ArticleJournal of psychiatric research2021
COVID-19 related moral injury: Associations with pandemic-related perceived threat and risky and protective behaviors.
Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- A chain mediation analysis of the effects of psychological inflexibility, perception of threat, and behavioral adherence among refugees during crisis: The case of the COVID-19 pandemic.PLOS mental health · 2026Article
- Moral Injury and COVID-Related Stress Among Post-9/11 Veterans: Examining Longitudinal Associations.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- The Aesthetics of Disillusionment: Teachers' Narratives of "Disillusioned Transformation".Behavioral sciences (Basel, Switzerland) · 2025Article
- How Does Psychological Distance Influence Public Risky Behavior During Public Health Emergencies.Risk management and healthcare policy · 2024Article
- A Qualitative Approach to Understanding Canadian Healthcare Workers' Use of Coping Strategies during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Moral injury in psychiatric patients with personality and other clinical disorders: development, psychometric properties, and validity of the Moral Injury Events Scale-Civilian Version.European journal of psychotraumatology · 2023Article
- Associations between psychosocial stressors at work and moral injury in frontline healthcare workers and leaders facing the COVID-19 pandemic in Quebec, Canada: A cross-sectional study.Journal of psychiatric research · 2022Article
- Stability of Risk Perception Across Pandemic and Non-pandemic Situations Among Young Adults: Evaluating the Impact of Individual Differences.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe coronavirus-2019 (COVID-19) pandemic is associated with increased potential for morally injurious events, during which individuals may experience, witness, or learn about situations that violate deeply held moral beliefs. However, it is unknown how pandemic risk and resilience factors are associated with COVID-related moral injury.
methodsIndividuals residing in the U.S. (N = 839; M
resultsParticipants endorsed MI betrayal (57%, N = 482), transgression by other (59%, N = 497), and by self 17% (N = 145). Adjusting for sociodemographics, only future threat of COVID-19 to health was significantly associated with betrayal (B = 0.21, p = .001) and transgression by other (B = 0.16, p = .01), but not by self. In contrast, high frequency of risky behaviors was associated with transgressions by self (B = 0.23, p < .001). Sensitivity analyses showed PTSD did not moderate the observed effects.
conclusionsBetrayal and transgression by others was associated with greater perceived future threat of COVID-19 to health, but not financial or social domains. Stronger endorsement of transgression by self was associated with more frequently engaging in risky behaviors for contracting COVID-19. These findings may suggest the need for individual, community, and system level interventions to address COVID-19 related moral injury.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.