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A moral resilience intervention to decrease moral injury severity

An ‘ABA’ single subject design with a rural woman veteran

Bibliographic Data

ID15434261
AuthorsJustin T Mcdaniel (0000-0001-8008-1645, corresponding author), Ugochukwu Gabriel Ezigbo (0009-0008-9084-7315, University of Pittsburgh), L Copeland (0000-0001-7434-4795)
Year2025
Volume45
Issue1
Pages66-85
Publication date2025-02-06
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Religion & Spirituality in Social Work Social Thought (JOURNAL)
Journal identifiersISSN: 1542-6432 • E-ISSN: 1542-6440
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15426432.2025.2459828
OpenAlexW4407188253
LanguageEN
References cited45

Although moral injury is commonly reported by military veterans, the literature lacks evidence for efficacious treatments that can be completed remotely and thus serve the nearly 25% of veterans who live in resource-deprived rural areas. The purpose of the present study was to test a self-administered, interactive, online moral injury resilience intervention grounded in forgiveness theory, called BREACH/PREACH, in an ‘ABA’ single subject study design with a rural-dwelling woman veteran. The primary target in this study was a moral injury severity rating as measured by the behavioral economics-inspired “Moral Injury Purchase Task” (MIPT) during a seven-day baseline period, a 12-day intervention period, and a seven-day follow-up period. Four behavioral economic demand indices derived from the MIPT (i.e., intensity, Pmax, Omax, and breakpoint) decreased from the baseline period to the intervention period (Tukey HSD p’s less than 0.05) and from the intervention period to the follow-up period (Tukey HSD p’s less than 0.05). Although limitations accompany single subject study designs, this project provides preliminary evidence of the efficacy of remote moral injury resilience intervention to reduce moral injury severity in rural-dwelling military veterans

Intervention (counseling · Moral injury · Psychiatry · Psychological resilience · Resilience (materials science · Subject (documents · Computer Science · Criminal Justice and Corrections Analysis · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health · Social Psychology

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