Therapy for Psychological Trauma

This trial tests two therapies designed to assist Veterans who have experienced moral injury during war: Acceptance and Commitment Therapy for Moral Injury (ACT-MI) and Present Centered Therapy for Moral Injury (PCT-MI). The researchers aim to evaluate how well these therapies improve life function and identify factors that might help or hinder their use in VA clinics or through telehealth. Veterans who have been to a warzone and feel that their moral injury affects their daily life might be a good fit. Participants will engage in online sessions, including both group and individual meetings, and complete several assessments. As an unphased trial, this study offers Veterans the chance to contribute to important research that could enhance therapeutic options for moral injury.

Research has shown that Acceptance and Commitment Therapy for Moral Injury (ACT-MI) is generally safe for veterans. One study found that 64.7% of veterans experienced a positive response, with PTSD symptoms decreasing by at least five points. Although the study primarily assessed treatment efficacy, the results also suggest safety, as many participants improved without reported side effects.

Researchers are excited about these treatments for moral injury because they offer new therapeutic approaches. Acceptance and Commitment Therapy for Moral Injury (ACT-MI) is unique as it focuses on helping individuals accept their traumatic experiences and commit to values-based actions, which is different from traditional cognitive-behavioral therapies that often aim to change thought patterns. Present Centered Therapy for Moral Injury (PCT-MI), on the other hand, emphasizes staying in the present moment and discussing current issues rather than delving into past traumatic events. Both treatments aim to provide more tailored and potentially effective options for those suffering from moral injury, a condition often related to combat experiences and other traumatic situations, where standard therapies may not fully address the unique aspects of moral and ethical distress.

This trial will compare Acceptance and Commitment Therapy for Moral Injury (ACT-MI) with Present Centered Therapy for Moral Injury (PCT-MI). Research has shown that ACT-MI can benefit veterans, with studies finding improved mental health and reduced symptoms of moral injury, depression, and PTSD among participants. Early trials with military personnel also reported these benefits.

Specific information about PCT-MI's effectiveness for moral injury is not available. However, PCT generally helps individuals understand and manage their current experiences.