Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System (North Little Rock), 2200 Ft. Roots Drive, Bldg. 58, 152/NLR, North Little Rock, AR, 72114-1706, USA.
South Central Mental Illness Research, Education and Clinical Center, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR, USA.
J Relig Health. 2021 Oct;60(5):3034-3051. doi: 10.1007/s10943-021-01257-y. Epub 2021 Apr 17.
Moral injury (MI) symptoms (guilt, shame, isolation) can be associated with military experiences. While a degree of overlap is recognized between MI and posttraumatic stress disorder (PTSD) symptoms, MI symptoms do not always respond to evidence-based treatments for PTSD. Mental Health Clinician Community Chaplain Collaboration (MC4) was delivered by community clergy to address MI symptoms through facilitation of forgiveness and community reintegration. Thirteen veterans participated and the results suggested that MC4 was generally feasible and acceptable. However, it is unlikely community clergy time could keep up with demand. Shifting intervention delivery to Department of Veterans Affairs (VA) chaplains will alleviate many barriers experienced in this feasibility study.
道德伤害（MI）症状（内疚、羞耻、孤立）可能与军事经历有关。虽然 MI 症状和创伤后应激障碍（PTSD）症状有一定程度的重叠，但 MI 症状并不总是对 PTSD 的循证治疗有反应。心理健康临床医生社区牧师合作（MC4）由社区神职人员提供，通过促进宽恕和社区重新融入来解决 MI 症状。13 名退伍军人参与了该研究，结果表明 MC4 通常是可行和可接受的。然而，社区神职人员的时间不太可能跟上需求。将干预措施的提供转移到退伍军人事务部（VA）牧师那里，将减轻本可行性研究中遇到的许多障碍。
