Moral Injury: An Increasingly Recognized and Widespread Syndrome

Journal of Religion and Health, Год журнала: 2021, Номер 60(5), С. 2989 - 3011

Опубликована: Июль 10, 2021

Язык: Английский

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Potential Circumstances Associated With Moral Injury and Moral Distress in Healthcare Workers and Public Safety Personnel Across the Globe During COVID-19: A Scoping Review

Frontiers in Psychiatry, Год журнала: 2022, Номер 13

Опубликована: Июнь 13, 2022

Healthcare workers (HCWs) and public safety personnel (PSP) across the globe have continued to face ethically morally challenging situations during COVID-19 pandemic that increase their risk for development of moral distress (MD) injury (MI). To date, however, global circumstances confer MD MI in these cohorts not been systematically explored, nor unique may exist countries explored. Here, we sought identify compare, globe, potentially injurious or distressful events (PMIDEs) HCWs PSP pandemic. A scoping review was conducted synthesize knowledge on PMIDEs select PSP. Six databases were searched, including MEDLINE, EMBASE, Web Science, PsychInfo, CINAHL, Global Health. total 1,412 articles retrieved, which 57 included this review. These collectively described experiences samples from 19 different countries, comprised almost exclusively HCWs. Given lack data, following results should be generalized populations without further research. Using qualitative content analysis, six themes describing associated with identified: (1) Risk contracting transmitting COVID-19; (2) Inability work frontlines; (3) Provision suboptimal care; (4) Care prioritization resource allocation; (5) Perceived support unfair treatment by organization; (6) Stigma, discrimination, abuse. a range emotions related PMIDEs, anxiety, fear, guilt, shame, burnout, anger, helplessness. Most PMIDE appeared shared globally, particularly ‘Risk COVID-19’ ‘Perceived organization.’ Articles within theme ‘Stigma, abuse’ represented smallest distribution all themes. Overall, present provides insight into encountered COVID-19. Further research is required differentiate experience HCWs, explore impact social cultural factors MI.

Язык: Английский

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Family Socioeconomic Status and Exposure to Childhood Trauma: Racial Differences

Children, Год журнала: 2020, Номер 7(6), С. 57 - 57

Опубликована: Июнь 3, 2020

Minorities' diminished returns (MDRs) refer to weaker effects of socioeconomic status (SES) indicators such as parental educational attainment and family income in generating tangible childhood outcomes for racial ethnic minorities compared the majority group, a pattern prevalent US. Our existing knowledge is minimal, however, about SES on reducing exposure trauma.To determine if there was difference between non-Hispanic whites (NHW) blacks (NHB) effect trauma among children ages 8-11 years old.In this cross-sectional study, we analyzed data from 4696 NHW or NHB American 8-11-year-old who were participants Adolescent Brain Cognitive Development (ABCD) Study. The independent variables income. primary outcome 1 2+ traumas, measured by Kiddie Schedule Affective Disorders Schizophrenia (K-SADS) semi-structured interview. Polynomial regression used analysis.Parental education had statistically significant protective (negative) trauma, indicating high highly educated families exposed lower level trauma. However, race/ethnicity showed interactions with children. Race-specific models but not children.The against are systematically NHBs NHWs. To minimize racial/ethnic health gaps, should be addressed. There need programs interventions that equalize only also marginal groups. Such efforts require addressing structural societal barriers hinder translating their resources into outcomes. studies can MDRs families, similarly secure presence resources.

Язык: Английский

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Greater prevalence of post‐traumatic stress disorder and depression in deployed Canadian Armed Forces personnel at risk for moral injury

Acta Psychiatrica Scandinavica, Год журнала: 2018, Номер 137(4), С. 342 - 354

Опубликована: Март 4, 2018

Background A link between moral injury (i.e., the psychological distress caused by perceived transgressions) and adverse mental health outcomes (AMHO) has been recently proposed. However, prevalence of exposure to morally injurious events associated risk experiencing AMHO remains understudied. Method The impact potentially experiences (PMIEs) was explored in relation past‐year PTSD MDD, using 2013 Canadian Armed Forces Mental Health Survey dataset Afghanistan mission deployed regular force reserve personnel. series logistic regressions were conducted, controlling for relevant sociodemographic, military, deployment, trauma‐related variables. Results Over half personnel endorsed at least one PMIE. Several demographic military variables with PMIEs. Those exposed PMIEs demonstrated a greater likelihood having MDD; feeling responsible death or ally strongest association MDD. training not moderator PMIE AMHO. Conclusions Exposure during deployments is common represents an independent factor Improved that targets moral–ethical dilemmas treatment interventions address expressions warranted.

