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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Ames, D; Erickson, Z; Geise, C; Tiwari, S; Sakhno, S; Sones, AC; Tyrrell, CG; Mackay, CRB; Steele, CW; Van Hoof, T; Weinreich, H; Koenig, HG

Published Date

  • October 2021

Published In

Volume / Issue

  • 60 / 5

Start / End Page

  • 3052 - 3060

PubMed ID

  • 34148181

Electronic International Standard Serial Number (EISSN)

  • 1573-6571

Digital Object Identifier (DOI)

  • 10.1007/s10943-021-01312-8


  • eng

Conference Location

  • United States