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Michelle Janette Pearce

Adjunct Assistant Professor in the Department of Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology
Box 3026 Med Ctr, Durham, NC 27710
2213 Elba Street Rm 115, Civitan Building, Durham, NC 27710

Selected Publications


Night Bloomers 12 Principles for Thriving in Adversity

Book · September 16, 2020 In this hope-inspiring guide, clinical psychologist, Michelle Pearce, PhD, provides practical tools and wisdom for transforming and thriving in adversity and loss. ... Cite

Unmet Spiritual Care Needs in Women Undergoing Core Needle Breast Biopsy.

Journal Article J Breast Imaging · March 25, 2020 OBJECTIVE: Spiritual care is an important part of healthcare, especially when patients face a possible diagnosis of a life-threatening disease. This study examined the extent to which women undergoing core-needle breast biopsy desired spiritual support and ... Full text Link to item Cite

Religion and Recovery from PTSD

Book · December 19, 2019 This volume focuses on the role that religion and spirituality can play in recovery from post-traumatic stress disorder (PTSD) and other forms of trauma, including moral injury. ... Cite

Assessment of Moral Injury in Veterans and Active Duty Military Personnel With PTSD: A Review.

Journal Article Front Psychiatry · 2019 Background: Moral injury (MI) involves distress over having transgressed or violated core moral boundaries, accompanied by feelings of guilt, shame, self-condemnation, loss of trust, loss of meaning, and spiritual struggles. MI is often found in Veterans a ... Full text Open Access Link to item Cite

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

Journal Article Mil Med · November 1, 2018 INTRODUCTION: To develop a short form (SF) of the 45-item multidimensional Moral Injury Symptom Scale - Military Version (MISS-M) to use when screening for moral injury and monitoring treatment response in veterans and active duty military with PTSD. METHO ... Full text Link to item Cite

Religious versus Conventional Internet-based Cognitive Behavioral Therapy for Depression.

Journal Article J Relig Health · October 2018 The accessibility and efficacy of two Internet-supported interventions for depression: conventional cognitive behavioral therapy (C-CBT) and religious CBT (R-CBT) were investigated. Depressed participants (N = 79) were randomly assigned to either active tr ... Full text Link to item Cite

Moral Injury and Religiosity in US Veterans With Posttraumatic Stress Disorder Symptoms.

Journal Article J Nerv Ment Dis · May 2018 Moral injury (MI) involves feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs related to traumatic experiences. This multisite cross-sectional study examined the association between religious involvement (RI) and ... Full text Link to item Cite

Moral injury, posttraumatic stress disorder, and religious involvement among U.S. veterans.

Journal Article Ann Clin Psychiatry · May 2018 BACKGROUND: Traumatic experiences can cause ethical conflicts. "Moral injury" (MI) has been used to describe this emotional/cognitive state, and could contribute to the development of posttraumatic stress disorder (PTSD) or block its recovery. We examine t ... Link to item Cite

The Moral Injury Symptom Scale-Military Version.

Journal Article J Relig Health · February 2018 The purpose of this study was to develop a multi-dimensional measure of moral injury symptoms that can be used as a primary outcome measure in intervention studies that target moral injury (MI) in Veterans and Active Duty Military with PTSD. This was a mul ... Full text Link to item Cite

Military veterans' preferences for incorporating spirituality in psychotherapy or counseling

Journal Article Professional Psychology: Research and Practice · February 1, 2018 Amassing research findings suggests that religious faith and/or spirituality (R/S) can both help and hinder recovery from mental health conditions that might prompt military veterans to seek psychotherapy or counseling. As such, there is increasing interes ... Full text Cite

Rationale for Spiritually Oriented Cognitive Processing Therapy for Moral Injury in Active Duty Military and Veterans With Posttraumatic Stress Disorder.

Journal Article J Nerv Ment Dis · February 2017 Wartime experiences have long been known to cause ethical conflict, guilt, self-condemnation, difficulty forgiving, loss of trust, lack of meaning and purpose, and spiritual struggles. "Moral injury" (MI) (also sometimes called "inner conflict") is the ter ... Full text Link to item Cite

Effects on Daily Spiritual Experiences of Religious Versus Conventional Cognitive Behavioral Therapy for Depression.

Journal Article J Relig Health · October 2016 We compared religiously integrated cognitive behavioral therapy (RCBT) versus conventional CBT (CCBT) on increasing daily spiritual experiences (DSE) in major depressive disorder and chronic medical illness. A total of 132 participants aged 18-85 were rand ... Full text Link to item Cite

Cognitive Behavioral Therapy for Christians with Depression A Practical Tool-Based Primer

Book · July 25, 2016 In this book, readers will find the following resources in an easy-to-use format: An overview of the scientific benefits of integrating clients’ religious beliefs and practices in psychotherapy An organizing therapeutic approach for doing ... ... Cite

Effects of Religious Versus Conventional Cognitive-Behavioral Therapy on Gratitude in Major Depression and Chronic Medical Illness: A Randomized Clinical Trial

Journal Article Journal of Spirituality in Mental Health · April 2, 2016 This study examined whether religiously-integrated cognitive behavioral therapy (RCBT) was more effective than conventional CBT (CCBT) on generating gratitude among religious persons with major depressive disorder (MDD) and chronic medical illness (CMI). P ... Full text Cite

Spiritual Struggles and Religious Cognitive Behavioral Therapy: A Randomized Clinical Trial in those with Depression and Chronic Medical Illness

Journal Article Journal of Psychology and Theology · March 2016 Objectives Compared the effectiveness of religious cognitive-behavioral therapy (RCBT) versus conventional CBT (CCBT) on reducing spiritual struggles in persons with major depressive disorder (MDD) and medical ill ... Full text Cite

Religious Coping Among Adults Caring for Family Members with Serious Mental Illness.

