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Cited by 375

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

Occupational moral injury and mental health: systematic review and meta-analysis

Open access
Williamson, Victoria, Stevelink, Sharon A.M., Greenberg, Neil·2018·The British Journal of Psychiatry
DOI 10.1192/bjp.2018.55
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Abstract

Background: Many people confront potentially morally injurious experiences (PMIEs) in the course of their work which can violate deeply held moral values or beliefs, putting them at risk for psychological difficulties (e.g. post-traumatic stress disorder (PTSD), depression, etc.). Aims: We aimed to assess the effect of moral injury on mental health outcomes. Method: We conducted a systematic review and meta-analysis to assess the association between work-related PMIEs and mental health disorders. Studies were independently assessed for methodological quality and potential moderator variables, including participant age, gender and PMIE factors, were also examined. Results: Thirteen studies were included, representing 6373 participants. PMIEs accounted for 9.4% of the variance in PTSD, 5.2% of the variance in depression and 2.0% of the variance in suicidality. PMIEs were associated with more symptoms of anxiety and behavioural problems (e.g. hostility), although this relationship was not consistently significant. Moderator analyses indicated that methodological factors (e.g. PMIE measurement tool), demographic characteristics and PMIE variables (e.g. military v.non-military context) did not affect the association between a PMIE and mental health outcomes. Conclusions: Most studies examined occupational PMIEs in military samples and additional studies investigating the effect of PMIEs on civilians are needed. Given the limited number of high-quality studies available, only tentative conclusions about the association between exposure to PMIEs and mental health disorders can be made. Declaration of interest: None.

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Show all 63 references

Research works printed but not linked: 10

  1. Derogatis, 1993, BSI Brief Symptom Inventory: Administration, Scoring, and Procedure Manual
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  8. Lovibond S , Lovibond P. Depression anxiety and stress scale. Manual for the Depression and Anxiety Stress Scales. DASS Publications, 1995. · doi:10.1037/t03473-000
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  10. 10.1037/0022-006X.47.2.343 · doi:10.1037/0022-006x.47.2.343 · Paper page

Cited by

Metadata

Authors
Williamson, V., Stevelink, S. A. M., & Greenberg, N.
Venue
The British Journal of Psychiatry
Publisher
Royal College of Psychiatrists
Published
2018-05-22
Volume
212
Issue
6
Pages
339-346
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
DOI
10.1192/bjp.2018.55
OpenAlex
W2803326482
Cited by
375
References
63
FWCI
5.22
Type
journal article
Language
en
Open access
bronze
Licence
www.cambridge.org/core/terms (unspecified)

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