• 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, and Harold G Koenig.
• Psychiatry and Biobehavioral Sciences, UCLA Geffen School of Medicine, Los Angeles, CA, USA. Donna.Ames@va.gov.
• J Relig Health. 2021 Oct 1; 60 (5): 3052-3060.

AbstractMoral 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.© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.

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