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8 results on '"Aldridge, Vicky"'

1. The role of PTSD, guilt and shame in predicting moral injury in veterans that have experienced active deployment

Author

Aldridge, Vicky

Subjects
616.85
Abstract

Paper one is a literature review of ten empirical studies. It reviews what is known about the relationship between killing in combat and PTSD, exploring the question within a military and veteran population. The findings highlighted that those who kill in combat are more likely to report greater severity of PTSD symptoms, although there is some disparity. Other factors, such as victim characteristics and gender, may influence this relationship. Some of the studies were limited by lack of a representative sample and generalisability. There were also issues with transparency, which limits the reliability of some of the conclusions made. Paper two is an empirical study. This was internet-mediated research which explored the relationship between PTSD, guilt, shame and moral injury in a British veteran population. 104 participants took part in the study. A standard multiple regression analysis was conducted on the data. Findings indicated a significant relationship between PTSD and moral injury. The results did not support the hypothesis that guilt and shame would predict moral injury. The findings are discussed, along with their clinical implications, limitations and direction for future research. Paper three is an executive summary. This has been written as an accessible document intended for dissemination of the findings of the empirical study to a veteran and general population. The research method, findings and clinical implications have been summarised within this report.

Published
2018

5. Post-Traumatic Stress Disorder and Killing in Military Combat: A review of existing literature on serving military and veteran populations

Author

Aldridge, Vicky, Scott, Helen, and Paskell, Rachel

Abstract

Background: Killing during combat is a unique experience and, for the majority, is limited to military service. For those working with military and veteran populations, it is essential to be able to understand this experience and any psychological ramifications.Purpose: This review provides a synthesis of existing literature, addressing the specific question: what is known about the relationship between post-traumatic stress disorder and killing in combat? It summarises what is known of the relationship between these variables and the clinical implications of these findings.Method: A search of existing literature was conducted in a systematic manner in 2017 using electronic databases. A critical appraisal tool was used to inform data extraction and guide the literature review.Results: The literature suggests that those who kill during combat are more likely to report symptoms of PTSD; however, disparity exists as to the statistical significance of this relationship. Factors such as gender and victim characteristics may be influencing factors.Conclusion: The impact of killing during combat must be considered when working therapeutically with military and veteran populations. Future research should aim to recruit military participants from different populations and address some of the difficulties with recruitment—ensuring samples are representative and generalisable.

Published
2020

7. Post-Traumatic Stress Disorder and Killing in Combat: A Review of Existing Literature

Author

Aldridge, Vicky, SCOTT, Helen, and Paskell, Rachel

Abstract

Background: Killing during combat is a unique experience and, for the majority, is limited to military service.\ud For those working with military and veteran populations, it is essential to be able to understand this experience and any psychological ramifications.\ud Purpose: This review provides a synthesis of existing literature, addressing the specific question: what is known about the relationship between post-traumatic stress disorder and killing in combat? It summarises what is known of the relationship between these variables and the clinical implications of these findings.\ud Method: A search of existing literature was conducted in a systematic manner in 2017 using electronic databases. A critical appraisal tool was used to inform data extraction and guide the literature review.\ud Results: The literature suggests that those who kill during combat are more likely to report symptoms of PTSD; however, disparity exists as to the statistical significance of this relationship. Factors such as gender and victim characteristics may be influencing factors.\ud Conclusion: The impact of killing during combat must be considered when working therapeutically with military and veteran populations. Future research should aim to recruit military participants from different populations and address some of the difficulties with recruitment—ensuring samples are representative and generalisable.\ud Key words: Post-traumatic stress, combat, killing, military, veteran

8. Restore and Rebuild (R&R): a protocol for a phase 2, randomised control trial to compare R&R as a treatment for moral injury-related mental health difficulties in UK military veterans to treatment as usual.

Author

Williamson V, Murphy D, Bonson A, Biscoe N, Leightley D, Aldridge V, and Greenberg N

Subjects
Female, Humans, Male, Mental Health, Morals, Randomized Controlled Trials as Topic, Single-Blind Method, Stress Disorders, Post-Traumatic therapy, Stress Disorders, Post-Traumatic psychology, United Kingdom, Veterans psychology
Abstract

Background: Exposure to potentially morally injurious events is increasingly recognised as a concern across a range of occupational groups, including UK military veterans. Moral injury-related mental health difficulties can be challenging for clinicians to treat and there is currently no validated treatment available for UK veterans. We developed Restore and Rebuild (R&R) as a treatment for UK veterans struggling with moral injury-related mental health difficulties. This trial aims to examine whether it is feasible to conduct a pilot randomised controlled trial (RCT) of R&R treatment compared with a treatment-as-usual (TAU) control group., Methods: We will use a feasibility single-blind, single-site RCT design. The target population will be UK military veterans with moral injury-related mental health difficulties. We will recruit N=46 veteran patients who will be randomly allocated to R&R (n=23) or TAU (n=23). Patients randomised to R&R will receive the 20-session one-to-one treatment, delivered online. Veterans allocated to TAU, as there are currently no manualised treatments for moral injury-related mental health problems available, will receive the one-to-one treatment (online) typically provided to veterans who enter the mental health service for moral injury-related mental health difficulties. We will collect outcome measures of moral injury, post-traumatic stress disorder (PTSD), alcohol misuse, common mental disorders and trauma memory at pretreatment baseline (before randomisation), end of treatment, 12 weeks and 24 weeks post-treatment. The primary outcome will be the proportion of patients who screen positive for PTSD and moral injury-related distress post-treatment., Ethics and Dissemination: This trial will establish whether R&R is feasible, well-tolerated and beneficial treatment for veterans with moral injury-related mental health difficulties. If so, the results of the trial will be widely disseminated and R&R may improve access to effective care for those who struggle following moral injury and reduce the associated negative consequences for veterans, their families and wider society., Trial Registration Number: ISRCTN99573523., Competing Interests: Competing interests: Authors had financial support from a grant from the Forces in Mind Trust for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous 3 years; no other relationships or activities that could appear to have influenced the submitted work. DM is a trustee for the funder of this project, the Forces in Mind Trust. DL is a reservist in the UK Armed Forces. This work has been undertaken as part of his civilian employment. For the purposes of open access, the author has applied a Creative Commons Attribution (CC BY) license to any Accepted Author Manuscript version arising from this submission., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2024
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