ArticleFrontiers in psychiatry2022
Defining and Assessing the Syndrome of Moral Injury: Initial Findings of the Moral Injury Outcome Scale Consortium.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 86 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective Study of RISE (Resilience, Insight, Self-compassion, Empowerment) for Physicians
A Randomized Controlled Trial of RISE for Nurse Preceptors
A Pilot Study of RISE for Nurse Managers Retreat
Comparing Two Moral Injury Treatments: Acceptance and Commitment Therapy for Moral Injury and Present Centered Therapy for Moral Injury
Who cites it
86 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of occupational moral injury and post-traumatic embitterment disorder: a systematic review and meta-analysis.BMJ open · 2024Pooled it
- Acceptance and commitment therapy for moral injury (ACT-MI) and present-centered therapy for moral injury (PCT-MI): Results from a randomized controlled pilot trial with war zone deployed veterans.Psychotherapy (Chicago, Ill.) · 2026Trial
- Using Mindfulness to Manage Moral Injury in Veterans: Feasibility and Satisfaction of a Pilot Randomized Controlled Trial.Journal of clinical psychology · 2025Trial
- A controlled trial of adaptive disclosure-enhanced to improve functioning and treat posttraumatic stress disorder.Journal of consulting and clinical psychology · 2024Trial
- "Part of a cog, of a system; a system that's broken": social workers' experiences of moral injury in England.International journal of qualitative studies on health and well-being · 2026Article
- An expert-driven consensus framework for the study of potentially morally injurious events and their impacts: findings from an e-Delphi study.European journal of psychotraumatology · 2026Article
- 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
- Posttraumatic growth and depreciation among Ukrainians: a structural equation modelling approach.European journal of psychotraumatology · 2026Article
- Moral injury in Dutch treatment-seeking veterans: a latent profile analysis.European journal of psychotraumatology · 2026Article
- Volunteering for Ukraine: scoping the operational experiences and impacts among UK and US veterans.European journal of psychotraumatology · 2026Observational
- Healing the Moral Self: Al-Ghazālī's Psychology of the Heart and Moral Injury, with Implications for Muslim Mental Health and Spiritual Care in Indonesia.Journal of religion and health · 2026Article
- Moral Injury Beyond Burnout: A Scientometric Review of Clinician Distress and Its Blind Spots in Critical Care.Healthcare (Basel, Switzerland) · 2026Review
- Resting-State Neural Signatures of Moral Injury: Associations With Rumination.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026Article
- The Correlates of Self-Reported Abusive Violence Among Post-9/11 U.S. Military Veterans.Aggressive behavior · 2026Article
- Associations of Health Care System Deficiency-Related Patient Deterioration With Burnout, Depressive Symptoms, and Sleep Problems Among Emergency Medical Service Providers: Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Emotional Distress and Academic Presenteeism in Male University Perpetrators of Intimate Partner Violence: A Mediated Structural Model.Behavioral sciences (Basel, Switzerland) · 2026Article
- Beyond 'The Squeaky Wheel': The Passion, Precarity and Potential of the Family/Carer Lived Experience Workforce in the Queensland Mental Health System.Health expectations : an international journal of public participation in health care and health policy · 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
- Development of a Group Psychotherapy for Combat Veterans With Moral Injury: Protocol for a User-Centered Study.JMIR research protocols · 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
26 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
Potentially morally injurious events (PMIEs) entail acts of commission (e.g., cruelty, proscribed or prescribed violence) or omission (e.g., high stakes failure to protect others) and bearing witness (e.g., to grave inhumanity, to the gruesome aftermath of violence), or being the victim of others' acts of commission (e.g., high stakes trust violations) or omission (e.g., being the victim of grave individual or systemic failures to protect) that transgress deeply held beliefs and expectations about right and wrong. Although there is a proliferation of interest in moral injury (the outcome associated with exposure to PMIEs), there has been no operational definition of the putative syndrome and no standard assessment scheme or measure, which has hampered research and care in this area. We describe an international effort to define the syndrome of moral injury and develop and validate the Moral Injury Outcome Scale (MIOS) in three stages. To ensure content validity, in Stage I, we conducted interviews with service members, Veterans, and clinicians/Chaplains in each country, inquiring about the lasting impact of PMIEs. Qualitative analysis yielded six operational definitions of
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What OpenQuestion holds
Registered trials
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.