Measures of morally injurious experiences: A quantitative comparison.

A recent body of literature has examined the psychological effects of perpetrating or failing to prevent acts that violate one's sense of right and wrong. The objective of this study was to examine and compare correlations between the two most widely used instruments measuring this construct in a sample of military veterans and relevant psychosocial variables. Individuals (N = 182) who reported military combat experience completed the Moral Injury Events Scale and the Moral Injury Questionnaire-Military Version, along with measures of combat exposure, depression, posttraumatic stress disorder, alcohol concerns, anger, guilt, and shame. Results indicate similar correlations between the morally injurious experiences instruments and negative psychosocial variables, but different correlations with combat exposure. Implications for further research in the conceptualization and treatment of morally injurious experiences are discussed.

Cognitive processing of trauma and attitudes toward disclosure in the first six months after military deployment.

OBJECTIVES: To examine the role of cognitive processing and attitudes toward trauma disclosure among newly returned veterans of the Iraq and Afghanistan wars. METHOD: In total, 110 veterans completed the Cognitive Processing of Trauma Scale, Disclosure of Trauma Questionnaire, and assessments of posttraumatic stress symptoms (PTSS), depression, and posttraumatic growth (PTG). RESULTS: Both maladaptive and adaptive processing were the strongest predictors of PTSS and depression, ßs = .21 to .38. However, urge to discuss trauma was the main predictor of PTG, ß = .53. Correlational findings suggested that veterans' willingness to discuss their traumas and reactivity to doing so were related with their processing of these experiences, rs = .23 to .40. CONCLUSION: This study provides further support for the critical intersection between cognitive processing and disclosure, while also suggesting the need for more research on the intra- and inter-personal dimensions of these constructs in negative and constructive outcomes after trauma.