2024
Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury
Maguen S, Griffin B, Pietrzak R, McLean C, Hamblen J, Norman S. Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury. Journal Of Traumatic Stress 2024, 37: 685-696. PMID: 38655683, DOI: 10.1002/jts.23050.Peer-Reviewed Original ResearchPotentially morally injurious eventsTrauma-related guiltMoral injuryCut scoresClinically significant mental health symptomsSignificant mental health symptomsExposure to potentially morally injurious eventsSample of military veteransMental health symptomsPopulation-based sampleHealth care workersRisk of negative outcomesFunctional impairmentDepressive symptom severityMorally injurious eventsInjury carePMIE exposureNon-HispanicMental healthHealth symptomsCare workersInjury eventsPosttraumatic stressMilitary veteransSymptom severityHealth and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans
Nichter B, Hill M, Maguen S, Norman S, Fischer I, Pietrzak R. Health and psychiatric impairment associated with moral injury, military sexual trauma, and their co-occurrence in U.S. combat veterans. Journal Of Psychosomatic Research 2024, 179: 111617. PMID: 38394711, DOI: 10.1016/j.jpsychores.2024.111617.Peer-Reviewed Original ResearchMilitary sexual traumaExposure to military sexual traumaU.S. combat veteransCombat veteransMoral injurySexual traumaNational Health and ResilienceSeverity of posttraumatic stressPast-year suicidal ideationPrevalence of military sexual traumaPhysical health comorbiditiesCo-occurrenceChronic medical conditionsGeneralized anxietyPopulation-based studyPosttraumatic stressSuicidal ideationVeterans StudySomatic complaintsPsychosocial functioningInsomnia symptomsMilitary veteransLifetime prevalencePMIEsHealth comorbidities
2022
Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans: An Exploration of Potential Mediating Factors
Orak U, Kelton K, Vaughn M, Tsai J, Pietrzak R. Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans: An Exploration of Potential Mediating Factors. Criminal Justice And Behavior 2022, 50: 392-409. DOI: 10.1177/00938548221140352.Peer-Reviewed Original ResearchCombat veteransUse disordersCLS involvementU.S. combat veteransDrug use disordersAlcohol use disorderPotential mediating factorsRisk factorsNational HealthModifiable mechanismsHistory of homelessnessVeterans StudyDescriptive studyPrevention effortsPotential mechanismsNotable proportionVeteransInvolvementDisordersAssociationMoral injuryMediating factorsIndirect associationsLarge proportionDownstream consequences of moral distress in COVID-19 frontline healthcare workers: Longitudinal associations with moral injury-related guilt
Fischer I, Norman S, Feder A, Feingold J, Peccoralo L, Ripp J, Pietrzak R. Downstream consequences of moral distress in COVID-19 frontline healthcare workers: Longitudinal associations with moral injury-related guilt. General Hospital Psychiatry 2022, 79: 158-161. PMID: 36403350, PMCID: PMC9664834, DOI: 10.1016/j.genhosppsych.2022.11.003.Peer-Reviewed Original ResearchConceptsHealthcare workersMoral distressLongitudinal associationsCOVID-19 healthcare workersFrontline healthcare workersCOVID-19 pandemicDevelopment of MIOccupational cohortEarly intervention effortsSocial supportIntervention effortsInitial peakMonthsAssociationMoral injuryMIDistressNew York CityPotential moderatorsHigh levelsPandemicDownstream consequencesGreater levelsInjuryCohort