Psychological trauma : theory, research, practice and policy最新文献

{"title":"The roles of shame and poor self-concept in explaining low social connection among adult survivors of childhood emotional maltreatment.","authors":"William P Archuleta, Patricia L Kaminski, Nicholas D Ross","doi":"10.1037/tra0001559","DOIUrl":"10.1037/tra0001559","url":null,"abstract":"<p><p>Emotional maltreatment (EM) is the most common retrospectively self-reported form of child abuse/neglect. One potential negative outcome for EM survivors is a lack of social connection (SC; i.e., feeling interpersonally distant from others, socially uncomfortable, etc.). Explanations of the link between EM and low SC, however, are insufficiently tested. Theory and empirical work point to shame as a ubiquitous consequence of EM that negatively affects self-concept and is also associated with low SC in adulthood.</p><p><strong>Objective: </strong>We test the hypothesis that experiences of EM lead to shame that impairs the development of social self-concept and, ultimately, one's sense of SC.</p><p><strong>Participants and setting: </strong>We collected self-report data from 244 American college students.</p><p><strong>Method: </strong>Using structural equation modeling, we tested shame and social self-concept as sequential mediators of the path from EM to SC.</p><p><strong>Results: </strong>Shame and social self-concept mediated the relationship between EM and SC, bringing this direct path below significance. Social self-concept partially mediated shame and SC. Overall, our model accounted for 77% of the variability in SC.</p><p><strong>Conclusions: </strong>Children subjected to EM by caregivers are likely to experience themselves as deeply flawed (i.e., shame) and have difficulty developing a secure sense of themselves, especially as relational beings. Our results suggest that when shame interferes with the development of a positive social self-concept, survivors of EM are at-risk for low SC. Treatment implications include a focus on healing shame and building social self-concept. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1149-1157"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10005542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma cognitions as intervening variables in the relation of chronic child abuse and thwarted interpersonal needs.","authors":"Johnathan Walker, Alexandria F Sowers, Robert A Kaya, M Kati Lear, Ryan M Kozina, Joshua D Clapp","doi":"10.1037/tra0001561","DOIUrl":"10.1037/tra0001561","url":null,"abstract":"<p><strong>Objective: </strong>Chronic childhood trauma is consistently linked to negative mental health outcomes in adulthood, but research exploring specific paths of risk remains limited. The aims of the current study were to examine trauma cognitions as intervening variables in the relation of chronic victimization with perceived burdensomeness and thwarted belongingness, variables implicated in transdiagnostic risk for psychopathology.</p><p><strong>Method: </strong>Semistructured interviews were used to identify university students reporting exposure to systematic physical and/or sexual violence prior to age 18 (<i>n</i> = 101) versus those experiencing other Criterion-A events (<i>n</i> = 254). Trauma cognitions (self, world, and self-blame) and thwarted interpersonal needs (burdensomeness and thwarted belongingness) were measured using scores from the posttrauma cognitions inventory (PTCI) and the Interpersonal Needs Questionnaire-10 (INQ-10). Path models in these cross-sectional data were evaluated to assess the indirect effects of chronic abuse on burdensomeness and thwarted belongingness through self, world, and blame cognitions.</p><p><strong>Results: </strong>An initial model indicated associations of chronic victimization on self (<i>p</i> = .044) and world (<i>p</i> = .005) scales of the PTCI and a unique effect of self-beliefs on INQ-10 burdensomeness (<i>p</i> < .001). An indirect effect of abuse on burdensomeness through self-beliefs was supported (<i>p</i> = .050). A second model identified direct effects of PTCI self (<i>p</i> < .001) and world (<i>p</i> < .001) scores on thwarted belongingness as well as an indirect effect of chronic abuse on belongingness through world beliefs (p = .026).</p><p><strong>Conclusions: </strong>While typically assessed within the context of posttraumatic stress disorder, results suggest that shifts in fundamental beliefs about the self and the world may have more general impacts on perceptions of burdensomeness and belonging in survivors of early, systematic abuse. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1092-1099"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to potentially morally injurious events in U.K. health and social care workers during COVID-19: Associations with PTSD and complex PTSD.","authors":"Talya Greene, Jasmine Harju-Seppänen, Jo Billings, Chris R Brewin, Dominic Murphy, Michael A P Bloomfield","doi":"10.1037/tra0001519","DOIUrl":"10.1037/tra0001519","url":null,"abstract":"<p><strong>Objective: </strong>Health and social care workers (HSCWs) have been shown to be at risk of exposure to potentially morally injurious events (PMIEs) and mental health problems during the COVID-19 pandemic. This study aimed to examine associations between exposure to PMIEs and meeting threshold criteria for probable posttraumatic stress disorder (PTSD) and probable complex PTSD (CPTSD) in U.K. HSCWs immediately after the peak of the first COVID-19 wave.