries. Behavior Therapy, 43(2), 407–415. https://doi.org/10.1016/j.beth.2011.09.001.CrossRefPubMed

Griffin, B. J., Cornish, M. A., Maguen, S., & Worthington, E. L., Jr. (2021). Forgiveness as a mechanism of repair following military-related moral injury. In J. M. Currier, K. D. Drescher, & J. Nieuwsma (Eds.), Addressing moral injury in clinical practice. (pp. 71–86). American Psychological Association. https://doi.org/https://doi.org/10.1037/0000204-005

Griffin, B. J., Purcell, N., Burkman, K., Litz, B. T., Bryan, C. J., Schmitz, M., Villierme, C., Walsh, J., & Maguen, S. (2019). Moral injury: An integrative review. Journal of Traumatic Stress, 32(3), 350–362. https://doi.org/10.1002/jts.22362.CrossRefPubMed

Griffin, B. J., Worthington, E. L., Jr., Lavelock, C. R., Greer, C. L., Lin, Y., Davis, D. E., & Hook, J. N. (2015). Efficacy of a self-forgiveness workbook: A randomized controlled trial with interpersonal offenders. Journal of Counseling Psychology, 62(2), 124–136. https://doi.org/10.1037/cou0000060.CrossRefPubMed

Hamilton, A. B. (2013). Qualitative methods in rapid turn-around health services research. Department of Veterans Affairs. https://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=780

Harris, J. I., Usset, T., Voecks, C., Thuras, P., Currier, J., & Erbes, C. (2018). Spiritually integrated care for PTSD: A randomized controlled trial of “Building Spiritual Strength.” Psychiatry Research, 267, 420–428. https://doi.org/10.1016/j.psychres.2018.06.045.CrossRefPubMed

Held, P., Klassen, B. J., Brennan, M. B., & Zalta, A. K. (2018). Using prolonged exposure and cognitive processing therapy to treat veterans with moral injury-based PTSD: Two case examples. Cognitive and Behavioral Practice, 25(3), 377–390. https://doi.org/10.1016/j.cbpra.2017.09.003.CrossRefPubMed

Hodgson, T. J., & Carey, L. B. (2017). Moral injury and definitional clarity: Betrayal, spirituality and the role of chaplains. Journal of Religion and Health, 56(4), 1212–1228. https://doi.org/10.1007/s10943-017-0407-z.CrossRefPubMed

Koenig, H. G., Ames, D., Youssef, N. A., Oliver, J. P., Volk, F., Teng, E. J., Haynes, K., Erickson, Z. D., Arnold, I., O’Garo, K., & Pearce, M. (2018a). The Moral Injury Symptom Scale-Military Version. Journal of Religion and Health, 57(1), 249–265. https://doi.org/10.1007/s10943-017-0531-9.CrossRefPubMed

Koenig, H. G., Ames, D., Youssef, N. A., Oliver, J. P., Volk, F., Teng, E. J., Haynes, K., Erickson, Z. D., Arnold, I., O’Garo, K., & Pearce, M. (2018b). Screening for moral injury: The moral injury symptom scale—military version short form. Military Medicine, 183(11–12), e659–e665. https://doi.org/10.1093/milmed/usy017.CrossRefPubMed

Koenig, H. G., Youssef, N. A., Ames, D., Oliver, J. P., Teng, E. J., Haynes, K., Erickson, Z. D., Arnold, I., Currier, J. M., OʼGaro, K., & Pearce, M. (2018c). Moral injury and religiosity in US veterans with posttraumatic stress disorder symptoms. Journal of Nervous and Mental Disease, 206(5), 325–331. https://doi.org/10.1097/NMD.0000000000000798.CrossRef

Lawrence, R. T. (1997). Measuring the image of god: The god image inventory and the god image scales. Journal of Psychology and Theology, 25(2), 214–226. https://doi.org/10.1177/009164719702500206.CrossRef

Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695–706. https://doi.org/10.1016/j.cpr.2009.07.003.CrossRefPubMed

Maguen, S., Burkman, K., Madden, E., Dinh, J., Bosch, J., Keyser, J., Schmitz, M., & Neylan, T. C. (2017). Impact of killing in war: A randomized, controlled pilot trial. Journal of Clinical Psychology, 73(9), 997–1012. https://doi.org/10.1002/jclp.22471.CrossRefPubMed

Marschall, D., Sanftner, J., & Tangney, J. P. (1994). The state shame and guilt scale. Fairfax VA, George Mason University.

