Associations between psychosocial stressors at work and moral injury in frontline healthcare workers and leaders facing the COVID-19 pandemic in Quebec, Canada: A cross-sectional study

Journal of Psychiatric Research, Год журнала: 2022, Номер 155, С. 269 - 278

Опубликована: Сен. 15, 2022

Healthcare workers (HCWs) on the frontline of COVID-19 pandemic exhibit a high prevalence depression and psychological distress. Moral injury (MI) can lead to such mental health problems. MI occurs when perpetrating, failing prevent, or bearing witness acts that transgress deeply held moral beliefs expectations. Since start pandemic, psychosocial stressors at work (PSWs) might have been exacerbated, which in turn led an increased risk HCWs. However, research into associations between PSWs is lacking. Considering these are frequent most them modifiable occupational factors, they may constitute promising prevention targets. This study aims evaluate set HCWs during third wave Quebec, Canada. Furthermore, our explore potential differences urban non-urban regions. The sample this consisted 572 leaders from Quebec province. Prevalence ratios (PR) their 95% confidence intervals (CI) were modelled using robust Poisson regressions. Several covariates considered, including age, sex, gender, socio-economic indicators, lifestyle factors. Results indicated exposed 2.22-5.58 times more likely experience MI. Low ethical culture had strongest association (PR: 5.58, CI: 1.34-23.27), followed by low reward 4.43, 2.14-9.16) emotional demands 4.32, 1.89-9.88). Identifying predictors could contribute reduction problems implementation targeted interventions areas.

Язык: Английский

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Combat Veterans’ Experiences of Moral Injury, Cannabis Use Disorder and the Process of Meaning-Making: A Mixed Methods Study

Journal of Psychoactive Drugs, Год журнала: 2025, Номер unknown, С. 1 - 10

Опубликована: Март 14, 2025

Combat veterans are highly inclined to develop substance use disorders, including Cannabis Use Disorder (CUD), with emerging evidence suggesting that combat related Potentially Morally Injurious Events (PMIEs) may increase proneness CUD. To explore the moderating role of time since release from military duty, mixed methodology was applied. In a quantitative study, 322 Israeli cannabis-using male filled out validated self-report questionnaires assessing PMIEs, CUD and duty. Results indicate self-inflicted transgressions sense betrayal were significantly associated symptoms (p < .01). addition, years duty moderated association between Betrayal (b=−.039, SE = .018, t=-2.20, p .028), so this significant only among released approximately two six prior their participation in study (b .33, .09, t 3.71, .001; b .25, 3.45, .001, respectively), but not those who 10 ago. A subsequent qualitative investigated narratives 14 older veterans, indicating process meaning-making combat-related experiences is key adaptive coping. We conclude serve as protective factor, presumably disentangling PMIEs-CUD via meaning making.

Язык: Английский

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A Scoping Review of Military Culture, Military Identity, and Mental Health Outcomes in Military Personnel

Military Medicine, Год журнала: 2024, Номер unknown

Опубликована: Июнь 5, 2024

ABSTRACT Introduction The military is a unique cultural institution that significantly influences its members, contributing to the development and transformation of their identities. Despite growing interest in identity research military, challenges persist conceptualization identity, including understanding how it forms, assessing influence culture on development, evaluating implications for mental health. primary objective this scoping review was map complexities culture’s impact effects Materials Methods A literature conducted using Joanna Briggs Institute Scoping Review Methodology. Studies were included if they described culture, health, resulting 65 eligible studies. extracted data thematically analyzed identify impacts health well-being. Results Multiple identities evident within population, with 2 overarching identities, loyalty overall conferring positive outcomes. Where these hidden or disrupted, poorer outcomes observed. Conclusions study notion as singular concept promoting It highlights multifaceted nature, revealing individuals may face concealment disruptions during periods transition adjustment, adverse To capture complexity authors developed Military Identity Model (MIM). leaders, policymakers, care professionals are encouraged recognize complex nature We recommend explore adjustment-related difficulties.

