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“我们同在一起”:归属感在以色列民众抗议运动参与者中道德伤害对心理健康影响方面的保护作用

'We're all in this together': the protective role of belongingness in the contribution of moral injury to mental health among participants in Israel's civil protest movement.

作者信息

Levi-Belz Yossi, Groweiss Yoav, Shachar Lavie Iris, Shoval Zuckerman Yael, Blank Carmel

机构信息

The Lior Tsfaty Center for Suicide and Mental Pain Studies, Ruppin Academic Center, Emek Hefer, Israel.

Department of Behavioral Sciences, Ruppin Academic Center, Emek Hefer, Israel.

出版信息

Eur J Psychotraumatol. 2025 Dec;16(1):2474374. doi: 10.1080/20008066.2025.2474374. Epub 2025 Mar 10.

DOI:10.1080/20008066.2025.2474374
PMID:40063152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11894752/
Abstract

Participating in long-term protests against government actions can affect protesters' mental health and expose protesters to potentially morally injurious events (PMIEs), such as the betrayal by leaders they once trusted. This study aimed to shed light on the potential psychological buffers against the deleterious effects of exposure to PMIEs of betrayal among protesters and to examine the moderating role of belongingness in the relationships between protesters' exposure to PMIEs and stress, PTSD and depression levels. The study sample comprised 4036 Israeli protesters (= 54.27, = 12.45; 75.6% females) who took part in the unfolding civil protest movement against the government-led judicial and constitutional overhaul between January 2023 and August 2023. Protesters completed validated self-report questionnaires that included measures of PMIEs, stress, depressive and PTSD symptoms (PTSS). Beyond demographic and protest-related characteristics, exposure to PMIEs of betrayal was found to contribute to both PTSD and depression levels. The indirect effects of PMIE-betrayal on PTSS/depressive symptoms through stress levels were significant, particularly when belongingness levels were low. Thus, a greater sense of PMIE-betrayal contributes to stress symptoms, which, in turn, is linked to higher levels of PTSS and depressive symptoms for protesters having low levels of belongingness. The study's findings highlight the critical contribution of PMIE-betrayal to both PTSS and depression levels, which were mediated by levels of stress. Moreover, experiencing belongingness moderated these relationships. Clinicians treating protesters coping with PTSS and depressive symptoms should also adopt therapeutic aims of establishing belongingness and social support among the protesters.

摘要

参与针对政府行动的长期抗议活动可能会影响抗议者的心理健康,并使抗议者面临潜在的道德伤害事件(PMIEs),比如被他们曾经信任的领导人背叛。本研究旨在阐明对抗议者接触背叛性PMIEs的有害影响可能起到心理缓冲作用的因素,并检验归属感在抗议者接触PMIEs与压力、创伤后应激障碍(PTSD)及抑郁水平之间关系中的调节作用。研究样本包括4036名以色列抗议者(=54.27,=12.45;75.6%为女性),他们参与了2023年1月至2023年8月期间针对政府主导的司法和宪法改革展开的民间抗议活动。抗议者完成了经过验证的自我报告问卷,其中包括对PMIEs、压力、抑郁和PTSD症状(PTSS)的测量。除了人口统计学和与抗议相关的特征外,发现接触背叛性PMIEs会导致PTSD和抑郁水平上升。PMIE - 背叛通过压力水平对PTSS/抑郁症状产生的间接影响是显著的,尤其是在归属感水平较低时。因此,对于归属感水平较低的抗议者而言,更强的PMIE - 背叛感会导致压力症状,而压力症状又与更高水平的PTSS和抑郁症状相关。研究结果突出了PMIE - 背叛对PTSS和抑郁水平的关键作用,这一作用由压力水平介导。此外,体验到归属感会调节这些关系。治疗应对PTSS和抑郁症状的抗议者的临床医生也应将在抗议者中建立归属感和社会支持作为治疗目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/e3785ded7155/ZEPT_A_2474374_F0003_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/983750d437be/ZEPT_A_2474374_F0001_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/0dcb95393c05/ZEPT_A_2474374_F0002_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/e3785ded7155/ZEPT_A_2474374_F0003_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/983750d437be/ZEPT_A_2474374_F0001_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/0dcb95393c05/ZEPT_A_2474374_F0002_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c909/11894752/e3785ded7155/ZEPT_A_2474374_F0003_OB.jpg

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