Evidence map›Paper›PMID 41458032›Full record

ArticleFrontiers in psychiatry2025

The contribution of moral injury to Israeli teachers' mental health difficulties: the mediating role of shame and guilt.

Nir Kaplan, Gadi Zerach, Yossi Levi-Belz

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Nir KaplanDepartment of Clinical Psychology, Ruppin Academic Center, Emek Hefer, Israel.
Gadi ZerachDepartment of Psychology, Ariel University, Ariel, Israel.
Yossi Levi-BelzSchool of Therapy, Counseling and Human Development, University of Haifa, The Lior Tsfaty Center for Suicide and Mental Pain Studies, University of Haifa, Haifa, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Exposure to potentially morally injurious events (PMIEs) has been found to contribute to mental health difficulties (MHD). However, research on PMIE exposure and its consequences among teachers is scant. In this study, we aimed to narrow this gap by examining the associations between teachers' exposure to PMIEs and measures of depression, anxiety, burnout, and intention to leave the profession. Furthermore, we examined the mediating role of expressions of moral injury (i.e., shame and guilt) in these associations. Method: A sample of 253 Israeli teachers (186 female, 73%) aged 23-66 ( Results: The findings demonstrated that exposure to PMIEs contributed significantly to depression, anxiety, burnout, and intention to leave the profession. Through structural equation model analysis, we found that expressions of moral injury mediated the association between PMIEs and MHD. Discussion: This study underscores the need to address moral injury among teachers as an essential factor for maintaining their mental health, as well as the overall sustainability of the educational system. Early screening and interventions are needed to identify and treat teachers at risk for MHD stemming from moral injury.

Indexed as

anxietyburnoutdepressionmoral injuryteachers

Identifiers

PMID41458032
PMCPMC12738382

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Registered trials

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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.