Department of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
Department of Psychology, University of North Texas, Denton, Texas, USA.
J Trauma Stress. 2022 Feb;35(1):314-320. doi: 10.1002/jts.22682. Epub 2021 May 8.
Given the disproportionate rate of alcohol misuse among veterans and related outcomes as compared to the general population, the examination of predictors of alcohol misuse in this population is imperative. Potentially morally injurious events (PMIEs), defined as severe transgressions of a moral code, have been positively associated with alcohol misuse. Exposure to PMIEs may challenge one's religious beliefs, which may, in turn, influence the strength of the association between PMIEs and alcohol misuse among military veterans. The goal of the current study was to examine the potential moderating role of religiosity in the association between PMIEs and alcohol misuse (i.e., alcohol consumption, drinking behaviors, adverse reactions to drinking, and alcohol-related problems). Participants were 496 military veterans in the community (M = 37.80 years, SD = 11.42; 70.5% male). The results of moderation analyses indicated that overall religiosity, organizational religiosity, and intrinsic religiosity significantly moderated the association between PMIEs and alcohol misuse such that the positive relation between PMIEs and alcohol misuse was stronger at high versus low levels of religiosity, R s = .01. Our findings highlight the importance of considering the role of religiosity in relation to alcohol misuse as a moral injury outcome and the potential utility of tailoring treatments for military veterans who have experienced moral injury.
鉴于退伍军人中酒精滥用的比例不成比例，以及与普通人群相比相关后果，对该人群中酒精滥用的预测因素进行检查是至关重要的。被定义为严重违反道德规范的潜在道德伤害事件 (PMIE)，与酒精滥用呈正相关。接触 PMIE 可能会挑战一个人的宗教信仰，这反过来可能会影响 PMIE 和退伍军人中酒精滥用之间关联的强度。本研究的目的是检验宗教信仰在 PMIE 与酒精滥用（即饮酒量、饮酒行为、对饮酒的不良反应和与酒精相关的问题）之间的关联中的潜在调节作用。参与者是社区中的 496 名退伍军人（M = 37.80 岁，SD = 11.42；70.5%为男性）。调节分析的结果表明，总体宗教信仰、组织宗教信仰和内在宗教信仰显著调节了 PMIE 与酒精滥用之间的关联，使得 PMIE 与酒精滥用之间的正相关在高宗教信仰与低宗教信仰之间更强，R s =.01。我们的研究结果强调了在将酒精滥用作为道德伤害后果与宗教信仰相关联时考虑宗教信仰作用的重要性，以及为经历道德伤害的退伍军人量身定制治疗方法的潜在效用。
