Restore and Rebuild (R&R) – a feasibility pilot study of a co-designed intervention for moral injury-related mental health difficulties.

Restaurar Y Reconstruir (R&R) – un estudio piloto de viabilidad de una intervencion codiseñada para las dificultades de salud mental relacionadas con daño moral. (Spanish)
恢复和重建 (R&R) – 针对与道德伤害相关心理健康困难共同设计干预措施的可行性试点研究 (Chinese)

Moral injury can significantly negatively impact mental health, but currently no validated treatment for moral injury-related mental health difficulties exists in a UK context. This study aimed to examine whether the Restore and Rebuild (R&R) treatment was feasible to deliver, acceptable and well tolerated by UK military veterans with moral injury related mental health difficulties. The R&R treatment was delivered to 20 patients who reported distress related to exposure to a morally injurious event(s) during military service. R&R is a 20-session psychotherapy with key themes of processing the event, self compassion, connecting with others and core values. Treatment was delivered online, weekly, one-to-one by a single therapist. Qualitative interviews with patients and the therapist who delivered R&R were conducted to explore acceptability and analysed using thematic analysis. Following treatment, patients experienced a significant reduction in symptoms of post-traumatic stress disorder, depression, alcohol misuse and moral injury related distress. R&R was found to be well tolerated by patients and improved their perceived wellbeing. These results provide preliminary evidence that veterans struggling with moral injury related mental ill health can benefit from R&R treatment. Evidence before this study: Moral injury can negatively impact the mental health of military veterans. Currently no validated treatment for moral injury related mental health difficulties exists for UK military personnel/veterans. Added value of this study: Restore and Rebuild (R&R) is a co-designed psychotherapy for moral injury-related mental health difficulties. This study provides the first evidence that R&R treatment is associated with a significant improvement in patient symptoms of PTSD, depression, alcohol misuse and moral injury related distress. R&R was feasible to deliver, acceptable to patients and well tolerated. Implications of all the available evidence: These results provide preliminary evidence that veterans struggling with moral injury related mental ill health can benefit from R&R treatment. With further evaluation, R&R may be beneficial to other occupational groups affected by moral injury. [ABSTRACT FROM AUTHOR]

Antecedentes: El daño moral puede tener un impacto negativo significativo en la salud mental, pero actualmente no existe un tratamiento validado para las dificultades de salud mental relacionadas con daño moral en el contexto del Reino Unido. El objetivo de este estudio fue examinar si el tratamiento Restaurar y Reconstruir (R&R) era factible de administrar, aceptable y bien tolerado para los veteranos militares del Reino Unido con dificultades de salud mental relacionadas con daño moral. Método: El tratamiento R&R se administró a 20 pacientes que reportaron angustia relacionada con la exposición a evento(s) moralmente dañino(s) durante el servicio militar. R&R es una psicoterapia de 20 sesiones con temas claves de procesamiento del evento, autocompasión, conexión con los demás y valores fundamentales. El tratamiento se efectuó en línea, semanalmente, en forma individual por un solo terapeuta. Se realizaron entrevistas cualitativas con los pacientes y el terapeuta que proporcionó R&R para explorar la aceptabilidad y se analizaron mediante análisis temático. Resultados: Después del tratamiento, los pacientes experimentaron una reducción significativa en los síntomas de trastorno por estrés postraumático, depresión, abuso de alcohol y angustia relacionada con daño moral. Se encontró que R&R era bien tolerada por los pacientes y mejoró su bienestar percibido. Conclusiones: Estos resultados entregan evidencia preliminar de que los veteranos que luchan con problemas de salud mental relacionados con daño moral pueden beneficiarse del tratamiento R&R. [ABSTRACT FROM AUTHOR]

背景：道德伤害会对心理健康产生显著的负面影响，但目前在英国还没有针对与道德伤害相关心理健康困难的有效治疗方法。本研究旨在探讨恢复与重建 (R&R) 治疗对于患有道德伤害相关心理健康问题的英国退伍军人来说是否可行、可接受和耐受良好。 方法：对 20名报告因服兵役期间遭受道德伤害事件而感到痛苦的患者进行了 R&R 治疗。R&R 是一种20 疗程的心理治疗，其关键主题是处理事件、自我同情、与他人联系和核心价值观。治疗由一名治疗师每周在线进行一对一的治疗。对患者和提供 R&R 的治疗师进行定性访谈，以探索可接受性并使用主题分析进行分析。 结果：治疗后，患者的创伤后应激障碍、抑郁、酗酒和道德伤害相关的痛苦症状显著减轻。研究发现，患者对 R&R 的耐受性良好，并改善了他们的身心健康。 结论：这些结果提供了初步证据，表明患有与道德伤害相关心理健康疾患的退伍军人可以从 R&R 治疗中受益。 [ABSTRACT FROM AUTHOR]

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