Journal Article Community Ment Health J · February 2016 This cross-sectional study investigated the use of religious coping strategies among family members of adults with serious mental illness. A sample of 436 individuals caring for a family member with serious mental illness were recruited into a randomized c ... Full text Link to item Cite

Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial.

Journal Article Psychother Res · 2016 BACKGROUND: Treatments that integrate religious clients' beliefs into therapy may enhance the therapeutic alliance (TA) in religious clients. OBJECTIVE: Compare the effects of religiously integrated cognitive behavioral therapy (RCBT) and standard CBT (SCB ... Full text Link to item Cite

EFFECTS OF RELIGIOUS VERSUS STANDARD COGNITIVE-BEHAVIORAL THERAPY ON OPTIMISM IN PERSONS WITH MAJOR DEPRESSION AND CHRONIC MEDICAL ILLNESS.

Journal Article Depress Anxiety · November 2015 BACKGROUND: We compared the effectiveness of religiously integrated cognitive behavioral therapy (RCBT) versus standard CBT (SCBT) on increasing optimism in persons with major depressive disorder (MDD) and chronic medical illness. METHODS: Participants age ... Full text Link to item Cite

Religious vs. conventional cognitive behavioral therapy for major depression in persons with chronic medical illness: a pilot randomized trial.

Journal Article J Nerv Ment Dis · April 2015 We examine the efficacy of conventional cognitive behavioral therapy (CCBT) versus religiously integrated CBT (RCBT) in persons with major depression and chronic medical illness. Participants were randomized to either CCBT (n = 67) or RCBT (n = 65). The in ... Full text Link to item Cite

Religiously integrated cognitive behavioral therapy: a new method of treatment for major depression in patients with chronic medical illness.

Journal Article Psychotherapy (Chic) · March 2015 Intervention studies have found that psychotherapeutic interventions that explicitly integrate clients' spiritual and religious beliefs in therapy are as effective, if not more so, in reducing depression than those that do not for religious clients. Howeve ... Full text Link to item Cite

Religious involvement is associated with greater purpose, optimism, generosity and gratitude in persons with major depression and chronic medical illness.

Journal Article J Psychosom Res · August 2014 OBJECTIVE: Religious involvement may help individuals with chronic medical illness cope better with physical disability and other life changes. We examine the relationships between religiosity, depressive symptoms, and positive emotions in persons with maj ... Full text Link to item Cite

The psychological impact of diabetes: a practical guide for the nurse practitioner.

Journal Article J Am Assoc Nurse Pract · November 2013 PURPOSE: To describe the psychological impact of diabetes and to present a number of practical ways that nurse practitioners (NPs) can assess and address these concerns in the context of primary care. DATA SOURCES: Theory and research articles are reviewed ... Full text Link to item Cite

Cognitive behavioural therapy for the treatment of depression in Christian patients with medical illness

Journal Article Mental Health, Religion and Culture · September 1, 2013 Psychotherapy and religion are two widely utilised resources among people suffering from mental and physical illness. Intervention studies have found that integrating clients' spiritual and religious beliefs in therapy is at least as effective, if not more ... Full text Cite

Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients.

Journal Article Support Care Cancer · October 2012 PURPOSE: Spiritual care is an important part of healthcare, especially when facing the crisis of advanced cancer. Do oncology inpatients receive spiritual care consistent with their needs? When inconsistent, are there deleterious effects on patient outcome ... Full text Link to item Cite

Religious coping and pain associated with sickle cell disease: Exploration of a non-linear model

Journal Article Journal of African American Studies · March 1, 2009 The current study tested a non-linear model of religious coping among Black patients with Sickle Cell Disease (SCD). We predicted that moderate prayer and church attendance would be associated with less severe affective and sensory ratings of pain, lower l ... Full text Cite

Spirituality and health: empirically based reflections on recovery.

Journal Article Recent Dev Alcohol · 2008 In this chapter, we explore the spiritual functioning and well-being of individuals and how this relates to mental health and recovery from alcoholism within the conceptual framework of Alcoholics Anonymous. We raise the question of whether the spiritually ... Full text Link to item Cite

Exploring the relationship between spirituality, coping, and pain.

Journal Article J Behav Med · August 2007 There is growing recognition that persistent pain is a complex and multidimensional experience stemming from the interrelationship among biological, psychological, social, and spiritual factors. Chronic pain patients use a number of cognitive and behaviora ... Full text Link to item Cite

Parental substance abuse, reports of chronic pain and coping in adult patients with sickle cell disease.

Journal Article J Natl Med Assoc · March 2006 There is increasing interest from a social learning perspective in understanding the role of parental factors on adult health behaviors and health outcomes. Our review revealed no studies, to date, that have evaluated the effects of parental substance abus ... Link to item Cite

Development and implementation of a spiritual coping group intervention for adults living with HIV/AIDS: A pilot study

Journal Article Mental Health, Religion and Culture · September 1, 2005 The aims of the current study were to (1) describe a spirituality-oriented, group pilot intervention for HIV-positive adults, and (2) examine the preliminary impact of the intervention among a sample (N = 13) of adults living with HIV in an urban city in n ... Full text Cite