BMJ Military Health, Год журнала: 2021, Номер 169(e1), С. e6 - e8
Опубликована: Авг. 9, 2021
Moral injury is defined as profound psychological distress that experienced after an event(s) violates one’s deeply held moral or ethical code.[1][1] Morally injurious events typically include acts of omission, commission betrayal by trusted others. Unlike ‘classically’ traumatic
Язык: Английский
Journal of Mental Health, Год журнала: 2023, Номер 32(5), С. 890 - 898
Опубликована: Март 8, 2023
Potentially morally injurious events (PMIEs) can negatively impact mental health. The COVID-19 pandemic may have placed healthcare staff at risk of moral injury.To examine the PMIE on wellbeing.Twelve thousand nine hundred and sixty-five (clinical non-clinical) were recruited from 18 NHS-England trusts into a survey exposure wellbeing.PMIEs significantly associated with adverse health symptoms across staff. Specific work factors experiences injury, including being redeployed, lack PPE, having colleague die COVID-19. Nurses who reported disorders more likely to report all forms PMIEs than those without (AOR 2.7; 95% CI 2.2, 3.3). Doctors only betrayal events, such as breach trust by colleagues 2.7, 1.5, 4.9).A considerable proportion NHS in both clinical non-clinical roles during pandemic. Prospective research is needed identify direction causation between injury disorder well continuing monitor longer term outcomes PMIEs.
Язык: Английский
Процитировано
29
Journal of Clinical Psychology, Год журнала: 2025, Номер unknown
Опубликована: Фев. 27, 2025
ABSTRACT Objective The present study assessed program feasibility and satisfaction among recent‐era veterans who participated in Mindfulness to Manage Moral Injury (MMMI), a live facilitated web‐based 7‐week mindfulness‐based targeting moral injury veterans. Method In total, 56 post‐9/11 were recruited with 28 randomized the MMMI condition Education Support (ES) condition. Most participants identified as being White (71.4%), male (66.1%), had reported mean age of 41.50 years (Median = 39.50, SD 9.26). Results Among participants, 82.1% attended at least one treatment session 44.6% completed all seven sessions. There no significant differences average number sessions between ( M 4.79, 2.70) ES 4.68, 2.84) conditions, t (54) 0.145, p 0.87. Regarding randomization, there statistically on almost demographic (i.e., military, gender, ethnicity) characteristics baseline scores outcomes across thus ensuring randomization was adequately met. Of consented, 41 (73.21%) most components follow‐up surveys, 1 weekly survey, session). satisfaction, individuals higher (Cohen's d 0.66). Conclusions Preliminary findings suggest is feasible acceptable may be able reach not seek traditional Veterans Affairs Medical Center care or prefer program. Given its promise for veterans, warrants additional large‐scale clinical‐trial testing.
Язык: Английский
Процитировано
0
Psychological Trauma Theory Research Practice and Policy, Год журнала: 2022, Номер 15(4), С. 672 - 680
Опубликована: Окт. 11, 2022
Objective: Military veterans experience a higher prevalence of mental health difficulties compared to the general population.Research has highlighted who have poorer treatment outcomes.Understanding veteran needs may help improve services and outcomes.The aim this study was explore complexity wellbeing among national clinical sample veterans. Method:In total 989 from UK charity were invited complete questionnaire about their sociodemographic characteristics, military experiences, physical health, wellbeing.Results: 428 (43.3%) completed questionnaire.Common difficulties, such as anxiety depression, most frequently reported difficulty (80.7%), followed by loneliness (79.1%) perceived low social support (72.2%).Rates post-traumatic stress disorder (PTSD) also high (68.7%any PTSD), with majority participants experiencing Complex PTSD (CPTSD; 62.5%) (6.2%).Veterans co-occurring CPTSD symptoms due number comorbidities, for instance between moral injury.Conclusions: Co-morbidity appeared be norm rather than exception within treatmentseeking veterans.As such, it seems important take holistic approach when supporting
Язык: Английский
Процитировано
20
BMC Psychology, Год журнала: 2025, Номер 13(1)
Опубликована: Апрель 3, 2025
Moral injury exacerbates poor outcomes, such as negative attitudes toward the future; however, potential underlying mechanisms of this association remain unknown. This present study aimed to disentangle pathways linking moral confidence future through serial mediation effect psychological resilience and valued living in a Turkish population. The data analyzed were collected from representative samples adult aged 18-65 years Gaziantep Province, Turkey. A total 681 participants (77.7% female, mean age = 25.05) included study. Structural equation modeling (SEM) was used analyze relationships among variables. Indirect effects on found. direct presence mediators not significant (b 0.014, p > 0.05). Thus, we concluded that there fully by relationship between -0.077, 95% bootstrap CI: -0.115 -0.048). main constraint its cross-sectional design, which restricted capacity for causal inference. These findings highlight role future. Therefore, mental health professionals or clinicians incorporating intervention programs at enhancing promoting could be beneficial, especially individuals who have experienced injuries. Employing multifaceted therapeutic approach may advantageous addressing these concerns.
Язык: Английский
Процитировано
0
European journal of psychotraumatology, Год журнала: 2022, Номер 13(1)
Опубликована: Апрель 11, 2022
Background Veterinary professionals (VPs) are often exposed to distressing and ethically challenging events in their line of work, yet little is known about whether they may experience moral injury the impact potentially morally injurious (PMIEs) have on wellbeing. This cross-sectional study aimed examine association between PMIEs mental health outcomes U.K. VPs.Method Assessments PMIE exposure self-report measures common disorders were administered using an anonymous online questionnaire 90 VPs December 2020 May 2021.Results Exposure was reported by almost all (89.0%), with acts omission most frequently reported. Experiences significantly associated symptoms PTSD (p < 0.01) experiencing a betrayal event (p<0.05). However, there no significant found alcohol misuse or CMD > 0.05).Conclusions provides some first evidence that experiences adverse VPs. Future work needed design effective pathways for prevention intervention highly events.HIGHLIGHTS veterinary injury.Experiences PTSD.
