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Mixed methods study reveals moral injury contributes to PTSD in survivors of intimate partner sexual violence, suggesting key mechanisms.
= 142) of intimate partner sexual violence (IPSV). IPSV was significantly associated with shame-related moral injury, trust-violation-related moral injury, and posttraumatic stress disorder (PTSD). Results revealed significant indirect effects of IPSV on PTSD via shame-related moral injury and trust-violation-related moral injury. Reflexive thematic analysis of open-ended responses identified three key themes: (a) Self-Betrayal, (b) Self-Blame, and (c) Other-Betrayal. Our findings indicate that moral injury may serve as an important mechanism linking IPSV to PTSD among IPSV survivors.
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Kanter et al. (2026) studied this question.
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