2016
DOI: 10.7205/milmed-d-15-00103
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The Invisible Wound: Moral Injury and Its Impact on the Health of Operation Enduring Freedom/Operation Iraqi Freedom Veterans

Abstract: Many veterans are now returning from Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) deployments with physical and mental health problems. However, there are few studies that examine the impact of moral injury on both physical and mental well-being. This study examines the impact of moral injury on self-reported general physical health, general mental health, post-traumatic stress disorder symptoms, and depression symptoms. Cross-sectional data were collected at as part of a pilot study at the… Show more

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Cited by 38 publications
(27 citation statements)
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“…In conclusion, we feel it is important to further explore the concept of moral injury, as well as the relation between guilt and shame in military populations, and its implications for the onset, maintenance, and treatment of combat-related PTSD and other mental conditions (see also Currier et al, 2015;Yan, 2016). We reviewed and illustrated how guilt and shame can be drivers to chronicity in PTSD.…”
Section: Resultsmentioning
confidence: 99%
“…In conclusion, we feel it is important to further explore the concept of moral injury, as well as the relation between guilt and shame in military populations, and its implications for the onset, maintenance, and treatment of combat-related PTSD and other mental conditions (see also Currier et al, 2015;Yan, 2016). We reviewed and illustrated how guilt and shame can be drivers to chronicity in PTSD.…”
Section: Resultsmentioning
confidence: 99%
“…S/R has been found to be positively related to an individual's ability to integrate stressful life events into their personal framework and experiences ( 23 ). Factors that are independently linked to post-traumatic growth (PTG) and increased well-being among veterans include intrinsic religiosity, spirituality, and purpose in life ( 24 , 25 ).…”
Section: Spirituality and Moral Injurymentioning
confidence: 99%
“…So stehen die Ergebnisse zu DepressivitĂ€t und PTBS zum Teil auch im Einklang mit jĂŒngs-ten US-amerikanischen Studien, in denen moralische Verletzungen eine hohe ErklĂ€rungskraft bezĂŒglich der HĂ€ufigkeit von Depressionen und PTBS bei Veteranen aus den Irak-und Afghanistankriegen aufwiesen [Yang, 2016]. Dabei stand PTBS zudem in Verbindung mit Kampfhandlungen, Depression dagegen mit nur indirekt kriegsbezogenen Erfahrungen, wie dem Umgang mit FlĂŒchtlingen, was dem in dieser Studie ermittelten Faktor «Konfrontation mit Not, Leid, Gewalt in der Bevölkerung» Ă€hnelt.…”
Section: Hintergrundunclassified
“…Dabei stand PTBS zudem in Verbindung mit Kampfhandlungen, Depression dagegen mit nur indirekt kriegsbezogenen Erfahrungen, wie dem Umgang mit FlĂŒchtlingen, was dem in dieser Studie ermittelten Faktor «Konfrontation mit Not, Leid, Gewalt in der Bevölkerung» Ă€hnelt. Ein Unterschied zwischen dieser und der Untersuchung von Yang [2016] liegt somit offenbar in der herausgehobenen Bedeutung des Kontakts zur Zivilbevölkerung und der demgegenĂŒber vergleichsweise begrenzten Auswirkung von Kampfhandlungen auf die psychische Symptomatik bei deutschen Einsatzsoldaten. Die eher geringe IntensitĂ€t von Kampfhandlungen im deutschen Einsatzgebiet könnte diese Abweichungen erklĂ€ren, gegebenenfalls aber auch kulturelle Unterschiede, die mit Sozialisations-oder militĂ€rischen Ausbildungserfahrungen zusammenhĂ€ngen könnten.…”
Section: Hintergrundunclassified