Evidence map›Paper›PMID 42657363›Full record

ReviewFrontiers in public health2026

Toward a framework of moral challenges in military operations: implications for psychological resilience.

Megan M Thompson, Joshua A Granek, Oshin Vartanian

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Megan M ThompsonInfluence, Intelligence, and Collaboration Section, Toronto Research Centre, Defence Research and Development Canada, Toronto, ON, Canada.
Joshua A GranekHuman Effectiveness Section, Toronto Research Centre, Defence Research and Development Canada, Toronto, ON, Canada.
Oshin VartanianHuman Effectiveness Section, Toronto Research Centre, Defence Research and Development Canada, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This perspectives paper presents a programmatic integrative review and preliminary framework informed by a multi-year, multi-method research program conducted at Defence Research and Development Canada - Toronto Research Centre to document moral experience in military operational contexts. Drawing on a multidisciplinary, empirically grounded program integrating qualitative, experimental, field, and survey methods, the paper outlines a framework in which operational environments can give rise to moral challenges-ethically salient situations that may test values or the ability to act-which can escalate into moral conflicts, where values compete, and in some cases moral dilemmas, where competing obligations are irreconcilable. Engagement with these situations involves interacting affective, cognitive, physiological, and identity-related systems and may generate moral stress, defined as psychological strain associated with prioritizing competing values under conditions of high consequence and constrained agency, even in the absence of wrongdoing. These processes may lead either to moral resolution, characterized by integration and meaning-making, or, if unresolved, to moral distress, moral injury, and other negative psychological outcomes. Integrating findings across methods, this perspective advances understanding of psychological resilience through a moral lens, with potential applications to first responders who similarly confront morally challenging situations.

Indexed as

Military PersonnelMoralsResilience, PsychologicalCanadaEthical DilemmasHumansStress, Psychologicalextended reality (XR)fMRImilitary personnelmoral challengesmoral decision-makingmoral injurypotentially morally injurious events (PMIES)

Identifiers

PMID42657363
PMCPMC13509133

What OpenQuestion holds

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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.