The independent and combined impact of moral injury and moral distress on post-traumatic stress disorder symptoms among healthcare workers during the COVID-19 pandemic

Autor: Andrea M. D’Alessandro-Lowe, Herry Patel, Bethany Easterbrook, Kim Ritchie, Andrea Brown, Yuanxin Xue, Mauda Karram, Heather Millman, Emily Sullo, Mina Pichtikova, Andrew Nicholson, Alex Heber, Ann Malain, Charlene O’Connor, Hygge Schielke, Sarah Rodrigues, Fardous Hosseiny, Randi E. McCabe, Ruth A. Lanius, Margaret C. McKinnon
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: European Journal of Psychotraumatology, Vol 15, Iss 1 (2024)
Druh dokumentu: article
ISSN: 20008066
2000-8066
DOI: 10.1080/20008066.2023.2299661
Popis: ABSTRACTBackground: Healthcare workers (HCWs) across the globe have reported symptoms of Post-Traumatic Stress Disorder (PTSD) during the COVID-19 pandemic. Moral Injury (MI) has been associated with PTSD in military populations, but is not well studied in healthcare contexts. Moral Distress (MD), a related concept, may enhance understandings of MI and its relation to PTSD among HCWs. This study examined the independent and combined impact of MI and MD on PTSD symptoms in Canadian HCWs during the pandemic.Methods: HCWs participated in an online survey between February and December 2021, with questions regarding sociodemographics, mental health and trauma history (e.g. MI, MD, PTSD, dissociation, depression, anxiety, stress, childhood adversity). Structural equation modelling was used to analyze the independent and combined impact of MI and MD on PTSD symptoms (including dissociation) among the sample when controlling for sex, age, depression, anxiety, stress, and childhood adversity.Results: A structural equation model independently regressing both MI and MD onto PTSD accounted for 74.4% of the variance in PTSD symptoms. Here, MI was strongly and significantly associated with PTSD symptoms (β = .412, p
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