TY  - JOUR
PY  - 2017//
TI  - Impact of killing in war: a randomized, controlled pilot trial
JO  - Journal of clinical psychology (Hoboken)
A1  - Maguen, Shira
A1  - Burkman, Kristine
A1  - Madden, Erin
A1  - Dinh, Julie
A1  - Bosch, Jeane
A1  - Keyser, Jessica
A1  - Schmitz, Martha
A1  - Neylan, Thomas C.
SP  - 997
EP  - 1012
VL  - 73
IS  - 9
N2  - 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>
LA  - en
SN  - 0021-9762
UR  - http://dx.doi.org/10.1002/jclp.22471
ID  - ref1
ER  -