Safety Aid Reduction Treatment for PTSD for Moral Injury
This study is evaluating whether a treatment program may help reduce symptoms of posttraumatic stress disorder.
See full descriptionAbout the trial for Moral Injury
Treatment Groups
This trial involves 2 different treatments. Safety Aid Reduction Treatment For PTSD 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 2 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Safety Aid Reduction Treatment for PTSD will improve 4 primary outcomes and 4 secondary outcomes in patients with Moral Injury. Measurement will happen over the course of Post-intervention or wait-list (10-weeks).
Patient Q & A Section
How many people get moral injury a year in the United States?
Approximately 1.2 million Americans are injured by the actions or omissions of another person. The health care system's potential to treat those individuals is severely limited. Improving care for injured patients, both those injured by other people as well as by physical objects, could significantly improve both the quality of life for severely injured patients and the cost of their care.
What are common treatments for moral injury?
In a recent study, findings of this study suggest further research into the use of EMDR for the treatment of moral injury, and highlight the importance of helping patients understand and accept the severity and consequences of the event to help alleviate distress and promote resilience.
What are the signs of moral injury?
The patient usually shows the signs of moral injury because moral injury is a psychological emergency. Those who are more emotionally stable are more likely to demonstrate signs of moral injury as opposed to less psychologically stable persons. We have found that patients are willing to tell about moral injury if there were more effective ways available to communicate with such patients. Those who perceive their role as being fundamentally responsible and who believe that they could do more to help people in moral injury crisis derive higher levels of satisfaction from being honest in their communications. Patient empowerment is a significant factor in the success of communicating with someone in moral injury crisis.
Can moral injury be cured?
Moral injury cannot be cured. With treatment, many victims of moral injury can live a normal life. But the pain and grief from lost children and wives may be a persistent problem if moral injury is not treated.
What is moral injury?
A moral injury is a serious and persistent emotional, social or behavioral problem arising from a moral obligation or ethical commitment that exceeds the capacity of the subject to act on it. It is a profound emotional toll that most often ensues from attempting to uphold a moral code when it is impossible to fulfill it fully. Moral injury may lead to a loss of self-worth, reduced self-esteem and the perception of having lost a loved one, or a moral obligation, such as duty, that the subject cannot meet. Moral injuries are often characterized by extreme shame and/or remorse, loss of the sense of personal integrity or the desire to regain it, as well as feelings such as guilt, hopelessness, or despair.
What causes moral injury?
Moral injury is a more complex phenomenon than a simple shift from the good to the evil, but instead it's the perception that one can make a difference in the world by helping others. Those with a sense of responsibility and commitment to the world are most likely to experience moral injury.
How does safety aid reduction treatment for ptsd work?
These preliminary analyses suggest that the use of SAFER treatments and in particular SAFER PTSD is beneficial and deserves further investigation. The study is currently registered on clinicaltrials.gov as NCT02292594.
How serious can moral injury be?
Moral injury is associated with significant psychological harm. The study provides further evidence that psychological injury is serious enough to warrant an independent category in the International Classification of Diseases.
What are the common side effects of safety aid reduction treatment for ptsd?
Based on self-reported results, there were no statistically significant differences for the common side effects, except for itch. Because of the wide variety of side effects, it is essential to consider the benefits of using safety aid reduction when deciding whether to use safety aid reduction to treat PTSD.
Have there been any new discoveries for treating moral injury?
moral injury can be treated with several types of psychological therapies. In a meta-analysis study of four therapeutic trials, three used Cognitive Behavioral Therapy (CBT) and one used a Moral Skills Training (MST) approach. A meta-analysis of all four trials showed that the mean MST improvements in a moral injury group were consistently greater than those in a No Control Comparison (NC) group, and that the mean MST Improvement was consistently greater in every treatment group when compared to the NC group, [all four trials had at least one of the following: treatment effect > 2 SD and/or significant.comparison: NC > treatment group on at least one criterion].
What is safety aid reduction treatment for ptsd?
Many people were using TA to manage their own traumatic memories, and while they were not using TA to treat PTSD, a number of patients told therapists that TA helped them manage their traumatic memories. In a number of cases, TA would not address the traumatic memory directly but, rather, would simply ease the transition to accepting the traumatic memory. With TA, therapists may be not only treating patients suffering from PTSD but also treating patients who could be classified as emotionally vulnerable or emotionally vulnerable due to trauma.
What is the average age someone gets moral injury?
When using normative data from two independent populations (general population and psychiatric inpatient samples) to construct a normative sample of age of onset, it is not reasonable to expect that the average age of onset falls at an average of 50 years. It is much more likely that there will be differences in average age by the nature of the community from which the participants originate. Because there are no normative samples defined by country of birth (as in US data), this could change if more samples are available from other countries.