Exposure, Relaxation, and Rescripting Therapy for Moral Injury
This study is evaluating whether a specific type of therapy may help reduce nightmares in veterans.
See full descriptionAbout the trial for Moral Injury
Treatment Groups
This trial involves 2 different treatments. Exposure, Relaxation, And Rescripting Therapy is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Eligibility
This trial is for patients born any sex aged 18 and older. There are 7 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Exposure, Relaxation, and Rescripting Therapy will improve 3 primary outcomes, 2 secondary outcomes, and 6 other outcomes in patients with Moral Injury. Measurement will happen over the course of Nightly (Baseline until 1-week post treatment assessment; 7 weeks).
Patient Q & A Section
Does moral injury run in families?
The present study demonstrates a clustering of both MD, MA, and PD in relatives. Because it is a common experience for patients to be confronted with the shocking news of their spouse's death and to be reminded of their own death many years later, it is important to discuss with dying patients the personal burden and stresses they perceive their impending death imposes upon them.
What is exposure, relaxation, and rescripting therapy?
Exposure, relaxation and rescripting therapy is a safe, practical method of helping family members and friends become better able to cope with a loved one's traumatic experience, and of helping that loved one work through troubling thoughts and emotions.
What is the latest research for moral injury?
Moral injury is a significant concept and needs to be further defined and researched to provide the best support for its identification and its treatment.
What are common treatments for moral injury?
A survey of patients with moral injury provides the opportunity to discuss current treatments and ascertain patients' perceptions of the benefits of therapies. To help clinicians to understand patients' perceptions and current perceptions regarding potential treatment options, future studies should evaluate treatment as a means to manage moral injury. There is also an opportunity to create a treatment-specific questionnaire to evaluate the possible value of moral injury in the context of treatment.
What is moral injury?
Moral injury is a common and significant concept in the healthcare field. In this article it is reported on the impact that the concept has had on nursing practice as well as on patient and nurse-career development. moral injury was defined by a nurse's decision that she or he no longer wanted to provide caring or palliative care for another on their unit. Moral injury is a major phenomenon with many effects on patient and nurse outcomes as well as the quality of nursing work. It is also a common phenomenon and has many negative consequences for society as a whole.
What causes moral injury?
The use of alcohol and drugs is also associated with moral injury in an individual, but is not the sole or dominant cause. Moral injury is also associated with other factors. Some people do not have these other factors, so it remains a mystery why some people continue a harmful lifestyle. Moral injury may lead to social isolation or social alienation. At the level of the social organization, moral injury has the potential to create a pervasive and sustained disruption to the social-legal-political-economic systems that supports our communities.
What are the signs of moral injury?
Moral injury affects women and girls in particular: they are highly associated with victim of violence and harassment. They also report the most intense signs of moral injury in comparison with those suffering from other types of physical and psychological trauma. In order to offer adequate care to these patients, we must be sensitive and attentive to this specific clinical situation that is very difficult to detect.
Can moral injury be cured?
The process of learning to define, resist and resist the influences of moral injury is the only process by which to achieve a state of being, and the only course of action to protect the person and family who has acted out of moral injury, or the only way through which to live with this damage internally and externally.
Have there been other clinical trials involving exposure, relaxation, and rescripting therapy?
There have been a limited number of studies using exposure, relaxation, and rescripting therapy. However, results of the studies indicate the feasibility of the therapy. Some studies suggest that there may be a placebo effect.
Is exposure, relaxation, and rescripting therapy safe for people?
Exposure- relaxation-rescripting therapy is safe and effective in the treatment of posttraumatic stress disorder and is equivalent to the treatment received by untreated controls. There is a need for rigorous clinical trials to establish the role of these interventions in managing traumatic events.
How many people get moral injury a year in the United States?
Maintaining a sense of self in the process of healing from a moral injury can be challenging and may ultimately add to the difficulty in adjusting to life after suffering such a devastating experience. For some, those suffering such a harm may only feel that they can cope if the recovery is facilitated by medical professionals.
Is exposure, relaxation, and rescripting therapy typically used in combination with any other treatments?
Exposure Therapy was significantly associated with an improvement of depressive, anxious, and somatic symptoms during the course of treatment, although in general only weak relationships between exposure measures were found. Relaxation therapy was additionally used in combination with exposure, relaxation with therapy, relaxation alone, and no treatment. In the case of anxiety and somatic symptoms only relaxation with therapy had a significant positive effect. Relaxation in combination with therapy, relaxation alone and no therapy were not beneficial. In the case of depression, only relaxation with therapy and relaxation alone were effective. Relaxation in combination with exposure was not effective. In the case of negative symptoms only relaxation with therapy and relaxation alone were effective.