The Invisible Wound: Moral Injury and Its Impact on the Health of Operation Enduring Freedom/Operation Iraqi Freedom Veterans.

Many veterans are now returning from Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) deployments with physical and mental health problems. However, there are few studies that examine the impact of moral injury on both physical and mental well-being. This study examines the impact of...

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Publicado en:Military Medicine Vol. 181; no. 5; pp. 451 - 459
Autor principal: Yan, Grace W.
Formato: research Journal Article
Publicado: Oxford University Press / USA May2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The Invisible Wound: Moral Injury and Its Impact on the Health of Operation Enduring Freedom/Operation Iraqi Freedom Veterans.
      aug:
        au: Yan, Grace W.
        affil: Department of Veterans Affairs, Center for Health and Wellness, 385 Tremont Avenue, Building 17 MS11C, East Orange, NJ 07018.
      sug:
        subj:
          Adaptation, Psychological
          Veterans Psychosocial Factors
          Morals
          Depression Etiology
          Spirituality
          Stress Disorders, Post-Traumatic Psychosocial Factors
          Cross Sectional Studies
          Pilot Studies
          Male
          Middle Age
          Female
          Stress, Psychological Etiology
          Depression Psychosocial Factors
          New Jersey
          Stress, Psychological Complications
          Adult
          Aged
          Stress Disorders, Post-Traumatic Etiology
          Human
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Aged: 65+ years
          Male
          Female
      ab: Many veterans are now returning from Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) deployments with physical and mental health problems. However, there are few studies that examine the impact of moral injury on both physical and mental well-being. This study examines the impact of moral injury on self-reported general physical health, general mental health, post-traumatic stress disorder symptoms, and depression symptoms. Cross-sectional data were collected at as part of a pilot study at the New Jersey Veteran Affairs. 100 OEF/OIF veterans recruited at the New Jersey Veteran Affairs completed the paper questionnaire. We found that moral injury and combat experiences positively predicted post-traumatic stress disorder scores. Seeing the aftermath of battle and moral injury were negatively associated with mental well-being and positively associated with depression. Physical health status was negatively associated with depression. Spirituality and moral injury were negatively associated with physical health, whereas age was positively associated with physical health. Moral injury plays an important role in both physical and mental health outcomes for OEF/OIF veterans, but it is often not addressed in health care. These results underline the need for an approach to veterans' health care that includes discussion of existential and moral issues since they may impact health outcomes for many service members.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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