@article{ref1,
title="Impact of killing in war: a randomized, controlled pilot trial",
journal="Journal of clinical psychology (Hoboken)",
year="2017",
author="Maguen, Shira and Burkman, Kristine and Madden, Erin and Dinh, Julie and Bosch, Jeane and Keyser, Jessica and Schmitz, Martha and Neylan, Thomas C.",
volume="73",
number="9",
pages="997-1012",
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. <br><br>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. <br><br>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. <br><br>CONCLUSION: These results provide preliminary evidence that Veterans can benefit from a treatment focused on the impact of killing after initial trauma therapy.<br><br>© 2017 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/jclp.22471",
url="http://dx.doi.org/10.1002/jclp.22471"
}