The longitudinal association between moral injury appraisals and psychological outcomes in refugees.
Angela Nickerson, Yulisha Byrow, Joel Hoffman, Meaghan O'Donnell, Richard A Bryant, Natalie Mastrogiovanni, Tadgh McMahon, Greg Benson, Vicki Mau, Belinda J Liddell
Psychological Medicine | Published : 2020
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..View full abstract