Harper Kelly L, Stanley Melinda A, Exline Julie J, Pargament Kenneth I, Fletcher Terri L, Teng Ellen J
Michael E. DeBakey Veteran Affairs Medical Center, Department of Psychology, University of North Carolina at Greensboro, Greensboro, North Carolina.
Department of Psychology, University of North Carolina at Greensboro, Greensboro, North Carolina.
Mil Psychol. 2020 Jul 28;32(4):352-362. doi: 10.1080/08995605.2020.1760684. eCollection 2020.
Potentially morally injurious events (PMIEs), including committing transgressions (Transgressions-Self) and perceiving betrayals, have been positively associated with posttraumatic stress disorder (PTSD). A proposed mechanism for the association between PMIEs and PTSD symptoms is social disconnection. However, research on PMIEs and social disconnection is limited. Secondary data analysis from a larger study examined the moderating role of different sources of perceived social support (Family, Friends, and Significant Other) on the relation between PMIEs (Transgressions-Self and Betrayal) and PTSD. The interaction of Transgressions-Self and perceived social support subscales did not predict PTSD symptoms. However, the interaction of Betrayals and perceived social support (Significant Other and Family) predicted PTSD symptoms. Results suggest that perceived social support provides a protective effect for low to mean levels of perceived betrayals; however, for Veterans reporting high levels of betrayal, perceived social support did not attenuate PTSD symptom severity. Additional research on perceived betrayals and the association with PTSD is needed, especially for Veterans who experience high levels of perceived betrayals.
潜在的道德伤害事件（PMIEs），包括犯下过错（自我过错）和感知到背叛，已被证实与创伤后应激障碍（PTSD）呈正相关。关于PMIEs与PTSD症状之间关联的一种推测机制是社会脱节。然而，关于PMIEs和社会脱节的研究有限。一项更大规模研究的二次数据分析考察了不同来源的感知社会支持（家庭、朋友和重要他人）在PMIEs（自我过错和背叛）与PTSD关系中的调节作用。自我过错与感知社会支持子量表的交互作用并未预测PTSD症状。然而，背叛与感知社会支持（重要他人和家庭）的交互作用预测了PTSD症状。结果表明，感知社会支持对低至中等水平的感知背叛具有保护作用；然而，对于报告背叛水平较高的退伍军人，感知社会支持并未减轻PTSD症状的严重程度。需要对感知背叛及其与PTSD的关联进行更多研究，尤其是对于经历高水平感知背叛的退伍军人。
