Psychol Trauma. 2018 Jul;10(4):456-462. doi: 10.1037/tra0000341. Epub 2017 Nov 20.
The current study replicates and extends a model of the relationship between morally injurious experiences, moral emotions, and posttraumatic stress disorder (PTSD; Jordan, Eisen, Bolton, Nash, & Litz, 2017). The current study builds on this earlier work by including broader measures of moral emotions and by including an assessment of symptoms of depression.
An online survey, distributed using crowdsourcing software, was completed by 161 military veterans. The survey included measures of transgressive acts, appraisals of these acts including self-transgressions and betrayal by leadership, and symptoms of PTSD and depression. The hypothesized model was tested using structural equation techniques.
The results of the current study largely replicate the earlier work, suggesting the effects of morally injurious experiences are mediated by moral emotions while also indicating transgressive acts can have a direct effect on PTSD. The model accounted for a large percentage of the variance of both PTSD and depression and supported specific paths between forms of morally injurious experiences, moral emotions, and negative psychological outcomes.
The current study replicates the model that suggested moral emotions mediate the role of morally injurious experiences on symptoms of PTSD. The results also demonstrate that future studies should account for the role of transgressive acts in addition to appraisals of these acts. Finally, the results suggest the model developed by Jordan and colleagues may be useful in predicting outcomes beyond PTSD. (PsycINFO Database Record
本研究复制并扩展了一个道德伤害经历、道德情感与创伤后应激障碍（PTSD；Jordan、Eisen、Bolton、Nash 和 Litz，2017）之间关系的模型。本研究通过纳入更广泛的道德情感测量以及评估抑郁症状，对早期工作进行了扩展。
一项在线调查通过众包软件进行分发，共有 161 名退伍军人完成了调查。该调查包括越轨行为、对这些行为的评价，包括自我越轨和领导背叛，以及 PTSD 和抑郁症状的评估。使用结构方程技术检验了假设模型。
本研究的结果在很大程度上复制了早期的工作，表明道德伤害经历的影响是通过道德情感来介导的，同时也表明越轨行为可能对 PTSD 产生直接影响。该模型对 PTSD 和抑郁的大部分方差都有很好的解释，并支持了道德伤害经历、道德情感和负面心理结果之间的特定路径。
本研究复制了道德情感在道德伤害经历对 PTSD 症状的作用中起中介作用的模型。研究结果还表明，未来的研究除了评估这些行为的评价外，还应考虑越轨行为的作用。最后，研究结果表明，Jordan 及其同事开发的模型可能有助于预测 PTSD 以外的结果。
