A Pilot Study of a Moral Injury Group Intervention Co‐Facilitated by a Chaplain and Psychologist

Author(s):  
David P. Cenkner ◽  
Peter D. Yeomans ◽  
Chris J. Antal ◽  
J. Cobb Scott
2021 ◽  
Author(s):  
Emily Mazzulla ◽  
Karen M. Fondacaro ◽  
Holly C Weldon ◽  
Marguerite Dibble ◽  
Matthew Price

Objective: After resettlement, an overwhelming number of refugees struggle with Chronic Traumatic Stress (CTS), the persistence of traumatic events (e.g., re-experiencing past trauma; news of on-going war) coupled with daily post-migration stressors (e.g., poverty, lack of transportation). CTS significantly increases the burden of mental health challenges experienced by refugees. Evidence-based mental health treatments often rely on worksheets, mobile applications, websites, or telephone calls to facilitate the management of distress outside of treatment sessions. Language barriers prevent these strategies from being incorporated into mental health treatment for refugees, which results in a significant disparity in care. Treatments delivered via mobile devices can address this barrier through the use of intuitive images that eliminate the need for text or language-based instruction.Methods: A six-week pilot study assessing the effectiveness of group intervention utilizing a language free, culturally relevant mobile health (mHealth) application was conducted in a sample of Somali-Bantu and Nepali-Bhutanese adult refugee men and women (N=18). Paired-samples t-tests were conducted to compare pre- and post-intervention levels of psychosocial distress, anxiety, depression, and traumatic stress, on the Refugee Health Screener (RHS-15) and an investigator generated coping measure.Results: Results indicated significant reduction (p<.001) in symptoms related to traumatic stress, anxiety, depression and somatic complaints in addition to a significant increase (p<.001) in the use of coping skills.Conclusions: The use of a mobile mental health app, in combination with in-person therapy, was effective in reducing mental health symptomology and in increasing the use of coping skills in Somali-Bantu and Nepali-Bhutanese refugees.


2019 ◽  
Vol 44 (4) ◽  
pp. 228-234
Author(s):  
Jessica Gonzalez-Voller ◽  
Andrew William Wood ◽  
Frank Marrs ◽  
Viviane Ephraimson-Abt ◽  
Julia Sharp ◽  
...  

2020 ◽  
Vol 61 (6) ◽  
pp. 835-845
Author(s):  
Anneli Kylliäinen ◽  
Satu Häkkinen ◽  
Sanelma Eränen ◽  
Kati Rantanen ◽  
Hanna Ebeling ◽  
...  

Author(s):  
Catherine Hache-Labelle ◽  
Amal Abdel-Baki ◽  
Martin Lepage ◽  
Anne-Sophie Laurin ◽  
Amili Guillou ◽  
...  

2017 ◽  
Vol 5 ◽  
pp. 16-26 ◽  
Author(s):  
Jane South ◽  
Gianfranco Giuntoli ◽  
Karina Kinsella ◽  
David Carless ◽  
Jonathan Long ◽  
...  

2015 ◽  
Vol 6 ◽  
Author(s):  
Hanna Christiansen ◽  
Jana Anding ◽  
Bastian Schrott ◽  
Bernd Röhrle

2014 ◽  
Vol 13 (4) ◽  
pp. 981-990 ◽  
Author(s):  
Pierre Gagnon ◽  
Lise Fillion ◽  
Marie-Anik Robitaille ◽  
Michèle Girard ◽  
François Tardif ◽  
...  

AbstractObjective:We developed a specific cognitive–existential intervention to improve existential distress in nonmetastatic cancer patients. The present study reports the feasibility of implementing and evaluating this intervention, which involved 12 weekly sessions in both individual and group formats, and explores the efficacy of the intervention on existential and global quality of life (QoL) measures.Method:Some 33 nonmetastatic cancer patients were randomized between the group intervention, the individual intervention, and the usual condition of care. Evaluation of the intervention on the existential and global QoL of patients was performed using the existential well-being subscale and the global scale of the McGill Quality of Life (MQoL) Questionnaire.Results:All participants agreed that their participation in the program helped them deal with their illness and their personal life. Some 88.9% of participants agreed that this program should be proposed for all cancer patients, and 94.5% agreed that this intervention helped them to reflect on the meaning of their life. At post-intervention, both existential and psychological QoL improved in the group intervention versus usual care (p = 0.086 and 0.077, respectively). At the three-month follow-up, global and psychological QoL improved in the individual intervention versus usual care (p = 0.056 and 0.047, respectively).Significance of results:This pilot study confirms the relevance of the intervention and the feasibility of the recruitment and randomization processes. The data strongly suggest a potential efficacy of the intervention for existential and global quality of life, which will have to be confirmed in a larger study.


Mindfulness ◽  
2015 ◽  
Vol 7 (2) ◽  
pp. 361-371 ◽  
Author(s):  
Therese Verkerke Cash ◽  
Vanessa Sepopo Ekouevi ◽  
Christopher Kilbourn ◽  
Sarah K. Lageman

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