Post-Traumatic Stress Disorder, Complex PTSD, and Moral Injury Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older 2. Currently employed as a front-line health, emergency, or social care worker 3. Exposure to psychological distress, trauma, and/or moral injury in the course of occupational duties 4. Evidence of psychological distress and/or moral injury with measurable impact on psychological well-being and functional capacity 5. A minimum score of 24 on the Impact of Event Scale – Revised (IES-R) indicates clinically significant post-traumatic symptomatology
Exclusion criteria
Exclusion criteria: 1. Individuals not currently in active service or employment. 2. Individuals currently receiving psychiatric or psychological treatment. 3. Individuals presenting with active suicidal ideation. Note: It is assumed that participants are either actively working or have been formally assessed and deemed fit for duty by their occupational health provider.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at Pre, Post, 1-month FU, 3-month FU, and 6-month FU 1. PTSD and CPTSD symptoms are measured using the International Trauma Questionnaire (ITQ) 2. Moral injury is measured using the Moral Injury Event Scale (MIES) 3. Anxiety severity is measured using the Generalised Anxiety Disorder Assessment (GAD-7) 4. Depression severity is measured using the Patient Health Questionnaire (PHQ-9) 5. Health-related quality of life is measured using the EQ-5D 6. Global shame experience, including external and internal dimensions, is measured using the External and Internal Shame Scale (EISS) 7. Post-traumatic embitterment is measured using the Post-Traumatic Embitterment Disorder Self-Rating Scale (PTED Scale) | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured per intervention only: 1. Exposure to adverse childhood experiences is measured using the Adverse Childhood Experience International Questionnaire (ACE-IQ) at baseline 2. Exposure to benevolent childhood experiences is measured using the Benevolent Childhood Experiences Score (BCEs) at baseline | — |
Countries
United States of America