Evidence map›Paper›PMID 38574596›Full record

ArticleJournal of psychiatric research2024

Moral injury, race-related stress and post-traumatic stress disorder in a trauma-exposed Black population.

Aziz Elbasheir, Travis M Fulton, Khaled C Choucair, Emma C Lathan, Briana N Spivey, Alfonsina Guelfo, Sierra E Carter, Abigail Powers, Negar Fani

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Resting-State Neural Signatures of Moral Injury: Associations With Rumination.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Aziz ElbasheirEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA; Neuroscience PhD Program, Emory University, USA.
Travis M FultonEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA; Molecular and Systems Pharmacology PhD Program, Emory University, USA.
Khaled C ChoucairEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Emma C LathanEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Briana N SpiveyDepartment of Psychology, University of Georgia, USA.
Alfonsina GuelfoEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Sierra E CarterDepartment of Psychology, Georgia State University, USA.
Abigail PowersEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Negar FaniEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA. Electronic address: nfani@emory.edu.
Emory University · USGeorgia State University · USUniversity of Georgia · US

Funding

Trauma and Genomics Modulate Brain Structure across Common Psychiatric DisordersR01MH111671 · NIMH · DUKE UNIVERSITY · PI MARK W LOGUE, RAJENDRA A MOREY · 2017 to 2026
$4.4M
Neural Mechanisms of Vibroacoustically Augmented Breath Focused Mindfulness for Dissociative Traumatized PeopleR01AT011267 · NCCIH · EMORY UNIVERSITY · PI FANI, NEGAR, SIEGLE, GREG J · 2021 to 2025
$4.1M
Neurobiologically-Based Subtyping of Multi-Cohort Samples with MDD and PTSD SymptomsR01MH129832 · NIMH · DUKE UNIVERSITY · PI MOREY, RAJENDRA A, SCHMAAL, LIANNE · 2022 to 2025
$2.3M
Graduate Training in the Pharmacological SciencesT32GM145445 · NIGMS · EMORY UNIVERSITY · PI Randy A. Hall · 2023 to 2026
$1.7M
NCCIH NIH HHS R01 AT011267NIGMS NIH HHS T32 GM145445NIMH NIH HHS R01 MH111671NIMH NIH HHS R01 MH129832
6 · The paper itself

Abstract

backgroundRace-related stress (RRS) is an unrecognized source of moral injury (MI)-or the emotional and/or spiritual suffering that may emerge after exposure to events that violate deeply held beliefs. Additionally, MI has not been explored as a mechanism of risk for post-traumatic stress disorder (PTSD) in trauma-exposed civilians. We examined relations among exposure to potentially morally injurious events (moral injury exposure, MIE), related distress (moral injury distress, MID), and RRS in Black Americans. Potential indirect associations between RRS and PTSD symptoms via MID were also examined.

methodsBlack Americans (n = 228; 90.4% female; M

resultsMIE was significantly correlated with cultural (r = 0.27), individual (r = 0.29), and institutional (r = 0.25) RRS; MID also correlated with cultural (r = 0.31), individual (r = 0.31), and institutional (r = 0.26) RRS (ps < 0.001). We found an indirect effect of RRS on PTSD symptoms via MID (β = 0.10, p < 0.005).

conclusionsAll types of RRS were associated with facets of MI, which mediated the relationship between RRS and current PTSD symptoms. MI may be a potential mechanism through which RRS increases the risk for PTSD in Black individuals.

Indexed as

MoralsStress Disorders, Post-TraumaticAdultAnxietyBlack or African AmericanEmotionsFemaleHumansLongitudinal StudiesMaleYoung AdultBlack AmericanMoral injuryPost-traumatic stress disorderRace-related stressRacismTrauma

Identifiers

PMID38574596
PMCPMC11140589
OpenAlexW4392877852

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.