Journalists covering the refugee and migration crisis are affected by moral injury not PTSD
Open accessAbstract
Objective: To explore the emotional health of journalists covering the migrations of refugees across Europe. Design: Descriptive. A secure website was established and participants were given their unique identifying number and password to access the site. Setting: Newsrooms and in the field. Participants: Responses were received from 80 (70.2%) of 114 journalists from nine news organisations. Main outcome measures: Symptoms of PTSD (Impact of Events Scale-revised), depression (Beck Depression Inventory-Revised) and moral injury (Moral Injury Events Scale-revised). Results: Symptoms of PTSD were not prominent, but those pertaining to moral injury and guilt were. Moral injury was associated with being a parent ( p = .031), working alone ( p = .02), a recent increase in workload ( p = .017), a belief that organisational support is lacking ( p = .046) and poor control over resources needed to report the story ( p = .027). A significant association was found between guilt and moral injury ( p = .01) with guilt more likely to occur in journalists who reported covering the migrant story close to home ( p = .011) and who divulged stepping outside their role as a journalist to assist migrants ( p = .014). Effect sizes ( d) ranged from .47 to .71. Conclusions: On one level, the relatively low scores on conventional psychometric measures of PTSD and depression are reassuring. However, our data confirm that moral injury is a different construct from DSM-defined trauma response syndromes, one that potentially comes with its own set of long-term maladaptive behaviours and adjustment problems.
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Moral injury may arise in response to work-related stressors in the journalism profession.
“More recently, data have shown that moral injury may also arise in response to work-related stressors in the profession (Feinstein et al., 2018).”
From An examination of psychological distress and moral injury in journalists exposed to online harassment (2025) · cites this paper as Feinstein et al., 2018
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Cites
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Moral injury and PTSD: Often co-occurring yet mechanistically different
Barnes, H. A., Hurley, R. A., & Taber, K. H. (2019) · The Journal of Neuropsychiatry and Clinical Neurosciences · doi:10.1176/appi.neuropsych.19020036 · Cited by 172 · see citing works
Feinstein, A., Storm, H., Mead, J., & Sharkey, A. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2522501 · Cited by 8 · see citing works
“More recently, data have shown that moral injury may also arise in response to work-related stressors in the profession (Feinstein et al., 2018).”
Self-citation
- Authors
- Feinstein, A., Pavisian, B., & Storm, H.
- Affiliations
- Sunnybrook Health Science Centre (CA)
- Corresponding author
- Feinstein, Anthony
- ORCID
- Feinstein, Anthony
- Venue
- JRSM Open
- Publisher
- SAGE Publications
- Published
- 2018-03
- Volume
- 9
- Issue
- 3
- Pages
- 2054270418759010-2054270418759010
- ISSN
- 2054-2704 (ISSN-L)
- PMC
- PMC5846940
- OpenAlex
- W2790896788
- Cited by
- 80
- References
- 2
- Citations by year
- 2026: 10 · 2025: 18 · 2024: 6 · 2023: 15 · 2022: 12 · 2021: 14 · 2020: 2 · 2019: 3
- FWCI
- 5.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- JRSM Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- moral injury, post-traumatic stress disorder, journalists, guilt, depression, occupational stress, newsroom work, organizational support
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