</p><p><strong>Method: </strong>Frontline HSCWs from across the United Kingdom working in diverse roles in hospitals, nursing or care homes, and other community settings were recruited to the Frontline-COVID study via social media. Participants (<i>n</i> = 1,056) completed a cross-sectional online survey (May 27, 2020-July 23, 2020) which assessed exposure to PMIEs (nine-item Moral Injury Events Scale), and meeting symptom thresholds for probable PTSD and probable CPTSD (International Trauma Questionnaire).</p><p><strong>Results: </strong>PMIEs related to witnessing others' wrongful actions and betrayal events were more commonly endorsed than perceived self-transgressions. The rate of probable International Classification of Diseases, 11th Revision (ICD-11) PTSD was 8.3%, and of probable ICD-11 CPTSD was 14.2%. Betrayal-related PMIEs were a significant predictor of probable PTSD or probable CPTSD, together with having been redeployed during the pandemic. The only variable that differentially predicted probable CPTSD as compared with probable PTSD was not having had reliable access to personal protective equipment; none of the PMIE types were differential predictors for screening positive for probable PTSD versus probable CPTSD.</p><p><strong>Conclusions: </strong>Exposure to PIMEs could be important for PTSD and CPTSD development. Interventions for moral injury in HSCWs should be investigated. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1189-1197"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations among military sexual trauma, positive alcohol expectancies, and coping behaviors in female veterans.","authors":"Lauren Rodriguez, Paul R King, Laura J Buchholz","doi":"10.1037/tra0001538","DOIUrl":"10.1037/tra0001538","url":null,"abstract":"<p><strong>Objective: </strong>Military sexual trauma (MST) is prevalent among female veterans and is associated with deleterious health outcomes. Adaptive coping strategies (e.g., emotional support) are associated with more positive outcomes, while maladaptive strategies (e.g., substance use) are associated with greater impairment. However, research on factors that influence specific coping strategy use is limited. For women with a history of MST, expectancies about the effects of alcohol may enhance the use of maladaptive and reduce the use of adaptive strategies. The present study tested this hypothesis. Associations among MST status and two coping behaviors (emotional support, substance use) in female veterans were examined and the mediating role of positive alcohol expectancies on these relationships was tested.</p><p><strong>Method: </strong>A secondary analysis was conducted using self-report survey data from 186 female veterans in a Northeastern region. Measures included a brief screen for MST, the posttraumatic stress disorder (PTSD) Checklist for DSM-5, the Brief Cope, and the Brief Comprehensive Effects of Alcohol Questionnaire.</p><p><strong>Results: </strong>Among all respondents, positive alcohol expectancies were significantly associated with greater substance use coping, while PTSD symptom severity was negatively associated with emotional support coping. Though women with MST reported greater positive alcohol expectancies and PTSD symptom severity, the direct effects of MST on coping were not significant. Mediation was not supported in our sample.</p><p><strong>Conclusions: </strong>Alcohol expectancies may be a viable target for intervention to reduce alcohol use as a maladaptive coping strategy among female veterans. Similarly, treatment targeting PTSD symptoms, regardless of MST status, is important for enhancing the use of adaptive coping strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1209-1217"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10770286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal associations between moral injury perceptions and mental health among healthcare workers during the pandemic.","authors":"Anna C Cole, Mary O Smirnova, Yueran Yang, Cynthia L Lancaster","doi":"10.1037/tra0001594","DOIUrl":"10.1037/tra0001594","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic strained the healthcare system and resulted in higher rates of potentially morally injurious events. These events are perceived as violating one's own moral code, so a more precise construct label could be moral injury perceptions (MIPs). MIPs may exacerbate stress-related symptoms. However, consistent with the broader literature on mood-congruent cognitive bias, stress symptoms may also exacerbate MIPs. To test this bidirectional hypothesis, we examined the relationship between MIPs and stress symptoms among healthcare workers during the first year of the pandemic.