The longitudinal association between moral injury appraisals and psychological outcomes in refugees

AngelaNickerson; YulishaByrow; JoelHoffmanMeaghanODonnellRichard ABryantNatalieMastrogiovanniTadghMcMahonGregBensonVickiMauBelinda J.Liddell

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The longitudinal association between moral injury appraisals and psychological outcomes in refugees

机译：The longitudinal association between moral injury appraisals and psychological outcomes in refugees

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Abstract Background Refugees report a diverse array of psychological responses following persecution and displacement. Little is known, however, regarding the mechanisms that underlie differential psychological reactions in refugees. This study investigated the longitudinal impact of negative moral appraisals about one's own actions [i.e. moral injury-self (MI-self) appraisals] and others' actions [i.e. moral injury-other (MI-others) appraisals] on a variety of psychological symptoms over a period of 6 months.Methods Participants were 1085 Arabic, Farsi, Tamil, or English-speaking refugees who completed a survey at baseline and 6 months later either on-line or via pen-and-paper. The survey indexed demographic factors, exposure to potentially traumatic events (PTEs), exposure to ongoing stressors, MI-other appraisals, MI-self appraisals, re-experiencing and arousal symptoms, and feelings of sadness, anger and shame.Results Findings indicated that, after controlling for demographics, PTE exposure and ongoing stressors, MI-other appraisals predicted increased re-experiencing and hyperarousal symptoms, and feelings of sadness and shame. MI-self appraisals predicted decreased feelings of shame, and decreased re-experiencing symptoms. In contrast, psychological symptoms at baseline did not as strongly influence MI appraisals 6 months later.Conclusions These findings highlight the important role that cognitive appraisals of adverse events play in the longitudinal course of psychological symptoms. These results thus have important implications for the development of tailored psychological interventions to alleviate the mental health burden held by refugees.

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《Psychological medicine》 |2022年第12期|2352-2364|共13页
作者
AngelaNickerson; YulishaByrow; JoelHoffmanMeaghanODonnellRichard ABryantNatalieMastrogiovanniTadghMcMahonGregBensonVickiMauBelinda J.Liddell;
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作者单位

School of Psychology, University of New South Wales;

Phoenix Australia, University of Melbourne;

Settlement Services InternationalAustralian Red Cross;

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正文语种英语
中图分类医学心理学、病理心理学;
关键词
Refugees; moral injury; posttraumatic stress; depression; anger;

The longitudinal association between moral injury appraisals and psychological outcomes in refugees

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