Conclusions
Overall, MMMI appeared to be feasible and acceptable for addressing
issues related to moral injury among veterans in our sample. Initial
evidence based on changes in effect sizes from the small RCT indicated
MMMI is a promising strategy for reducing moral injury symptoms and
impaired functioning related to moral injury in veterans. Moral injury
has been associated with a host of problems including depression,
suicidality, substance misuse, interpersonal conflicts, and
stress-related illness (Bravo et al., 2020; Dennis et al., 2017; Evans
et al., 2018; Forkus et al., 2021; Kelley, Chae et al., 2021). Whole
person approaches that target integrated primary prevention for service
members (Cabrera, 2023) and improve global functioning among veterans
(U.S. Department of Veterans Affairs, 2020) are now key to service
members and veteran health. These findings warrant large-scale
randomized trials and follow-up testing to determine whether MMMI can be
used as a first-line treatment or complementary treatment for veterans
with moral injury.