</p><p><strong>Method: </strong>Online questionnaires for MIPs and stress-related symptoms (i.e., pandemic-related posttraumatic stress [PTSS], perceived stress, depression, and anxiety) were completed in April/May 2020 (time point one [T1]; <i>N</i> = 184), 1 month later (time point 2 [T2]; <i>N</i> = 135), and 6 months later (time point three [T3]; <i>N</i> = 112).</p><p><strong>Results: </strong>Findings from cross-lagged panel modeling favored unidirectional models, but the direction of the relationship varied by symptom type. Perceived stress, PTSS, and depression, all predicted increased MIPs at a later time point. However, in a reversal of direction, MIPs predicted increased anxiety.</p><p><strong>Conclusions: </strong>Results suggest that MIPs may function as both a predictor and an outcome of stress-related symptoms. Mood-congruent cognitive biases could account for why depression, PTSS, and perceived stress predicted subsequent MIPs, whereas MIPs may have exacerbated more generalized anxiety about the future. Broadly, these findings highlight the importance of early access to mental health services for healthcare workers during public health crises to disrupt the relationship between MIPs and stress-related symptoms. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1179-1188"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between emotional awareness, symptoms, and protective factors in children exposed to intimate partner violence.","authors":"Eva María Ortiz Jiménez, Juana Gómez-Benito, Selene Liz Llach, Alejandra González, Susana Ochoa","doi":"10.1037/tra0001655","DOIUrl":"10.1037/tra0001655","url":null,"abstract":"<p><strong>Objective: </strong>This study was designed to analyze the associations between emotional awareness (EA) and internalizing and externalizing symptoms, and mood states in children ages 8-12 who were previously exposed to intimate partner violence (EIPV). The study also aimed to explore the association between EA and external and internal protective factors of resilience.</p><p><strong>Method: </strong>A descriptive design study was used; participants were 61 children (<i>M</i> = 10 years, 52.5% girls) who were EIPV patients from three Child and Adolescent Mental Health Centers in the Barcelona metropolitan area, Spain. The hypotheses of this study were that (a) an increased capacity for EA would be associated with less severity of internalizing and externalizing symptoms in children EIPV and (b) an increased capacity for EA would correlate with greater resilience.</p><p><strong>Results: </strong>Lower EA was found to be associated with more symptoms, specifically trait anxiety, depression, somatic complaints, total externalizing and internalizing symptoms, and increased feelings of anger and sadness. Greater EA was linked to improved social skills, higher self-esteem, empathy, humor, and both external and internal resilience, as well as with reduced aggressiveness/antisocial behavior and loneliness/social anxiety. The variables that best explained the EA factors were trait anxiety, dysphoria, problem attention, sadness, humor, self-esteem, internal and external protective factors, appropriate social skills, and friendship.</p><p><strong>Conclusion: </strong>This study highlights the relevance of EA for children EIPV. Lower EA was associated with higher symptom severity, while higher EA was linked to better self-esteem, social skills, and resilience. The findings suggest the significance of addressing EA in therapeutic interventions for this population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1063-1074"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139562733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Ukraine-Russia war: A symptoms network of complex posttraumatic stress disorder during continuous traumatic stress.","authors":"Yafit Levin, Menachem Ben-Ezra, Yaira Hamama-Raz, Andreas Maercker, Robin Goodwin, Elazar Leshem, Rahel Bachem","doi":"10.1037/tra0001522","DOIUrl":"10.1037/tra0001522","url":null,"abstract":"<p><strong>Objective: </strong>This study is aimed to test the symptoms network of International Classification of Diseases, 11th Revision (ICD-11) complex posttraumatic stress disorder (CPTSD) symptoms, using data collected from Ukrainian civilians during the 2022 Russia-Ukraine war. Findings can inform our understanding of the stress response in individuals exposed to continuous trauma and give insight into the nature of CPTSD during the war.</p><p><strong>Method: </strong>A network analysis was conducted on CPTSD symptoms as assessed by the International Trauma Questionnaire using data from a nationally representative sample of 2,000 Ukrainians.</p><p><strong>Results: </strong>While PTSD and disturbances in self-organization clusters did not enmesh, several communities within these clusters were merged. Results highlight that in terms of strength centrality, emotional dysregulation (emotional numbing) and a heightened sense of threat (SoT) were most prominent.</p><p><strong>Conclusion: </strong>The results confirm the ICD-11 structure of CPTSD but suggest that continuous traumatic stress manifests in more condensed associations between CPTSD symptoms and that emotional regulation may play a vital role in activating the CPTSD network. War-exposed populations could be provided with scalable, brief self-help materials focused on fostering emotion regulation and an SoT. