Can two therapies heal the hidden wounds of war?
NCT ID NCT07710521
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This study tests two psychological treatments—Acceptance and Commitment Therapy for Moral Injury (ACT-MI) and Present Centered Therapy for Moral Injury (PCT-MI)—in 180 veterans who have experienced moral injury from warzone deployment. The goal is to see which therapy better helps veterans regain daily functioning and reduce distress. Participants attend 15 virtual sessions over 15 weeks and are followed for three months after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- two talk therapies: Acceptance and Commitment Therapy for Moral Injury (ACT-MI) and Present Centered Therapy for Moral Injury (PCT-MI)
- What this could lead to
- If one therapy proves more effective, it could become a standard treatment for moral injury in veterans, improving their daily lives and relationships.
- What could go wrong
- This is a relatively small, early-stage trial with 180 participants, so results may not apply to all veterans. Both therapies may show similar benefits, or neither may lead to lasting improvement.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 180 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2030
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 89 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Eligible for VHA care 2. Age 18-89 3. Has been deployed to a warzone 4. Has experienced moral injury from a morally injurious event in war that is impacting psychosocial functioning 5. Willing to be randomized to either of the two conditions (ACT-MI or PCT-MI) Exclusion Criteria: 1. Inability to provide informed consent (operationalized as inability to answer 7 questions about the study and research participants' rights) 2. Inability to complete study measures (e.g., due to significant acute intoxication/withdrawal symptoms, mania, psychosis, aggression, catatonia, cognitive impairment) 3. Imminent suicide risk 4. Participation in another interventional mental health research study 5. Membership in a vulnerable population (e.g., cognitively impaired) 6. Current participation in an EBP for a condition related to moral injury 7. Past participation in ACT (based on medical record review and Veteran self-report)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Rocky Mountain VA Regional Medical Center
Aurora, Colorado, 80045, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Ecstasy-Assisted therapy shows promise for veterans haunted by war
- What really matters in the ER? study seeks to measure the unseen value of healthcare workers
- Ethics class with Real-Life role models may shield med students from moral injury
- Can music or writing help heal healthcare Workers' trauma?
- New study aims to uncover hidden suffering of psychiatric staff
- Can chaplains help heal moral wounds in veterans? small study aims to find out