Exploring the role of moral injury outcomes in intimate relationship functioning among U.S. combat veterans.

IF 2.7 2区心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-10-01 Epub Date: 2023-08-10 DOI:10.1037/tra0001553

Paola Estefania Fernandez, Joseph M Currier

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Abstract

Objective: Moral injury entails psychological, social, and possible spiritual issues that might interfere with veterans' functioning in romantic or intimate relationships. To date, research has not examined the contribution of moral injury outcomes in this core functional domain in many veterans' lives.

Method: In total, 65 combat veterans who were engaging in a peer-led intervention for moral injury in a Veteran Service Organization completed the Expressions of Moral Injury Scale, posttraumatic stress disorder (PTSD) checklist for DSM-5, and the romantic relationship subscale of the Inventory of Psychosocial Functioning Scale.

Results: Bivariate analyses revealed that moral injury and PTSD symptoms were each associated with worse relationship functioning among the veterans. When including moral injury and PTSD symptoms as predictors in a multivariate analysis, only moral injury was uniquely linked with poorer relationship functioning.

Conclusions: Overall, these findings suggest that moral injury could play a pernicious role in many veterans' issues in relationship problems with their spouses or partners. Future research needs to examine the potential utility of addressing moral injury among veterans who are struggling to meet demands for intimacy and connection in their intimate or romantic relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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探索道德伤害结果在美国退伍军人亲密关系功能中的作用。

目的：道德伤害涉及心理、社会和可能的精神问题，可能会影响退伍军人在恋爱或亲密关系中的功能。迄今为止，还没有研究对许多退伍军人生活中这一核心功能领域的道德伤害结果的贡献：共有 65 名退伍军人在退伍军人服务组织中参加了由同伴主导的道德伤害干预活动，他们完成了道德伤害表达量表、DSM-5 创伤后应激障碍（PTSD）检查表和社会心理功能量表的恋爱关系分量表：双变量分析表明，道德伤害和创伤后应激障碍症状均与退伍军人较差的恋爱关系功能有关。当把精神伤害和创伤后应激障碍症状作为多变量分析的预测因素时，只有精神伤害与较差的关系功能有独特的联系：总之，这些研究结果表明，在许多退伍军人与其配偶或伴侣的关系问题上，精神伤害可能起着有害的作用。未来的研究需要对那些在亲密关系或恋爱关系中努力满足亲密关系和联系要求的退伍军人进行研究，以了解解决道德伤害问题的潜在作用。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence