Moral injury, an experience of betrayal or transgression of moral values, continues to receive attention because of its associations with psychiatric disorders, including posttraumatic stress disorder and suicidality. There is growing recognition that moral injury may require novel interventions that involve religious or spiritual paradigms. This pilot study presents feasibility data and exploratory outcomes for 40 veteran participants across seven cohorts who participated in a novel 12‐week moral injury group (MIG) over 35 months. The MIG was cofacilitated by a Veterans Affairs chaplain and psychologist and designed to reduce distress and improve functioning in individuals with histories of morally injurious experiences from military service. The intervention included a ceremony in which participants shared testimonies of their moral injury with the general public. Recruitment feasibility and retention were high, with participants completing an average of 9.45 (SD = 2.82) sessions of the 12‐week group, and 32 participants (80.0%) attending nine or more sessions and the community healing ceremony. Exploratory analyses revealed medium effect sizes, ω² = 0.05–0.08, for reductions in depressive symptoms, improvements in psychological functioning, and self‐compassion after the intervention, with small effect sizes, ω² = 0.03, in anticipated directions for personal growth and spiritual struggles. The results were not impacted by participant engagement in concurrent psychological treatments. Taken together, these findings support the feasibility of the MIG, the potential merit of an interdisciplinary approach to addressing moral injury, and justification for further research into the efficacy of this approach.

中文翻译：

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由牧师和心理学家共同推动的道德伤害团体干预试点研究

道德伤害是一种背叛或违反道德价值观的经历，由于它与精神障碍（包括创伤后应激障碍和自杀倾向）有关，因此继续受到关注。人们越来越认识到道德伤害可能需要涉及宗教或精神范式的新干预。这项试点研究提供了 7 个队列中的 40 名退伍军人的可行性数据和探索性结果，他们参加了一个新的 12 周道德伤害组 (MIG)，为期 35 个月。MIG 由退伍军人事务部牧师和心理学家共同主持，旨在减少有道德伤害经历的军人的痛苦和改善其功能。干预包括一个仪式，参与者与公众分享他们的道德伤害的证词。招聘的可行性和保留率很高，参与者平均完成了 9.45 (SD = 2.82) 12 周组的会话，32 名参与者 (80.0%) 参加了 9 个或更多的会话和社区康复仪式。探索性分析显示中等效应值 ω ² = 0.05–0.08，用于减少抑郁症状、改善心理功能和干预后的自我同情，小效应值 ω ² = 0.03，在预期的个人成长和精神斗争。结果不受参与者参与同步心理治疗的影响。总之，这些发现支持 MIG 的可行性、跨学科方法解决道德伤害的潜在优点，以及进一步研究这种方法的有效性的理由。