ArticleEuropean journal of psychotraumatology2021
Moral injury in civilians: associations with trauma exposure, PTSD, and suicide behavior.
Article in European journal of psychotraumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Moral injury and mental health among health-care workers during the COVID-19 pandemic: meta-analysis.European journal of psychotraumatology · 2023Pooled it
- Structure and correlates of the Moral Injury Exposure and Symptom Scale for Civilians (MIESS-C) in a community sample with high trauma exposure.European journal of psychotraumatology · 2026Article
- Childhood maltreatment and psychopathology during collective trauma: the longitudinal role of betrayal-related moral injury.European journal of psychotraumatology · 2026Article
- Resting-State Neural Signatures of Moral Injury: Associations With Rumination.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026Article
- Considerations for Spiritually Integrated Cognitive Processing Therapy (SICPT) for PTSD and Posttraumatic Growth in Survivors of Interpersonal Trauma.Journal of religion and health · 2026Article
- "We need to keep in mind that battle fatigue": A commentary on moral injury among substance use treatment and community service providers.Journal of substance use and addiction treatment · 2026Article
- Moral Injury in Gaza: The Impact on Healthcare Professionals.Health science reports · 2026Article
- Moral Injury and Religious Coping as Serial Mediators Between Childhood Sexual Abuse and Depressive Symptoms Among Survivors in the USA.Journal of religion and health · 2026Article
- Moral Injury and Post-Traumatic Stress Disorder in War: The Effect of Marital Status and Previous Genocidal Trauma.International journal of psychology : Journal international de psychologie · 2026Article
- The impact of moral injury-related content on reasoning and its neural correlates: Data from the Canadian Armed Forces (CAF).Neuroimage. Reports · 2026Article
- Childhood exposure to interpersonal and animal-directed violence: adversity profiles and adult suicidality.Frontiers in psychiatry · 2026Article
- In harm's way: moral injury and the erosion of trust for emergency responders in the United Kingdom.European journal of psychotraumatology · 2025Article
- Identity in turmoil: Investigating the morally injurious dimensions of minority stress.European journal of psychotraumatology · 2025Article
- A call to action: Ameliorating moral distress among veterinarians.The Canadian veterinary journal = La revue veterinaire canadienne · 2025Review
- War trauma impacts in Ukrainian combat and civilian populations: Moral injury and associated mental health symptoms.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024Article
- Moral injury, race-related stress and post-traumatic stress disorder in a trauma-exposed Black population.Journal of psychiatric research · 2024Article
- Protecting the Protectors: Moral Injury, Coping Styles, and Mental Health of UK Police Officers and Staff Investigating Child Sexual Abuse Material.Depression and anxiety · 2024Article
- Civilian Moral Injury and Amygdala Functional Connectivity During Attention to Threat.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2024Article
- Light Personality Style and Moral Injury Among Chinese Health Professionals.Journal of religion and health · 2023Article
- Post-traumatic Stress Disorder and Moral Injury Among Ukrainian Civilians During the Ongoing War.Journal of community health · 2023Article
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Moral injury (MI) describes emotional, spiritual, and social suffering that can arise following psychological trauma. Prior research in military pop ulations indicates the relevance of MI to adverse psychological outcomes, such as post-traumatic stress disorder (PTSD) and suicidal behaviours, and shows evidence for MI as a unique construct. Minimal studies of MI have been implemented in civilians, usually restricted to small samples with a specific set of traumatic experiences, despite the conceptual relevance of MI to non-military trauma reactions more broadly (e.g. feelings of betrayal towards a perpetrator of sexual abuse). Objective: To address this problem, we assessed MI in trauma-exposed civilians to examine ways in which this construct was related to and distinct from trauma and traumatic stress-related problems, including PTSD and depression. Method: We adapted an existing MI scale, Moral Injury Events Scale (MIES) and administered this measure to 81 men and women along with measures of trauma exposure, PTSD and depression, and also asked participants about past suicide attempts. Results: We observed that both greater exposure and distress related to potentially morally injurious events were associated with higher trauma exposure, particularly childhood maltreatment, as well as post-traumatic and depressive psychopathology. However, even after accounting for current PTSD and depression symptoms, MI exposure (F = 6.05, Conclusions: These pilot data reveal the ways in which MI is associated with trauma exposure, PTSD and depression and highlight the salience of MI in civilians. Similarly, these data demonstrate the unique relevance of MI to suicide behaviours, independent of post-traumatic psychopathology, indicating that this construct may be an understudied contributor to suicide risk in civilians.
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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.