Skip to main content
Erschienen in: Journal of Religion and Health 5/2021

20.06.2021 | Original Paper

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

verfasst von: Donna Ames, Zachary Erickson, Chelsea Geise, Suchi Tiwari, Sergii Sakhno, Alexander C. Sones, Chaplain Geoffrey Tyrrell, Chaplain Robert B. Mackay, Chaplain William Steele, Therese Van Hoof, Heidi Weinreich, Harold G. Koenig

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

Einloggen, um Zugang zu erhalten

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.
Literatur
Zurück zum Zitat Ames, D., Haynes, K., Adamson, S. F., Bruce, L. E., Chacko, B. K., Button, L., Fleming, W., Luoma, J., Price, R. A., Kopacz, M. S., Oliver, J. P., Daza, S. I., & Koenig, H. G. (2018). A structured chaplain intervention for Veterans with moral injury in the setting of PTSD. Durham, NC: Duke University Center for Spirituality, Theology and Health (Buddhist, Hindu, Jewish, and Muslim versions also available; contact Harold.Koenig@duke.edu). Ames, D., Haynes, K., Adamson, S. F., Bruce, L. E., Chacko, B. K., Button, L., Fleming, W., Luoma, J., Price, R. A., Kopacz, M. S., Oliver, J. P., Daza, S. I., & Koenig, H. G. (2018). A structured chaplain intervention for Veterans with moral injury in the setting of PTSD. Durham, NC: Duke University Center for Spirituality, Theology and Health (Buddhist, Hindu, Jewish, and Muslim versions also available; contact Harold.Koenig@duke.edu).
Zurück zum Zitat Bryan, C. J., Bryan, A. O., Roberge, E., Leifker, F. R., & Rozek, D. C. (2018). Moral injury, posttraumatic stress disorder, and suicidal behavior among National Guard personnel. Psychological Trauma: Theory, Research, Practice, and Policy, 10, 36–46. https://doi.org/10.1037/tra0000290CrossRef Bryan, C. J., Bryan, A. O., Roberge, E., Leifker, F. R., & Rozek, D. C. (2018). Moral injury, posttraumatic stress disorder, and suicidal behavior among National Guard personnel. Psychological Trauma: Theory, Research, Practice, and Policy, 10, 36–46. https://​doi.​org/​10.​1037/​tra0000290CrossRef
Zurück zum Zitat 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). Screening for moral injury: The Moral Injury Symptom Scale - Military Version Short Form. Military Medicine, 183, e659-665. https://doi.org/10.1093/milmed/usy017CrossRefPubMed 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). Screening for moral injury: The Moral Injury Symptom Scale - Military Version Short Form. Military Medicine, 183, e659-665. https://​doi.​org/​10.​1093/​milmed/​usy017CrossRefPubMed
Zurück zum Zitat Lee, L. J. (2018). Moral injury reconciliation: A practitioner’s guide for treating moral injury, PTSD, grief, and military sexual trauma through spiritual formation strategies. London, UK: Jessica Kingsley Publishers. Lee, L. J. (2018). Moral injury reconciliation: A practitioner’s guide for treating moral injury, PTSD, grief, and military sexual trauma through spiritual formation strategies. London, UK: Jessica Kingsley Publishers.
Zurück zum Zitat Munder, T., Wilmers, F., Leonhart, R., Linster, H. W., & Barth, J. (2010). Working Alliance Inventory-Short Revised (WAI-SR): Psychometric properties in outpatients and inpatients. Clinical Psychology & Psychotherapy, 17, 231–239. https://doi.org/10.1002/cpp.658CrossRef Munder, T., Wilmers, F., Leonhart, R., Linster, H. W., & Barth, J. (2010). Working Alliance Inventory-Short Revised (WAI-SR): Psychometric properties in outpatients and inpatients. Clinical Psychology & Psychotherapy, 17, 231–239. https://​doi.​org/​10.​1002/​cpp.​658CrossRef
Zurück zum Zitat Shay, J., & Munroe, J. (1998). Group and milieu therapy for veterans with complex posttraumatic stress disorder. In P. A. Saigh & J. D. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive text (pp. 391–413). Allyn & Bacon. Shay, J., & Munroe, J. (1998). Group and milieu therapy for veterans with complex posttraumatic stress disorder. In P. A. Saigh & J. D. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive text (pp. 391–413). Allyn & Bacon.
Zurück zum Zitat Trivedi, M. H., Wisniewski, S. R., Morris, D. W., Fava, M., Gollan, J. K., Warden, D., Nierenberg, A. A., Gaynes, B. N., Husain, M. M., Luther, J. F., Zisook, S., & Rush, A. J. (2011). Concise Health Risk Tracking scale: A brief self-report and clinician rating of suicidal risk. The Journal of Clinical Psychiatry, 72, 757–764. https://doi.org/10.4088/JCP.11m06837CrossRefPubMed Trivedi, M. H., Wisniewski, S. R., Morris, D. W., Fava, M., Gollan, J. K., Warden, D., Nierenberg, A. A., Gaynes, B. N., Husain, M. M., Luther, J. F., Zisook, S., & Rush, A. J. (2011). Concise Health Risk Tracking scale: A brief self-report and clinician rating of suicidal risk. The Journal of Clinical Psychiatry, 72, 757–764. https://​doi.​org/​10.​4088/​JCP.​11m06837CrossRefPubMed
Metadaten
Titel
Treatment of Moral Injury in U.S. Veterans with PTSD Using a Structured Chaplain Intervention
verfasst von
Donna Ames
Zachary Erickson
Chelsea Geise
Suchi Tiwari
Sergii Sakhno
Alexander C. Sones
Chaplain Geoffrey Tyrrell
Chaplain Robert B. Mackay
Chaplain William Steele
Therese Van Hoof
Heidi Weinreich
Harold G. Koenig
Publikationsdatum
20.06.2021
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/s10943-021-01312-8

Weitere Artikel der Ausgabe 5/2021

Journal of Religion and Health 5/2021 Zur Ausgabe