ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2026
Resting-State Neural Signatures of Moral Injury: Associations With Rumination.
Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- 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
- The therapeutic role of self-transcendence in moral injury recovery:Frontiers in psychiatry · 2026Article
- Toward a framework of moral challenges in military operations: implications for psychological resilience.Frontiers in public health · 2026Review
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9 authors.
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Abstract
backgroundMoral injury (MI) is a condition that may emerge following a violation of an individual's moral code. MI leads to significant functional impairment in many trauma-exposed civilians, with rumination proposed as a mechanism of action. Little is known about the neuropathophysiology of different MI dimensions, including MI related to transgressions caused by the self or others. We examined links between facets of MI, resting-state amplitude of low-frequency fluctuations (ALFF), and rumination in trauma-exposed civilians.
methodsSixty adults (ages 18-56 years; 51 female) completed measures of MI (Moral Injury Exposure and Symptom Scale for Civilians [MIESS-C]), rumination (Response Styles Questionnaire), and resting-state functional magnetic resonance imaging. Voxelwise linear regression on ALFF was performed with rumination and MIESS-C-derived self-, other-, and betrayal-related MI as regressors.
resultsBetrayal-related MI associated with higher ALFF in the bilateral precuneus and left medial prefrontal cortex (mPFC). Other-related MI was associated with lower ALFF in the left dorsolateral PFC and insula (voxelwise p < .001, cluster false discovery rate-corrected p < .05). Rumination severity was positively associated with betrayal-related ALFF clusters in the bilateral precuneus (r = 0.32, p = .012) and left mPFC (r = 0.31, p = .017).
conclusionsResults revealed distinct neural signatures of MI, with betrayal-related MI associated with greater ALFF in default mode network regions and this activation related to rumination severity. Other-related MI was linked to diminished activation in cognitive control and interoceptive network regions, which may reflect physiological withdrawal. These signatures are attractive candidate neuromodulatory targets.
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