Язык: Английский
Процитировано
17
Psychology and Psychotherapy Theory Research and Practice, Год журнала: 2023, Номер 96(4), С. 833 - 848
Опубликована: Май 19, 2023
Health care workers have been exposed to a variety of practical and emotional challenges because the Covid-19 pandemic, leaving them vulnerable experiencing moral injury distress. However, there is currently sparse research which directly explores such experiences. This study aimed explore characterise experiences impacts distress among health during pandemic.Twenty semi-structured interviews were conducted with employed across both mental physical services. Interviews analysed from critical realist perspective using thematic analysis.Three key themes identified: attitudes towards injury, consequences injury. Participants appeared identify idea acting against their morals varying extents based on job roles. experienced range potentially morally injurious distressing events throughout pandemic many ultimately felt that they provided sub-standard levels due extreme pressures Detrimental upon wellbeing commonly reported, including high feelings guilt shame. Some reported loss enthusiasm for desire leave profession entirely.Moral presents real concern staff retention within profession. During beyond an urgent need providers implement wider strategies target distress, support settings.
Язык: Английский
Процитировано
9
Journal of Clinical Psychology, Год журнала: 2023, Номер 79(10), С. 2404 - 2421
Опубликована: Июнь 13, 2023
Abstract Objectives : Despite the increasing consensus that moral injury (MI) is a unique type of psychological stressor, there an ongoing debate about best practices for care. This qualitative study explored perceptions UK and US professionals in field MI investigating advances challenges treatment or support delivery issues relating to treatment/support feasibility acceptability. Methods 15 were recruited. Semi‐structured, telephone/online interviews carried out, transcripts analyzed using thematic analysis. Results Two interconnected themes emerged: perceived barriers appropriate care cases recommendations providing effective patients. Professionals highlighted occur due lack empirical experience with MI, negligence patients' individual needs inflexibility existing manualised treatments. Conclusions These findings illustrate need evaluate effectiveness current approaches explore alternative pathways, which will effectively patients long‐term. Key include use therapeutic techniques lead personalised flexible plan meet needs, increase self‐compassion encourage reconnect their social networks. Interdisciplinary collaborations (e.g., religious/spiritual figures), could be valuable addition following agreement.
Язык: Английский
Процитировано
9
BMJ Open, Год журнала: 2022, Номер 12(5), С. e056289 - e056289
Опубликована: Май 1, 2022
This study aimed to evaluate how moral injury (MI), traumatic experiences and daily stressors were related the symptoms of post-traumatic stress disorder (PTSD) International Classification Diseases 11th revision specific complex PTSD (CPTSD) disturbances in self-organisation (DSO) a treatment-seeking sample nurses. A cross-sectional study. Nurses from all regions Lithuania participated The data collected between April May 2021. total 206 nurses, mean age 42.34 years (SD=11.68), 97.1% women with 65% >10 work experience. prevalence CPTSD nurses was 9.2% 10.2%, respectively. results structural equation modelling indicated an acceptable model fit for regarding links trauma exposure, stressors, MI, DSO symptoms, (χ2 (df)=219.718 (123), p<0.001, Comparative Fit Index/Tucker-Lewis Index=0.937/0.922, root square error approximation (90% CI)=0.062 (0.048 0.075), standardised residual=0.049). MI had large effect on β=0.667, medium β=0.394, p<0.001. Daily but not exposure significantly β=0.618, inform healthcare administrators, policymakers medical staff about demand psychosocial interventions workers focused management address their mitigate effects or trauma-focused treatments PTSD/CPTSD. NCT04817995; Pre-results.
Язык: Английский
Процитировано
14
East European Journal of Psycholinguistics, Год журнала: 2022, Номер 9(1)
Опубликована: Июнь 28, 2022
Moral injury is a relatively new construct which strongly associated with PTSD but also has distinctive features that may not overlap PTSD. There growing body of literature recognises moral as emotional distress and sufferings arising from transgression one’s core principles or ethical beliefs aligned feelings shame guilt. A great number research represented by theoretical qualitative studies vs biopsychosocial approach towards conceptualizing However, systematic understanding how potentially injurious events contribute to symptoms still lacking. Of particular concern military personnel exhibiting during after wartime. This study utilizes the concept analysis model (Walker & Avant, 2011) explore assess attributes, antecedents, consequences empirical referents in Ukrainian National Guard service members, who are protecting northern border Belarus defending objects 2022 full-scale invasion Ukraine Russian troops. The uses narrative case collected soldiers part our combatants' broader project. Initial results this indicate mechanisms developing comorbidity depression, generalized anxiety, members findings current have important practical implications terms better causal relations enhancing clinical practice holistic treatment for soldiers.
Язык: Английский
Процитировано
13
PLoS ONE, Год журнала: 2024, Номер 19(4), С. e0299239 - e0299239
Опубликована: Апрель 26, 2024
Self-harm and suicide behaviours are a major public health concern. Several factors associated with these among military communities. Identifying may have important implications for policy clinical services. The aim of this review was to identify the risk protective self-harm serving ex-serving personnel United Kingdom Armed Forces, Canadian Australian Defence Force New Zealand Force.
Язык: Английский
Процитировано
2