Pyne Jeffrey M, Rabalais Aline, Sullivan Steve
a Central Arkansas Veterans Healthcare System , North Little Rock, Arkansas.
b University of Arkansas for Medical Sciences , Little Rock, Arkansas.
J Health Care Chaplain. 2019 Jan-Mar;25(1):1-19. doi: 10.1080/08854726.2018.1474997. Epub 2018 Aug 15.
Moral injury in veterans with posttraumatic stress disorder includes symptoms of guilt and shame, and these symptoms are often not responsive to evidence-based mental health treatments. Clergy provide a pathway for relieving the guilt and shame. However, there is a long history of mistrust between clergy and mental health clinicians and not enough Veterans Health Administration chaplains to meet this need. The goal of this study was to gather qualitative interview data from relevant stakeholders regarding whether and how Veterans Affairs (VA) mental health clinicians and community clergy could collaborate to address moral injury issues such as guilt and shame in veterans being treated for posttraumatic stress disorder. The stakeholders for this study were veterans, mental health clinicians, and clergy. Qualitative data were organized into three domains: barriers, facilitators, and intervention suggestions. These data were used to develop a new intervention for moral injury that includes a central role for the Veterans Affairs chaplain.
患有创伤后应激障碍的退伍军人的道德损伤包括内疚和羞耻症状，而这些症状往往对循证心理健康治疗没有反应。神职人员提供了一条减轻内疚和羞耻的途径。然而，神职人员和心理健康临床医生之间长期存在不信任，而且退伍军人健康管理局的牧师数量不足以满足这一需求。本研究的目的是从相关利益相关者那里收集定性访谈数据，了解退伍军人事务部（VA）的心理健康临床医生和社区神职人员是否以及如何合作解决道德损伤问题，如正在接受创伤后应激障碍治疗的退伍军人的内疚和羞耻感。本研究的利益相关者是退伍军人、心理健康临床医生和神职人员。定性数据被组织成三个领域：障碍、促进因素和干预建议。这些数据被用于开发一种针对道德损伤的新干预措施，其中退伍军人事务部牧师将发挥核心作用。