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1110-1118"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of posttraumatic stress reaction and posttraumatic cognition on dissociative experiences according to the nature of traumatic experiences: A survey on Japanese young adults.","authors":"Baihui Wang, Toshihide Kuroki","doi":"10.1037/tra0001552","DOIUrl":"10.1037/tra0001552","url":null,"abstract":"<p><strong>Objectives: </strong>Although the relationship between dissociation and traumatic experiences has been debated, many studies focus on the context of traumatic experiences. Alternatively, basic research that examines the relationship of symptoms of posttraumatic experiences and cognitive characteristics of dissociation as an individual difference among experiencers has been lacking. To address this research gap, this study examines the influence of posttraumatic symptoms and cognition on dissociative experiences given the nature of traumatic experiences.</p><p><strong>Method: </strong>This study administered the Events Checklist, the Dissociative Experiences Scale (DES), the Impact of Event Scale-Revised (IES-R), and the Japanese version of the Posttraumatic Cognitions Inventory to 1,036 Japanese adolescents. It investigated differences in dissociative experiences according to the presence of and cumulative traumatic experiences. Hierarchical multiple regression analysis was conducted to determine the influence of sex and the nature of traumatic experiences, posttraumatic symptoms (IES-R), and cognition on dissociative experiences.</p><p><strong>Results: </strong>The results demonstrated no differences in DES based on the number of traumatic experiences. Moreover, this study observed the impact of cognition in posttraumatic experience on dissociation.</p><p><strong>Conclusions: </strong>This study provides essential data on the distribution of dissociative experiences among Japanese adolescents with traumatic experiences and exposure to adversity. Finally, it highlights the importance of focusing on posttraumatic cognitive characteristics, particularly negative self-perception, and discusses the implications to enhance understanding of dissociative experiences. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1075-1082"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disordered eating among sex trafficking survivors: An application of objectification theory to experiences of extreme objectification.","authors":"Lauren Hayes, Suzanne H Lease","doi":"10.1037/tra0001617","DOIUrl":"10.1037/tra0001617","url":null,"abstract":"<p><strong>Objective: </strong>Substantial evidence demonstrates the physical, mental, and social health disparities experienced by sex trafficking survivors (STSs) in the United States. The limited exploration of disordered eating symptomology in STSs is a notable gap in understanding their health needs, especially considering the known link between exposure to trauma and disordered eating. One purpose of this study was to document the occurrence of disordered eating in a sample of STSs. This study also examined the unique effect of the sex trafficking experience, separate from other traumas, in explaining disordered eating directly and indirectly through mechanisms of self-objectification, including self-surveillance and body shame.</p><p><strong>Method: </strong>Survey data related to sex trafficking status, disordered eating, self-surveillance, body shame, and discrimination were collected from 180 nontrafficked women and 113 trafficked women.</p><p><strong>Results: </strong>Findings reveal that STSs reported higher rates of disordered eating than their nontrafficked counterparts, with 74% of STSs demonstrating clinically significant disordered eating. Additionally, when controlling for general trauma and subjective socioeconomic status, trafficking status, self-surveillance, and body shame explained 56% of the variance in disordered eating.</p><p><strong>Conclusions: </strong>These results have implications for future research and clinical work with STSs, which will be instrumental in mitigating the impact of the sex trafficking epidemic plaguing women in the United States. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1100-1109"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138047869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the role of moral injury outcomes in intimate relationship functioning among U.S. combat veterans.","authors":"Paola Estefania Fernandez, Joseph M Currier","doi":"10.1037/tra0001553","DOIUrl":"10.1037/tra0001553","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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 <i>DSM-5,</i> and the romantic relationship subscale of the Inventory of Psychosocial Functioning Scale.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1229-1232"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9958388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}