Язык: Английский

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Defining Moral Injury Among Military Populations: A Systematic Review

Journal of Traumatic Stress, Год журнала: 2020, Номер 33(4), С. 575 - 586

Опубликована: Июнь 22, 2020

Abstract Military service often requires engaging in activities, witnessing acts, or immediate decision‐making that may violate the moral codes and personal values to which most individuals ascribe. If unacknowledged, these factors can lead injuries affect physical, psychological, social, spiritual health of military men women. The term injury has been assigned soul‐ceasing experiences. Although researchers have attempted define what leads such experiences, inconsistencies across definitions exist. In addition, nearly all existing lacked empirical support. purpose present systematic review was explore how defined research with populations, using Cooper's approach synthesis as well PRISMA guidelines. An in‐depth 124 articles yielded 12 key literature. Two were grounded evidence, suggesting much more is needed strengthen face validity reliability construct. Quality rankings developed categorize each included articles. findings punctuate need for evidence further injury, particularly among samples inclusive members biopsychosocial–spiritual experiences associated injuries.

Язык: Английский

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Healthcare Workers and COVID-19-Related Moral Injury: An Interpersonally-Focused Approach Informed by PTSD

Frontiers in Psychiatry, Год журнала: 2022, Номер 12

Опубликована: Фев. 14, 2022

The COVID-19 pandemic has resulted in a still-unfolding series of novel, potentially traumatic moral and ethical challenges that place many healthcare workers at risk developing injury. Moral injury is type psychological response may arise when one transgresses or witnesses another transgress deeply held values, feels an individual institution duty to provide care failed do so. Despite knowledge this widespread exposure, date, empirical data are scarce as how prevent and, where necessary, treat COVID-19-related workers. Given the relation between post-traumatic stress disorder (PTSD), we point here social interpersonal factors critical moderators PTSD symptomology consider translate interventions for Specifically, first review alterations cognitive functioning observed among individuals with give rise difficulties. Drawing on Nietlisbach Maercker's 2009 work relevant survivors trauma PTSD, then role perceived support, acknowledgment exclusion potential areas targeted intervention Finally, building existing literature (e.g., Phoenix Australia—Centre Posttraumatic Mental Health Canadian Centre Excellence—PTSD, 2020) conclude organizational considerations bolster against development during pandemic.

Язык: Английский

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The independent and combined impact of moral injury and moral distress on post-traumatic stress disorder symptoms among healthcare workers during the COVID-19 pandemic

European journal of psychotraumatology, Год журнала: 2024, Номер 15(1)

Опубликована: Фев. 9, 2024

Healthcare workers (HCWs) across the globe have reported symptoms of Post-Traumatic Stress Disorder (PTSD) during COVID-19 pandemic. Moral Injury (MI) has been associated with PTSD in military populations, but is not well studied healthcare contexts. Distress (MD), a related concept, may enhance understandings MI and its relation to among HCWs. This study examined independent combined impact MD on Canadian HCWs

Язык: Английский

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Moral Injury: Religious and Spiritual Struggles Among Survivors of Intimate Partner Sexual Violence in the USA

Journal of Religion and Health, Год журнала: 2025, Номер unknown

Опубликована: Фев. 13, 2025

Язык: Английский

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Widening the scope: defining and treating moral injury in diverse populations

European journal of psychotraumatology, Год журнала: 2023, Номер 14(2)

Опубликована: Апрель 20, 2023

Moral injury is an emerging concept that captures the psychosocial consequences of involvement in and exposure to morally transgressive events. In past decade, research on moral has grown exponentially. this special collection we review papers published European Journal Psychotraumatology from its inception until December 2022, have a primary focus as evidenced by words 'moral injury' title or abstract. We included 19 quantitative (n = 9) qualitative 5) studies different populations including (former) military personnel 9), healthcare workers 4) refugees 2). Most 15) focused occurrence potentially injurious experiences (PMIEs), associated factors, while four primarily concerned treatment. Together, offer fascinating overview aspects populations. Research clearly widening other such refugees. Focal points impact PMIEs involving children, association personal childhood victimisation, prevalence betrayal trauma, relationship between empathy. As for treatment, interest new treatment initiatives well findings PMIE does not impede help-seeking behaviour response PTSD further discuss wide range phenomena fall under definitions, limited diversity literature, clinical utility construct. From conceptualisation matures. Whether becomes formal diagnosis, need examine tailored interventions alleviate clear.

Язык: Английский

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Examining the associations among moral injury, difficulties with emotion regulation, and symptoms of PTSD, depression, anxiety, and stress among Canadian military members and Veterans: A preliminary study

Journal of Military Veteran and Family Health, Год журнала: 2021, Номер 7(2), С. 71 - 80

Опубликована: Апрель 14, 2021

LAY SUMMARY Moral injury (MI) refers to the distress experienced when people do, or do not, something that goes against their morals values. It can also occur perceive values have been betrayed. MI is associated with several mental health conditions, including posttraumatic stress disorder (PTSD), depression, and anxiety. A potential risk factor for may include difficulties emotion regulation (ER). Difficulties ER ability manage emotions. same conditions linked MI, PTSD. The purpose of this study was examine whether were in a Canadian military personnel Veteran sample. Participants completed questionnaires assessing ER, other symptoms, such as PTSD, while they inpatients at psychiatric hospital. found perceived betrayals symptoms Symptoms anxiety one another. but not related MI. findings serve first step examining factors

Язык: Английский

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