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PTSD Vs. Moral Injury: a Scoping Review

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PTSD Vs. Moral Injury: a Scoping Review IN GRAPHICS PTSD vs. moral injury: a scoping review Stéphanie A.H. Bélanger, CD, PhD Associate Scientific Director, CIMVHR; Heidi Cramm, Queen’s; Kari Fletcher, St-Thomas; Jean-Simon Demers, PhD Cand. University of Ottawa While Post Traumatic Stress Disorder (PTSD) has garnered much research attention, the concept of moral injury has recently been increasingly raised. This scoping review was undertaken to explored how the literature conceptualizes the relation between PTSD and moral injury. Moral injury Posttraumatic Stress Disorder “…the emotional and spiritual impact of participating “a history of exposures to a traumatic event that in, witnessing, and/or being victimized by actions and produces symptoms that can be found in the four behaviors which violate a service member’s core moral symptom clusters that include intrusion, avoidance, values and behavioral expectations of self or others. negative alterations in cognitions and mood, and Moral injury almost always pivots with the dimension alterations in arousal and reactivity” of time: moral codes evolve alongside identities, and (American Psychological Association, 2013) transitions inform perspectives that form new conclusions about old events.” (Syracuse University, The Moral Injury Project, n.d.) Distinctions Data Sources: 2-26 Results: What the literature shows MORAL INJURY PTSD Difficulty in Distinguishing Dimensional Taxonomy based Overlapping definitions and differences No threshold must be met Threshold must be met around whether they are separate, Not a diagnosis Diagnosis sequential, or simultaneous; mean there is 1 a lack of clarity in defining the concepts of (U.S. Department of Veterans Affairs, 2016) PTSD and moral injury. The Research Process Protective Factors and Vulnerabilities IDENTIFIED SCREENED INCLUDED Mechanisms of acquisition, expression of the condition, neuropathological changes, and 2 the role of spirituality can create protective factors and vulnerabilities. Detection and Response 3547 61 37 Distinguishing between PTSD and moral references studies studies included ${protocol}://jmvfh.utpjournals.press/doi/pdf/10.3138/jmvfh.4.1.002 - Wednesday, July 17, 2019 8:32:14 AM Queen's University IP Address:130.15.160.43 injury remains problematic given the current identified as proceeded in full data state of the research. potential to full-text extraction and 3 sources screening analysis Data Source: 1 Data Sources: 27-37 2 Journal of Military, Veteran and Family Health doi:10.3138/jmvfh.4.1.002 4 (1) 2018 REFERENCES 1. Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). 12. Currier, J. M., Kuhlman, S., & Smith, P. N. (2015). Scoping studies: advancing the methodology. Implemen- Empirical and ethical considerations for addressing spiri- tation Science, 5(1). https://doi.org/10.1186/1748-5908- tuality among veterans and other military populations 5-69 at risk for suicide. Spirituality in Clinical Practice, 2(1), 68-73. http://dx.doi.org/10.1037/scp0000057 2. Dombo, E. A., Gray, C., & Early, B. P. (2013). The trauma of moral injury: Beyond the battlefield. Journal 13. Currier, J. M., McCormick, W., & Drescher, K. D. of Religion & Spirituality in Social Work: Social Thought, (2015). How do morally injurious events occur? A quali- 32(3), 197–210. https://doi.org/10.1080/15426432.20 tative analysis of perspectives of veterans with PTSD. 13.801732 Traumatology, 21(2), 106–116. https://doi.org/10.1037/ trm0000027 3. Farnsworth, J. K., Drescher, K. D., Nieuwsma, J. A., Walser, R. B., & Currier, J. M. (2014). The role of 14. Farnsworth, J. K., Drescher, K. D., Nieuwsma, J. A., moral emotions in military trauma: Implications for the Walser, R. B., & Currier, J. M. (2014). The role of study and treatment of moral injury. Review of General moral emotions in military trauma: Implications for the Psychology, 18(4), 249–262. https://doi.org/10.1037/ study and treatment of moral injury. Review of General gpr0000018 Psychology, 18(4), 249–262. https://doi.org/10.1037/ gpr0000018 4. Finlay, L. D. (2015). Evidence-based trauma treatment: Problems with a cognitive reappraisal of guilt. Journal of 15. Ferrajão, P. C., & Oliveira, R. A. (2014). Self-awareness Theoretical and Philosophical Psychology, 35(4), 220–229. of mental states, self-integration of personal schemas, https://doi.org/10.1037/teo0000021 perceived social support, posttraumatic and depression levels, and moral injury: A mixed-method study among 5. Frankfurt, S., & Frazier, P. (2016). A review of research Portuguese war veterans. Traumatology, 20(4), 277–285. on moral injury in combat veterans. Military Psychology, https://doi.org/10.1037/trm0000016 28(5), 318–330. https://doi.org/10.1037/mil0000132 16. Forbes, D., & Bryant, R. A. (2013). When the violence 6. Gaudet, C. M., Sowers, K. M., Nugent, W. R., & of war comes home. The Lancet, 381(9870), 883–884. Boriskin, J. A. (2016). A