ArticleJournal of military, veteran and family health2023
Moral injury symptoms and related problems among service members and Veterans: A network analysis.
Article in Journal of military, veteran and family health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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Who cites it
4 citing papers in PubMed.
- Mapping moral injury: Development and feasibility of the Clinical Interview for Moral Injury-military version (CIMI-M).PloS one · 2026Article
- Emotion, attention and stress regulation as markers of resilience in male and female Israeli soldiers during the Israel-Hamas war.European archives of psychiatry and clinical neuroscience · 2025Article
- Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel.Journal of traumatic stress · 2025Article
- Moral injury, race-related stress and post-traumatic stress disorder in a trauma-exposed Black population.Journal of psychiatric research · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Whether moral injury (MI) is distinct from posttraumatic stress disorder (PTSD) has been debated. Both result from events that often definitionally overlap (a potentially morally injurious event [PMIE] for MI, a Criterion A event for PTSD) and may promote similar dysfunctional experiences. Depressive symptoms may also follow such events and include outcomes common to both MI and PTSD. This study investigated the ways in which MI may be distinct from, and related to, PTSD and depression by examining networks consisting of MI-related outcomes (trust violation, shame, functioning), PTSD symptom clusters, and depression among those who reported experiencing a PMIE and those who did not. Methods: Two networks were estimated, consisting of PTSD symptoms, MI-shame-related outcomes, MI-trust-related outcomes, MI-related functioning, and depression in a sample of military personnel who did (n = 508) and did not (n = 123) experience a PMIE. Results: In both PMIE and non-PMIE networks, stronger connections existed within, versus across, constructs. The PMIE network was denser than the non-PMIE network and driven by more connections across constructs. Negative alterations in cognitions and mood (NACM) clusters of PTSD and MI-related functioning were strong bridges connecting PTSD, MI, and depression. Discussion: MI, PTSD, and depression appear to be distinct but related clinical phenomena. NACM and MI-related functioning partially explain the co-occurrence in these constructs and thus may be important treatment targets. The greater connections across constructs in the PMIE network supports the hypothesis that experiencing a PMIE may trigger dynamic interactions among PTSD, MI-related outcomes, and depression.
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Registered trials
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