@article{ref1,
title="Moral injury as a mediator of the associations between sexual harassment and mental health symptoms and substance use among women veterans",
journal="Journal of interpersonal violence",
year="2021",
author="Naylor, Jennifer and Higgins, Jennise M. and Kelley, Michelle L. and Davies, Rachel L. and Ehlke, Sarah J. and Hamrick, Hannah C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Moral injury is an array of symptoms theorized to develop in response to morally injurious events, defined as events that challenge one's core moral beliefs and  expectations about the self, others, and world. Recent measures of moral injury have  distinguished self-directed moral injury (e.g., moral injury symptoms that emerge  following the perpetration of morally injurious events) from other-directed moral  injury, the symptoms of which are believed to stem from one's response to actions  that others have committed (e.g., within-rank violence, failures of leadership, and  acts of betrayal committed by trusted others or institutions). Using a convenience  sample of 154 primarily former military women, the present study examined if  other-directed moral injury symptoms (e.g., anger, betrayal, and mistrust)  associated with military experience would mediate the association between military  sexual harassment and mental health and substance abuse symptoms. <br><br>RESULTS  demonstrated that 85.8% (n = 127) of the of this sample of women veterans reported  experiencing sexual harassment during their military service. Using a single  mediation model, we further demonstrated that other-directed moral injury mediated  the association between sexual harassment experience and mental health symptoms. Given the percentage of women veterans who reported sexual harassment, these results  suggest that additional training for military members, and particularly, military  leaders, is necessary to begin to reduce sexual harassment. In addition, mental  health providers who work with current and former military members should consider  how other-directed moral injury may be associated with mental health symptoms among  women veterans who have experienced sexual harassment while in the military.<p /> <p>Language: en</p>",
language="en",
issn="0886-2605",
doi="10.1177/0886260520985485",
url="http://dx.doi.org/10.1177/0886260520985485"
}