@article{ref1,
title="Moral injury and social well-being: a growth curve analysis",
journal="Journal of Traumatic Stress",
year="2020",
author="Chesnut, Ryan P. and Richardson, Cameron B. and Morgan, Nicole R. and Bleser, Julia A. and Perkins, Daniel F. and Vogt, Dawne and Copeland, Laurel A. and Finley, Erin",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Moral injury (MI) may occur in the context of committing transgressions (i.e., self-directed MI reactions), witnessing transgressions, or being the victims of others' transgressions (i.e., other-directed MI reactions) that violate an individual's moral principles. Veterans with MI may experience impaired social well-being (SWB). Studies on MI and veterans' SWB have focused almost exclusively on social support and used cross-sectional data. The present study used growth curve analyses to examine the associations between self- and other-directed MI reactions and veterans' levels of social support, social functioning, social activities, and social satisfaction over the first 18 to 21 months of their transition to civilian life (N = 9,566). The results demonstrated declines in all SWB outcomes, with self- and other-directed MI reactions having differential effects. Higher versus lower levels of other-directed MI reactions were related to lower baseline scores on all SWB outcomes, βs = -.06 to -.20, and steeper declines over time in social functioning, β = -.09, and social satisfaction, β = -.10. Higher versus lower levels of self-directed MI reactions were related to lower baseline levels of social functioning, β = -.07, but higher baseline levels of social activity, β =.04. Higher versus lower levels of self-directed MI reactions were related to a steeper decline in social activity over time, β = -.10. These findings present a more nuanced picture than that depicted by current MI theoretical frameworks and support further research to uncover moderators of the associations between self- and other-directed MI reactions and SWB outcomes.<p /> <p>Language: en</p>",
language="en",
issn="0894-9867",
doi="10.1002/jts.22567",
url="http://dx.doi.org/10.1002/jts.22567"
}