Dispositional mindfulness moderates the links between potentially morally injurious event exposure and symptoms of anxiety and depression but not suicidal ideation

IF 2.3 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-03-28 DOI:10.1002/jts.23032
Elizabeth L. Wetzler, Ryan G. Erbe, James F. M. Cornwell, Michael D. Wood
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Abstract

Exposure to potentially morally injurious events (PMIEs) is a pervasive threat for military service members and may be associated with symptoms of anxiety, depression, and suicidal ideation. However, coping mechanisms, such as mindfulness, may ameliorate symptoms and improve recovery. Two studies were conducted to test dispositional mindfulness as a moderator of the links between PMIEs, as assessed using the Moral Injury Events Scale (i.e., total score and Self-Transgression, Other-Transgression, and Betrayal subscale scores), and symptoms of anxiety, depression, and suicidal ideation among different samples of active-duty soldiers in garrison. In Sample 1 (N = 310), mindfulness buffered the links between PMIE exposure and symptoms of both anxiety, ∆R2 = .02, and depression, ∆R2 = .03. In Sample 2 (N = 669), mindfulness moderated the link between the MIES Betrayal subscale and anxiety symptoms, ∆R2 = .01. The results suggest that dispositional mindfulness may be a protective factor against some of the negative impacts of PMIE exposure. Further implications are discussed.

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倾向性正念能调节潜在道德伤害事件暴露与焦虑和抑郁症状之间的联系,但不能调节自杀意念。
对军人来说,暴露于潜在的道德伤害事件(PMIEs)是一种普遍存在的威胁,可能与焦虑、抑郁和自杀意念等症状有关。然而,正念等应对机制可以改善症状并提高恢复能力。我们进行了两项研究,以测试正念作为道德伤害事件量表(即总分和自我违背、他人违背和背叛分量表得分)评估的PMIEs与驻军现役士兵不同样本中的焦虑、抑郁和自杀意念症状之间联系的调节因子。在样本 1(N = 310)中,正念缓冲了 PMIE 暴露与焦虑症状(∆R2 = 0.02)和抑郁症状(∆R2 = 0.03)之间的联系。在样本 2(N = 669)中,正念调节了 MIES 背叛子量表与焦虑症状之间的联系,∆R2 = .01。结果表明,倾向性正念可能是一种保护因素,可以抵御 PMIE 暴露的某些负面影响。我们还讨论了进一步的影响。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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