当我们无法达到自己的标准时:自我怀疑与道德伤害之间的关系。

IF 2.3 3区 心理学 Q2 PSYCHIATRY
Anxiety Stress and Coping Pub Date : 2024-11-01 Epub Date: 2024-08-08 DOI:10.1080/10615806.2024.2387607
Kari E James, Blake M McKimmie, Fiona Maccallum
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引用次数: 0

摘要

背景:道德伤害是指在遭遇违背个人道德准则的事件时可能产生的一种使人衰弱的结果。它经常与创伤后应激障碍联系在一起;然而,不区分两者的治疗方法往往对道德伤害无效,这表明造成这两种情况的机制不同。最广为接受的道德伤害模型认为,自我矛盾过程在产生和维持与事件相关的痛苦中扮演着重要角色,但这一点还有待研究:本研究在网上招募了 172 名成年人,他们在过去 5 年中都曾遭遇过潜在的道德伤害事件。参与者完成了与事件相关的痛苦、创伤后应激障碍、抑郁和焦虑的测量,以及一项涉及理想自我、应该自我和恐惧自我的主观表征的自我矛盾任务:多元回归分析发现,自我怀疑与事件相关痛苦之间存在微小但显著的关系,更高水平的 "应该 "自我怀疑可独立预测更高的事件相关痛苦得分:本研究首次提供了自我怀疑与道德伤害之间关系的实证证据。我们将 "应然自我 "确定为道德伤害的一个自我怀疑领域,从而进一步将道德伤害与创伤后应激障碍区分开来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
When we fail to live up to our own standards: the relationship between self-discrepancy and moral injury.

Background: Moral injury is a potentially debilitating outcome of exposure to events involving transgressions against an individual's moral code. It is often observed in the context of PTSD; however, treatments that do not differentiate the two are often ineffective for moral injury, suggesting different mechanisms contribute to the conditions. The most widely accepted model of moral injury proposes an important role for self-discrepancy processes in generating and maintaining event-related distress, but this has yet to be examined.

Methods: This study recruited 172 adults online who had been exposed to a potentially morally injurious event in the previous 5 years. Participants completed measures of event-related distress, PTSD, depression, and anxiety, as well as a self-discrepancy task involving subjective representations of their ideal, ought, and feared selves.

Results: Multiple regression analyses found a small but significant relationship between self-discrepancy and event-related distress, with higher levels of ought self-discrepancy independently predicting higher event-related distress scores.

Conclusions: This study provides the first empirical evidence of the relationship between self-discrepancy and moral injury. We identified the ought self as a domain of self-discrepancy salient to moral injury, further differentiating moral injury from PTSD.

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来源期刊
CiteScore
7.20
自引率
0.00%
发文量
41
期刊介绍: This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.
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