ArticleFrontiers in psychology2025
Moral trauma, moral distress, moral injury, and moral injury disorder: definitions and assessments.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Posttraumatic growth and depreciation among Ukrainians: a structural equation modelling approach.European journal of psychotraumatology · 2026Article
- The Healer's Heartache: Reforming Medicine from the Rough Ground.Journal of general internal medicine · 2026Review
- Detransition, Posttraumatic Stress Disorder, and Moral Injury.Archives of sexual behavior · 2026Article
- Remaining Human in the Age of Artificial Intelligence: Spiritual and Psychiatric Reflections on Magnifica Humanitas.Journal of religion and health · 2026Article
- Veterans' positive parenting practices and satisfaction over time: Examining the impact of moral injury, posttraumatic stress, and internalizing symptoms.Journal of traumatic stress · 2026Article
- Humanising Government Inquiry: A Realist Examination of a Restorative Approach to Surgical Mesh Harm in Aotearoa New Zealand.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- 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
- Comment on 'Moral injury in clinical and academic medicine-it is time to act': the role of stakes-dependent invisibility (BJA open · 2026Article
- Behavioral Health Providers' Worldviews and Their Descriptions of Moral Injury in United States Military and Veteran Settings: Implications for Interdisciplinary Care.Journal of religion and health · 2026Article
- Upholding Human Dignity as a First Principle: Preventive Moral Injury Work in NATO Chaplaincy.Journal of religion and health · 2026Article
- Emotional Distress and Academic Presenteeism in Male University Perpetrators of Intimate Partner Violence: A Mediated Structural Model.Behavioral sciences (Basel, Switzerland) · 2026Article
- Perspectives on Attrition Among Emergency Physicians.JAMA network open · 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 as a Wound of Meaning and Conscience: An Introductory Synthesis of Conceptual Foundations, Spiritual Dimensions, and Clinical Implications.Journal of religion and health · 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
- Personality Perspective on Moral Injury Among Chinese Healthcare Workers: A Network Analysis.Journal of religion and health · 2026Article
- Moral Injury as Tragedy: The Tragic Arc as a Narrative Heuristic for Clinical Practice.Journal of religion and health · 2026Article
- Global Research Across Countries on Moral Distress and Moral Injury Among Health Care Professionals (2006-2025): A Bibliometric Study of Ethical and Health-Related Research Trends.Journal of religion and health · 2026Article
- Bringing Light into the Dark: Moral Injury and Exploring the Impact of Eliciting Moral Elevation on the Daily Experiences of U.S. Veterans.Journal of religion and health · 2026Article
- Defining Moral Injury: A Natural Scaffold.Journal of religion and health · 2026Article
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We propose new definitions for moral injury and moral distress, encompassing many prior definitions, but broadening moral injury to more general classes of victims, in addition to perpetrators and witnesses, and broadening moral distress to include settings not involving institutional constraints. We relate these notions of moral distress and moral injury to each other, and locate them on a "moral trauma spectrum" that includes considerations of both persistence and severity. Instances in which moral distress is particularly severe and persistent, and extends beyond cultural and religious norms, might be considered to constitute "moral injury disorder." We propose a general assessment to evaluate various aspects of this proposed moral trauma spectrum, and one that can be used both within and outside of military contexts, and for perpetrators, witnesses, victims, or more generally.
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