Nash, W. P., & Litz, B. T. (2013). Moral injury: A mechanism for war-related psychological trauma in military family members. Clinical Child and Family Psychology Review, 16(4), 365–375. https://doi.org/10.1007/s10567-013-0146-y.CrossRefPubMed

Nash, W. P., Marino Carper, T. L., Mills, M. A., Au, T., Goldsmith, A., & Litz, B. T. (2013). Psychometric evaluation of the moral injury events scale. Military Medicine, 178(6), 646–652. https://doi.org/10.7205/MILMED-D-13-00017.CrossRefPubMed

Pyne, J. M., Rabalais, A., & Sullivan, S. (2019). Mental health clinician and community clergy collaboration to address moral injury in veterans and the role of the veterans affairs chaplain. Journal of Health Care Chaplaincy, 25(1), 1–19. https://doi.org/10.1080/08854726.2018.1474997.CrossRefPubMed

Richardson, N. M., Lamson, A. L., Smith, M., Eagan, S. M., Zvonkovic, A. M., & Jensen, J. (2020). Defining moral injury among military populations: A systematic review. Journal of Traumatic Stress, 33(4), 575–586. https://doi.org/10.1002/jts.22553.CrossRefPubMed

Schorr, Y., Stein, N. R., Maguen, S., Barnes, J. B., Bosch, J., & Litz, B. T. (2018). Sources of moral injury among war veterans: A qualitative evaluation. Journal of Clinical Psychology, 74(12), 2203–2218. https://doi.org/10.1002/jclp.22660.CrossRefPubMed

Shay, J. (2002). Odysseus in America: A combat trauma and the trials of homecoming. . Scribner.

Stein, N. R., Mills, M. A., Arditte, K., Mendoza, C., Borah, A. M., Resick, P. A., Litz, B. T., & STRONG STAR Consortium. (2012). A scheme for categorizing traumatic military events. Behavior Modification, 36(6), 787–807. https://doi.org/10.1177/0145445512446945.CrossRefPubMed

Sullivan, G., Hunt, J., Haynes, T. F., Bryant, K., Cheney, A. M., Pyne, J. M., Reaves, C., Sullivan, S., Lewis, C., Barnes, B., Barnes, M., Hudson, C., Jegley, S., Larkin, B., Russell, S., White, P., Gilmore, L., Claypoole, S., Smith, J., & Richison, R. (2014). Building partnerships with rural Arkansas faith communities to promote veterans’ mental health: Lessons learned. Progress in Community Health Partnerships: Research, Education, and Action, 8(1), 11–19. https://doi.org/10.1353/cpr.2014.0004.CrossRef

Sullivan, S., Pyne, J. M., Cheney, A. M., Hunt, J., Haynes, T. F., & Sullivan, G. (2014). The pew versus the couch: Relationship between mental health and faith communities and lessons learned from a VA/Clergy partnership project. Journal of Religion and Health, 53(4), 1267–1282. https://doi.org/10.1007/s10943-013-9731-0.CrossRefPubMed

Tangney, J. P., & Dearing, R. L. (2002). Shame and guilt. . The Guilford Press.

Thompson, L. Y., Snyder, C. R., Hoffman, L., Michael, S. T., Rasmussen, H. N., Billings, L. S., Heinze, L., Neufeld, J. E., Shorey, H. S., Roberts, J. C., & Roberts, D. E. (2005). Dispositional forgiveness of self, others, and situations. Journal of Personality, 73(2), 313–359. https://doi.org/10.1111/j.1467-6494.2005.00311.x.CrossRefPubMed

Volk, F., & Koenig, H. G. (2019). Moral injury and religiosity in active duty US military with PTSD symptoms. Military Behavioral Health, 7(1), 64–72. https://doi.org/10.1080/21635781.2018.1436102.CrossRef

Wisco, B. E., Marx, B. P., May, C. L., Martini, B., Krystal, J. H., Southwick, S. M., & Pietrzak, R. H. (2017). Moral injury in U.S. combat veterans: Results from the national health and resilience in veterans study. Depression & Anxiety, 34, 340–347. https://doi.org/10.1002/da.22614.CrossRef

Witvliet, C. V., Phipps, K. A., Feldman, M. E., & Beckham, J. C. (2004). Posttraumatic mental and physical health correlates of forgiveness and religious coping in military veterans. Journal of Traumatic Stress, 17(3), 269–273. https://doi.org/10.1023/B:JOTS.0000029270.47848.e5.CrossRefPubMed

Worthington, E., Jr., (2020) Six steps to forgiving yourself. Science Sites. http://www.evworthington-forgiveness.com/six-steps-to-forgiving-yourself

Worthington, E. L., Jr., & Langberg, D. (2012). Religious considerations and self-forgiveness in treating complex trauma and moral injury in present and former soldiers. Journal of Psychology and Theology, 40(4), 274–288. https://doi.org/10.1177/009164711204000403.CrossRef

Young, Q. R., Ignaszewski, A., Fofonoff, D., & Kaan, A. (2007). Brief screen to identify 5 of the most common forms of psychosocial distress in cardiac patients: Validation of screening tool for psychological distress. Journal of Cardiovascular Nursing, 22(6), 525–534. https://doi.org/10.1097/01.JCN.0000297383.29250.14.CrossRef

Titel: Mental Health Clinician Community Clergy Collaboration to Address Moral Injury Symptoms: A Feasibility Study
verfasst von: Jeffrey M. Pyne
Steve Sullivan
Traci H. Abraham
Aline Rabalais
Michael Jaques
Brandon Griffin
Publikationsdatum: 17.04.2021
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 5/2021
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-021-01257-y

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