ArticleEuropean journal of psychotraumatology2023
Restore and Rebuild (R&R) - a feasibility pilot study of a co-designed intervention for moral injury-related mental health difficulties.
Article in European journal of psychotraumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Moral injury in healthcare workers: causes & interventions.British medical bulletin · 2026Review
- Experiences and impact of moral injury in prisons.European journal of psychotraumatology · 2025Article
- Co-designing a novel intervention for prison staff affected by moral injury: a protocol.European journal of psychotraumatology · 2025Article
- Moral injury prevention and intervention.European journal of psychotraumatology · 2025Review
- Evolving Psychotherapeutic Approaches for PTSD: Beyond the Fear-Based Model.Psychiatry and clinical psychopharmacology · 2025Article
- Moral injury, coping strategies, and supports among Canadian public safety personnel.Journal of military, veteran and family health · 2025Article
- Psychological consequences of global armed conflict.BMC psychology · 2025Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMoral 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.
methodThe 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.
resultsFollowing 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.
conclusionsThese results provide preliminary evidence that veterans struggling with moral injury related mental ill health can benefit from R&R treatment.
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