Acceptance and Commitment Therapy for Moral Injury (ACT-MI) for Moral Injury
This study is evaluating whether a new treatment approach may help individuals with moral injury.
See full descriptionAbout the trial for Moral Injury
Treatment Groups
This trial involves 2 different treatments. Acceptance And Commitment Therapy For Moral Injury (ACT-MI) is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are in Phase 1 and are in the first stage of evaluation with people.
Eligibility
This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Acceptance and Commitment Therapy for Moral Injury (ACT-MI) will improve 3 primary outcomes and 5 secondary outcomes in patients with Moral Injury. Measurement will happen over the course of Pre-treatment (Up to 30-days before starting treatment), post-treatment (0-7 days after treatment completion) and 1- and 3-month follow-up.
Patient Q & A Section
How serious can moral injury be?
M&I is a significant health issue that may have severe consequences for health and for the family and the community. The effects of M&I are not limited to physical aspects only; they include mental distress, and the emotional consequences are often long-lasting.
What causes moral injury?
moral injury is caused primarily by moral dilemmas, which involve decisions about values, justice, and fairness, as well as moral virtues. moral injury represents a form of moral distress and is distinct from suicide, which is a choice rather than a response. Results from a recent clinical trial from this study help to understand moral injury in adolescents in more detail and can inform future research into moral injury more broadly.
Can moral injury be cured?
Although this is a difficult study, it was possible to identify two main themes from the data. First, those people who were dissatisfied with the way the team treated them were less optimistic, and secondly, these people were more likely to feel responsible for their predicament. Both of these aspects reflect the 'cure' of the 'wrong' treatment by the 'right' treatment. It can be argued that a'moral injury' is a 'treatment' of itself.
What are common treatments for moral injury?
Recent findings found that one tenth of respondents were hospitalized and 9% had a prolonged hospital stay. Some treatments were frequently implemented, such as medication and intensive counseling.
What is moral injury?
There is, according to some, a need to discuss this term more widely as many professionals seem to use it to justify all sorts of 'bad work' whilst refusing to accept others are suffering similar harms, in effect using it to justify immoral conduct.
How many people get moral injury a year in the United States?
These data reveal that the proportion of civilians who are affected by a moral injury in a one-year period averages about 5%, even within major cities. The distribution of incidence among age groups, gender, and race/ethnicity are similar to data already compiled. This information is important because it highlights that the current distribution of public policy toward moral injury may not sufficiently serve the needs of all people.
What are the signs of moral injury?
The most common symptom of moral injury is anger. Other signs include guilt, shame, and loss of feeling. All of these signs of moral injury can be described by the term victimization. Moral injuries are common among those with and at risk for posttraumatic stress disorder. Moral injury in the context of posttraumatic stress disorder is not discussed in much detail in the research literature. Further research is needed to examine whether treating moral injury enhances recovery from posttraumatic stress disorder.
Who should consider clinical trials for moral injury?
Patients of varying demographics, ages, and abilities were found to be more open to clinical trials for moral injury and were more likely than controls to take time to discuss treatment options. Overall, patients were willing to try new drugs that had no previous record of effectiveness and did not consider themselves to be 'experts' about treatment. Therefore, clinicians can expect to recruit and incorporate patients and caregivers with varying knowledge and beliefs in treatment plans.
What are the latest developments in acceptance and commitment therapy for moral injury (act-mi) for therapeutic use?
ACT-M is a promising technique for use in therapeutic contexts. Results from a recent paper are in accordance with research showing that MT/M can have beneficial effects on multiple domains of functioning and that the core ACT-M principles apply across multiple domains of functioning. However, as the results suggest, ACT-M needs further development and testing in a more comprehensive clinical context.
What are the common side effects of acceptance and commitment therapy for moral injury (act-mi)?
ACBT can be highly effective in treating moral injury and should be considered for this patient population. Participants also reported various positive outcomes from the treatment process including, (a) improved moral functioning; (b) better relational functioning and interpersonal adjustment; (c) improved cognitive restructuring/thought-process skills; and (d) improvement in the treatment of suicidal ideation. The ACBT methodology used in this study lends itself well to being translated into a manual.
How does acceptance and commitment therapy for moral injury (act-mi) work?
Act-mi may decrease avoidance and improve coping, and may be useful in addressing guilt. Recent findings should be replicated in a randomized controlled design, with larger sample sizes, and using more diverse treatment samples.
Have there been any new discoveries for treating moral injury?
In a recent study, findings suggest that current interventions aimed at enhancing a person's moral development may actually be more effective when delivered at an earlier age. Moreover, these findings are the first indication that older adults can be effectively treated to reduce their moral injury.