Язык: Английский

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Herbal Cannabis and Depression: A Review of Findings Published over the Last Three Years

Опубликована: Апрель 25, 2024

Public perception contrasts scientific findings on the depression-related effects of cannabis. However, earlier studies were performed when cannabis was predominantly illegal, its production mostly uncontrolled, and idea medical incipient only. We hypothesized that recent changes in attitudes legislations may have favorably affected research. In addition, publication bias against also decreased. To investigate this hypothesis, we conducted a systematic review research published over last three years. found 156 relevant studies. most cross-sectional studies, depression higher those who consumed than did not. An increase consumption typically followed by an depression, whereas withdrawal from ameliorated cases. Albeit reduced none these placebo controlled. clinical same period, average effect size larger investigated plausibility antidepressant reviewing molecular pharmacological Taken together, reviewed do not support herbal

Язык: Английский

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Prospective Associations Between Anxiety Sensitivity, Distress Intolerance, Depressive Symptoms, and Indices of Alcohol and Cannabis Use among Veterans

Journal of Studies on Alcohol and Drugs, Год журнала: 2023, Номер unknown

Опубликована: Апрель 19, 2023

Objective: There is substantial evidence linking anxiety sensitivity and distress intolerance to depressive symptoms, further symptoms alcohol cannabis use. However, the prospective indirect associations of with use through remain uncertain. Thus, current study examined whether mediated between frequency, quantity, problems in a longitudinal sample veterans. Method: Participants (N = 361; 93% male; 80% White) were military veterans lifetime recruited from Veterans Health Administration Northeastern United States. Eligible completed three semi-annual assessments. Prospective mediation models used test for effects baseline on frequency at 12 months via 6 months. Results: Baseline was positively associated 12-month problems. quantity. significantly predicted increased no significant or Conclusions: Anxiety share common pathway symptoms. Interventions focused modulating negative affectivity may reduce

Язык: Английский

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Moral Injury: A Theme in Search of Definition

OBM Integrative and Complementary Medicine, Год журнала: 2024, Номер 09(04), С. 1 - 13

Опубликована: Окт. 22, 2024

Moral injury refers to a complex psychological condition that is assumed emerge following exposure distressing events challenge the moral values or ethical beliefs of individuals by direct commission, omission, observation, betrayal trusted leader. can be found across various occupational domains, such as military, healthcare, and law enforcement. Symptoms include guilt, sense disorientation, struggle with spiritual existential issues, more. This paper aims summarize current debates on definition, symptomatology, assessment injury. Furthermore, it discusses conceptual overlap differences between Post-Traumatic Stress Disorder (PTSD) addresses therapeutic approaches for treating patients

Язык: Английский

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Herbal Cannabis and Depression: A Review of Findings Published over the Last Three Years

Pharmaceuticals, Год журнала: 2024, Номер 17(6), С. 689 - 689

Опубликована: Май 27, 2024

Public perception contrasts scientific findings on the depression-related effects of cannabis. However, earlier studies were performed when cannabis was predominantly illegal, its production mostly uncontrolled, and idea medical incipient only. We hypothesized that recent changes in attitudes legislations may have favorably affected research. In addition, publication bias against also decreased. To investigate this hypothesis, we conducted a review research published over last three years. found 156 relevant articles. most cross-sectional studies, depression higher those who consumed than did not. An increase consumption typically followed by an depression, whereas withdrawal from ameliorated cases. Although reduced none these placebo-controlled. clinical same period, placebo and, average effect size larger investigated plausibility antidepressant reviewing molecular pharmacological studies. Taken together, reviewed do not support herbal

Язык: Английский

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Moralische Verletzung

Zeitschrift für Klinische Psychologie und Psychotherapie, Год журнала: 2024, Номер 53(4), С. 167 - 186

Опубликована: Окт. 1, 2024

Zusammenfassung: Als Moralische Verletzung (MV) werden Erfahrungen verstanden, bei denen tiefverwurzelte moralische Überzeugungen und Erwartungen eines Menschen erschüttert werden. Das Ziel des Artikels ist es, einen Überblick über das klinische Phänomen der MV zu geben. Dazu im ersten Teil konzeptuelle Aspekte beleuchtet, hierbei eine Definition erarbeitet, verschiedene Typen von potenziell moralisch verletzenden Ereignissen (PMVE) unterschieden, sowie aktuelle Befunde MV-bezogenen Outcomes vorgestellt. Es zeigt sich, dass zwischen Exposition gegenüber PMVE (z. B. verletzende Handlung durch sich selbst vs. andere) psychischen Zusammenhang mit PTBS, Depression, Substanzkonsum) getrennt muss. Um ein besseres Verständnis zugrundeliegenden Psychopathologie erlangen, anschließend Modelle zur Entstehung Aufrechterhaltung präsentiert. Hierbei wird die besondere Rolle dramatischer Veränderungen in moralischen näher beleuchtet. Im zweiten Übersicht derzeitige Messinstrumente Erfassung gegeben, bevor letztlich noch auf Besonderheiten Behandlung eingegangen wird.

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Sociodemographic and clinical correlates of cannabis dependence among Israeli combat veterans

Journal of Substance Abuse Treatment, Год журнала: 2022, Номер 139, С. 108786 - 108786

Опубликована: Апрель 29, 2022

Язык: Английский

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