2025
Identification and comprehensive characterization of moral disapproval and behavioral dysregulation-based pornography-use profiles across 42 countries
Bőthe B, Tóth-Király I, Popova N, Nagy L, Koós M, Demetrovics Z, Potenza M, Kraus S, Ballester-Arnal R, Batthyány D, Bergeron S, Billieux J, Briken P, Burkauskas J, Cárdenas-López G, Carvalho J, Castro-Calvo J, Chen L, Ciocca G, Corazza O, Csako R, Czakó A, Fernandez D, Fernandez E, Fujiwara H, Fuss J, Gabrhelík R, Gewirtz-Meydan A, Gjoneska B, Gola M, Hashim H, Islam S, Ismail M, Jiménez-Martínez M, Jurin T, Kalina O, Klein V, Költő A, Lee C, Lee S, Lewczuk K, Lin C, Lochner C, López-Alvarado S, Lukavská K, Mayta-Tristán P, Miller D, Orosová O, Orosz G, Team S, Ponce F, Quintana G, Garzola G, Ramos-Diaz J, Rigaud K, Rousseau A, de Tubino Scanavino M, Schulmeyer M, Sharan P, Shibata M, Shoib, Sigre-Leirós V, Sniewski L, Spasovski O, Steibliene V, Stein D, Štulhofer A, Ünsal B, Vaillancourt-Morel M, Van Hout M, Grubbs J. Identification and comprehensive characterization of moral disapproval and behavioral dysregulation-based pornography-use profiles across 42 countries. Journal Of Behavioral Addictions 2025, 14: 131-154. PMID: 39945767, PMCID: PMC11974402, DOI: 10.1556/2006.2024.00054.Peer-Reviewed Original Research
2024
Reply Ethical and Moral Complexities of Left Ventricular Assist Device Deactivation: Embracing the Uncertainty
Zaidi D, Kirkpatrick J, Fedson S, Hull S. Reply Ethical and Moral Complexities of Left Ventricular Assist Device Deactivation: Embracing the Uncertainty. JACC Heart Failure 2024, 12: 600. PMID: 38448155, DOI: 10.1016/j.jchf.2023.12.020.Peer-Reviewed Original Research
2023
Reflections: When Moral Injury and Compassion Fatigue Strike: Apologize to Patients, Forgive Ourselves
Hoffman P. Reflections: When Moral Injury and Compassion Fatigue Strike: Apologize to Patients, Forgive Ourselves. Journal Of The American Academy Of Child & Adolescent Psychiatry 2023, 63: 574-575. PMID: 37992852, DOI: 10.1016/j.jaac.2023.09.545.Peer-Reviewed Original ResearchThe EHR Has Exposed an Urgent Moral Imperative to Improve Heart Failure Care ∗
Ahmad T, Desai N, Clark K. The EHR Has Exposed an Urgent Moral Imperative to Improve Heart Failure Care ∗. Journal Of The American College Of Cardiology 2023, 81: 1317-1319. PMID: 37019577, DOI: 10.1016/j.jacc.2023.02.040.Peer-Reviewed Original ResearchEstimation of moral distress among nurses: A systematic review and meta-analysis
Alimoradi Z, Jafari E, Lin C, Rajabi R, Marznaki Z, Soodmand M, Potenza M, Pakpour A. Estimation of moral distress among nurses: A systematic review and meta-analysis. Nursing Ethics 2023, 30: 334-357. PMID: 36704986, PMCID: PMC9902807, DOI: 10.1177/09697330221135212.Peer-Reviewed Original ResearchConceptsSystematic reviewPublication biasMoral distressNewcastle-Ottawa checklistSTATA software version 14Small-study effectsMean scoreRandom-effects modelPatients' qualityPROSPERO databaseSubgroup analysisBegg's testMedical CenterMethodological qualityFunnel plotVersion 14NursesTotal scoreSystematic searchProfessional nursesISI WebNurses' workplaceConfidence intervalsHigh levelsDistressRacial Justice Allyship Requires Civil Courage: A Behavioral Prescription for Moral Growth and Change
Williams MT, Faber S, Nepton A, Ching THW. Racial Justice Allyship Requires Civil Courage: A Behavioral Prescription for Moral Growth and Change. American Psychologist 2023, 78: 1-19. PMID: 35143235, DOI: 10.1037/amp0000940.Peer-Reviewed Original Research
2022
Downstream 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 levelsInjuryCohortMoral injury among U.S. combat veterans with and without PTSD and depression
Norman SB, Nichter B, Maguen S, Na PJ, Schnurr PP, Pietrzak RH. Moral injury among U.S. combat veterans with and without PTSD and depression. Journal Of Psychiatric Research 2022, 154: 190-197. PMID: 35947898, DOI: 10.1016/j.jpsychires.2022.07.033.Peer-Reviewed Original ResearchConceptsProbable posttraumatic stress disorderPosttraumatic stress disorderCombat veteransInjurious eventsU.S. combat veteransProbable depressionFunctional impairmentMost veteransStress disorderDepressionVeteransPrevalenceDisordersRepresentative studyRepresentative sampleMoral injuryPMIEsParticipantsBioethics, Ukraine, and the Peril of Silence
Fins J. Bioethics, Ukraine, and the Peril of Silence. Cambridge Quarterly Of Healthcare Ethics 2022, 32: 1-3. PMID: 35801289, DOI: 10.1017/s0963180122000238.Peer-Reviewed Original ResearchEthical Challenges When Establishing Goals of Care in the Acute Care Surgical Setting.