review of PTSD and shame https://doi.org/10.1016/S0140-6736(13)60635-2 in military veterans. Journal of Human Behavior in the Social Environment, 26(1), 56–68. https://doi.org/10.10 17. Frankfurt, S., & Frazier, P. (2016). A review of research 80/10911359.2015.1059168 on moral injury in combat veterans. Military Psychology, 28(5), 318–330. https://doi.org/10.1037/mil0000132 7. Gray, M. J., Schorr, Y., Nash, W., Lebowitz, L., Amidon, A., Lansing, A., … Litz, B. T. (2012). Adaptive disclo- 18. Keenan, M. J., Lumley, V. A., & Schneider, R. B. sure: An open trial of a novel exposure-based Interven- (2014). A group therapy approach to treating combat tion for service members with combat-related psycho- posttraumatic stress disorder: Interpersonal reconnection logical stress injuries. Behavior Therapy, 43(2), 407–415. through letter writing. Psychotherapy, 51(4), 546–554. https://doi.org/10.1016/j.beth.2011.09.001 https://doi.org/10.1037/a0036025 8. Nazarov, A., Jetly, R., McNeely, H., Kiang, M., Lanius, 19. Nash, W. P., & Litz, B. T. (2013). Moral injury: A R., & McKinnon, M. C. (2015). Role of morality in the mechanism for war-related psychological trauma in mili- experience of guilt and shame within the armed forces. tary family members. Clinical Child and Family Psychol- Acta Psychiatrica Scandinavica, 132(1), 4–19. https://doi. ogy Review, 16(4), 365–375. https://doi.org/10.1007/ org/10.1111/acps.12406 s10567-013-0146-y 9. Oliveira, R. A., & Ferrajão, P. C. (2016). Portuguese war 20. Nazarov, A., Jetly, R., McNeely, H., Kiang, M., Lanius, veterans: Moral injury and factors related to recovery R., & McKinnon, M. C. (2015). Role of morality in the from PTSD. Qualitative Health Research, 26(2), 204– experience of guilt and shame within the armed forces. 214. https://doi.org/10.1177/1049732315573012 Acta Psychiatrica Scandinavica, 132(1), 4–19. https://doi. org/10.1111/acps.12406 10. Sreenivasan, S., Smee, D. E., & Weinberger, L. E. (2014). Moral injury: A meaning-based model for Iraq/ 21. Paul, L. A., Gros, D. F., Strachan, M., Worsham, G., ${protocol}://jmvfh.utpjournals.press/doi/pdf/10.3138/jmvfh.4.1.002 - Wednesday, July 17, 2019 8:32:14 AM Queen's University IP Address:130.15.160.43 Afghanistan combat Veterans. The International Forum Foa, E. B., & Acierno, R. (2014). Prolonged exposure for Logotherapy, 37(1), 26–31 for guilt and shame in a veteran of operation Iraqi Free- dom. American Journal of Psychotherapy, 68(3), 277–286. 11. Bartzak, P. J. (2015). Moral Injury is the Wound: PTSD is the Manifestation. Medsurg Nursing: Official Journal 22. Sreenivasan, S., Smee, D. E., & Weinberger, L. E. of the Academy of Medical-Surgical Nurses, 24(3), Suppl (2014). Moral injury: A meaning-based model for Iraq/ 10–11. Afghanistan combat Veterans. The International Forum for Logotherapy, 37(1), 26–31. Journal of Military, Veteran and Family Health 3 4 (1) 2018 doi:10.3138/jmvfh.4.1.002 23. Stern, J. (2014). PTSD: Policy issues. Psychoanalytic https://doi.org/10.1037/scp0000045 Psychology, 31(2), 255–261. https://doi.org/10.1037/ 33. Keenan, M. J., Lumley, V. A., & Schneider, R. B. a0036008 (2014). A group therapy approach to treating combat 24. Wachen, J. S., Dondanville, K. A., Pruiksma, K. E., posttraumatic stress disorder: Interpersonal recon- Molino, A., Carson, C. S., Blankenship, A. E., … nection through letter writing. Psychotherapy, 51(4), Resick, P. A. (2016). Implementing cognitive process- 546–554. https://doi.org/10.1037/a0036025 ing therapy for posttraumatic stress disorder with 34. Nazarov, A., Jetly, R., McNeely, H., Kiang, M., Lanius, active duty U.S. Military personnel: Special consid- R., & McKinnon, M. C. (2015). Role of morality in erations and case examples. Cognitive and Behavioral the experience of guilt and shame within the armed Practice, 23(2), 133–147. https://doi.org/10.1016/j. forces. Acta Psychiatrica Scandinavica, 132(1), 4–19. cbpra.2015.08.007 https://doi.org/10.1111/acps.12406 25. Worthen, M., & Ahern, J. (2014). The Causes, Course, 35. Nieuwsma, J. A. (2015). Moral injury: An intersec- and Consequences of Anger Problems in Veterans tion for psychological and spiritual care. North Caro- Returning to Civilian Life. Journal of Loss and Trauma, lina Medical Journal, 76(5), 300–301. https://doi. 19(4), 355–363. https://doi.org/10.1080/15325024.20 org/10.18043/ncm.76.5.300 13.788945 36. Wachen, J. S., Dondanville, K. A., Pruiksma, K. E., 26. Artra, I. P. (2014). Transparent Assessment: Discovering Molino, A., Carson, C. S., Blankenship, A. E., … Authentic Meanings Made by Combat Veterans. Journal Resick, P. A. (2016). Implementing cognitive process- of Constructivist Psychology, 27(3), 211–235. https://doi. ing therapy for posttraumatic stress disorder with org/10.1080/10720537.2014.904704 active duty U.S. Military personnel: Special consid- 27. Brenner, L. A., Betthauser, L. M., Bahraini, N., Lusk, erations and case examples. Cognitive and Behavioral J. L., Terrio, H., Scher, A. I., & Schwab, K.
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