Cited by 143Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsMigration, Health and Trauma

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Impact of Killing in War: A Randomized, Controlled Pilot Trial

Maguen, Shira, Burkman, Kristine, Madden, Erin, Dinh, Julie, Bosch, Jeane, Keyser, Jessica, Schmitz, Martha, Neylan, Thomas C.·2017·Journal of Clinical Psychology

DOI 10.1002/jclp.22471

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Abstract

Objective The purpose of this pilot study was to test the effectiveness of Impact of Killing (IOK), a novel, cognitive-behavioral treatment (CBT) aimed at reducing mental health symptoms and functional impairment. Method Participants were 33 combat Veterans with a posttraumatic stress disorder (PTSD) diagnosis who had completed trauma-focused psychotherapy and reported distress regarding killing or feeling responsible for the deaths of others in war. Veterans were randomized to either IOK treatment or a 6-week waitlist condition, after which Veterans could receive IOK. IOK is a 6- to 8-session, weekly, individual, CBT, lasting 60-90 minutes, and focused on key themes, including physiology of killing responses, moral injury, self-forgiveness, spirituality, making amends, and improved functioning. Results We found that compared to controls (N = 16), the IOK group (N = 17) experienced a significant improvement in PTSD symptoms, general psychiatric symptoms, and quality of life functional measures. Veterans who received IOK reported that the treatment was acceptable and feasible. Conclusion These results provide preliminary evidence that Veterans can benefit from a treatment focused on the impact of killing after initial trauma therapy.

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Moral injury and moral repair in war veterans: A preliminary model and intervention strategy
Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.07.003 · Cited by 2,738
Self-citation
Analysing controlled trials with baseline and follow up measurements
Vickers, A. J., & Altman, D. G. (2001) · BMJ · doi:10.1136/bmj.323.7321.1123 · Cited by 2,116
The Primary Care PTSD screen (PC-PTSD): development and operating characteristics
Prins, A., Ouimette, P., Kimerling, R., Camerond, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., Thrailkill, A., Gusman, F. D., & Sheikh, J. I. (2004) · Primary Care Psychiatry · doi:10.1185/135525703125002360 · Cited by 1,390
Psychotherapy for Military-Related PTSD: A Review of Randomized Clinical Trials
Steenkamp, M. M., Litz, B. T., Hoge, C. W., & Marmar, C. R. (2015) · JAMA · doi:10.1001/jama.2015.8370 · Cited by 958
Statistical power analysis: a simple and general model for traditional and modern hypothesis tests
Murphy, K. R., & Myors, B. (1998) · Choice Reviews Online · doi:10.5860/choice.36-1020 · Cited by 797
Psychometric Evaluation of the Moral Injury Events Scale
Nash, W. P., Carper, T. L. M., Mills, M. A., Au, T. M., Goldsmith, A. A., & Litz, B. T. (2013) · Military Medicine · doi:10.7205/milmed-d-13-00017 · Cited by 620
An exploration of the viability and usefulness of the construct of moral injury in war veterans.
Drescher, K. D., Foy, D. W., Kelly, C. M., Leshner, A., Schutz, K., & Litz, B. T. (2011) · Traumatology An International Journal · doi:10.1177/1534765610395615 · Cited by 494
Self–Forgiveness: The Stepchild of Forgiveness Research
Hall, J. H., & Fincham, F. D. (2005) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2005.24.5.621 · Cited by 475

Show all 27 references

Research works printed but not linked: 2

Derogatis, 2000, Handbook of psychological assessment in primary care settings (Vol. 236), 297
First, 2002, Structured Clinical Interview for DSM-IV-TR Axis I Disorders, research version, patient edition with psychotic screen (SCID-I/P W/ PSY SCREEN)

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Authors: Maguen, S., Burkman, K., Madden, E., Dinh, J., Bosch, J., Keyser, J., Schmitz, M., & Neylan, T. C.
Affiliations: San Francisco VA Medical Center (US)
San Francisco VA Medical Center
Corresponding author: Maguen, Shira
ORCID: Maguen, Shira
Burkman, Kristine
Madden, Erin
Dinh, Julie
Keyser, Jessica
Neylan, Thomas C.
Venue: Journal of Clinical Psychology
Publisher: Wiley
Published: 2017-03-10
Volume: 73
Issue: 9
Pages: 997-1012
ISSN: 0021-9762 (ISSN-L)
DOI: 10.1002/jclp.22471
OpenAlex: W2592990990
Cited by: 143
References: 27
Citations by year: 2026: 16 · 2025: 9 · 2024: 17 · 2023: 22 · 2022: 33 · 2021: 14 · 2020: 5 · 2019: 15 · 2018: 10 · 2017: 2
FWCI: 10.85
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: Health Services Research and Development (RRP 12-237)
University of California, San Francisco (REAC 525014-36248)
VA Health Sciences Research and Development Research Career Development (06-042)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords: combat veterans, post-traumatic stress disorder, moral injury, killing in war, cognitive behavioral therapy, self-forgiveness, spirituality, making amends, functional disability, quality of life
MeSH terms: Aged, Combat Disorders, Homicide, Humans, Male, Middle Aged, Pilot Projects, Quality of Life, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Veterans, Warfare, Cognitive Behavioral Therapy, Outcome Assessment, Health Care

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Impact of Killing in War: A Randomized, Controlled Pilot Trial

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