Kodadek LM. Ethical Challenges When Establishing Goals of Care in the Acute Care Surgical Setting. The Journal Of Clinical Ethics 2022, 33: 146-150. PMID: 35731819, DOI: 10.1086/jce2022332146.Peer-Reviewed Original ResearchConceptsPatient goalsDecision-making capacityAcute care surgeonsAcute surgical diseasesBurden of treatmentGoals of careEthical challengesLife-threatening naturePatient's decision-making capacitySurgical treatmentSurgical diseaseSurgical problemsSurgical settingPatientsSurgeonsHealthcare decisionsCareTreatmentPotential benefitsDiseaseJump in Elective Total Hip and Knee Arthroplasty Numbers at Age 65 Years: Evidence for Moral Hazard?
Rankin KA, Freedman IG, Moore HG, Halperin SJ, Rubin LE, Grauer JN. Jump in Elective Total Hip and Knee Arthroplasty Numbers at Age 65 Years: Evidence for Moral Hazard? JAAOS Global Research And Reviews 2022, 6: e22.00035. PMID: 35315795, PMCID: PMC8942773, DOI: 10.5435/jaaosglobal-d-22-00035.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyTotal hip arthroplastyAge 65 yearsNational Surgical Quality Improvement Program databaseIncidence of TKAElective total knee arthroplastyQuality Improvement Program databaseLower body mass indexElective total hipPostoperative adverse eventsPreoperative American SocietyImprovement Program databaseLower functional statusBody mass indexNon-Hispanic whitesNumber of proceduresAnesthesiologists classPreoperative characteristicsOlder patientsAdverse eventsTHA patientsMass indexTotal hipFunctional statusKnee arthroplastySchizophrenia as a symptom of psychiatry’s reluctance to enter the moral era of medicine
van Os J, Guloksuz S. Schizophrenia as a symptom of psychiatry’s reluctance to enter the moral era of medicine. Schizophrenia Research 2022, 242: 138-140. PMID: 34991949, DOI: 10.1016/j.schres.2021.12.017.Peer-Reviewed Original Research
2021
U.S. trainees’ experiences of ethical challenges during research in low- and middle-income countries: A mixed methods study
Standish K, McDaniel K, Ahmed S, Allen NH, Sircar S, Mira M, Khoshnood K. U.S. trainees’ experiences of ethical challenges during research in low- and middle-income countries: A mixed methods study. Global Public Health 2021, 17: 1433-1449. PMID: 34061716, DOI: 10.1080/17441692.2021.1933124.Peer-Reviewed Original ResearchConceptsEthical challengesHuman subjects protectionNarrative survey responsesHost country partnersEthical frameworkEthical issuesTrainee researchersSubject protectionMentor helpResearch practicesPre-departure trainingLMIC institutionsEthicsMixed-methods studyOnline survey respondentsPracticeU.S. graduatesCountry partnersSemi-structured interviewsMethods studyMiddle-income countriesOversightThemesSemi-structure interviewsChallenges
2020
Structural Disparities in Data Science: A Prolegomenon for the Future of Machine Learning
Karnik NS, Afshar M, Churpek MM, Nunez-Smith M. Structural Disparities in Data Science: A Prolegomenon for the Future of Machine Learning. The American Journal Of Bioethics 2020, 20: 35-37. PMID: 33103976, PMCID: PMC7695219, DOI: 10.1080/15265161.2020.1820102.Peer-Reviewed Original ResearchPersonal Transformation and Advance Directives: An Experimental Bioethics Approach
Earp B, Latham S, Tobia K. Personal Transformation and Advance Directives: An Experimental Bioethics Approach. The American Journal Of Bioethics 2020, 20: 72-75. PMID: 32757927, DOI: 10.1080/15265161.2020.1781964.Peer-Reviewed Original Research
2019
Decision-Making Capacity Will Have a Limited Effect on Civil Commitment Practices
Zhong R, Sisti D, Karlawish J. Decision-Making Capacity Will Have a Limited Effect on Civil Commitment Practices. The American Journal Of Bioethics 2019, 19: 86-88. PMID: 31566499, DOI: 10.1080/15265161.2019.1654011.Peer-Reviewed Original ResearchPhysician Aid-in-Dying for Individuals With Serious Mental Illness: Clarifying Decision-Making Capacity and Psychiatric Futility
Zhong R, Xu Y, Oquendo M, Sisti D. Physician Aid-in-Dying for Individuals With Serious Mental Illness: Clarifying Decision-Making Capacity and Psychiatric Futility. The American Journal Of Bioethics 2019, 19: 61-63. PMID: 31557113, DOI: 10.1080/15265161.2019.1654018.Peer-Reviewed Original ResearchEthical Challenges Related to Patient Involvement in Health Technology Assessment
Vanstone M, Abelson J, Bidonde J, Bond K, Burgess R, Canfield C, Schwartz L, Tripp L. Ethical Challenges Related to Patient Involvement in Health Technology Assessment. International Journal Of Technology Assessment In Health Care 2019, 35: 253-256. PMID: 31250778, DOI: 10.1017/s0266462319000382.Peer-Reviewed Original Research
2017
The Therapeutic “Mis”conception: An Examination of its Normative Assumptions and a Call for its Revision
Mathews D, Fins J, Racine E. The Therapeutic “Mis”conception: An Examination of its Normative Assumptions and a Call for its Revision. Cambridge Quarterly Of Healthcare Ethics 2017, 27: 154-162. PMID: 29214968, DOI: 10.1017/s0963180117000482.Peer-Reviewed Original ResearchMosaic Decisionmaking and Reemergent Agency after Severe Brain Injury
Fins J. Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury. Cambridge Quarterly Of Healthcare Ethics 2017, 27: 163-174. PMID: 28918755, DOI: 10.1017/s0963180117000329.Peer-Reviewed Original Research
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