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The current studies explored associations between exposure to potentially morally injurious events (PMIEs) and mental health outcomes among frontline workers affected by the coronavirus pandemic.We administered online self-report surveys to emergency responders (Between 20% and 30% of frontline workers reported exposure to PMIEs of at least moderate frequency and intensity. Exposure to more intense PMIEs was associated with greater psychological symptoms (i.e., stress, depression, and anxiety) and functional impairment (i.e., professional burnout), especially among emergency responders who reported frequent exposure but also hospital workers who reported few exposures.Efforts to facilitate and maintain the well-being of the public health workforce should specifically address critical incidents encountered by frontline workers that have embedded moral and ethical challenges. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Studies of moral injury among nonmilitary samples are scarce despite repeated calls to examine the prevalence and outcomes of moral injury among civilian frontline workers. The purpose of this study was to describe the prevalence of moral injury and to examine its association with psychosocial functioning among health care workers during the COVID-19 pandemic. We surveyed health care workers (N = 480), assessing exposure to potentially morally injurious events (PMIEs) and psychosocial functioning. Data were analyzed using latent class analysis (LCA) to explore patterns of PMIE exposure (i.e., classes) and corresponding psychosocial functioning. The

Purpose Healthcare workers are at increased risk for mental health problems during disasters such as the COVID-19 pandemic. Identifying resilience mechanisms can inform development of interventions for this population. The current study examined pathways that may support healthcare worker resilience, specifically testing enabling (social support enabled self-efficacy) and cultivation (self-efficacy cultivating support) models. Methods Healthcare workers (N = 828) in the Rocky Mountain West completed self-report measures at four time points (once per month from April to July of 2020). We estimated structural equation models to explore the potential mediating effects that received social support and coping self-efficacy had (at time 2 and time 3) between traumatic stress symptom severity (at time 1 and time 4). Models included covariates gender, age, minority status, and time lagged co-variations between the proposed mediators (social support and coping self-efficacy). Results The full model fit the data well, CFI = .993, SRMR = .027, RMSEA = .036 [90% CIs (0.013, 0.057)]. Tests of sequential mediation supported enabling model dynamics. Specifically, the effects of time 1 traumatic stress severity were mediated through received social support at time 2 and time 3 coping self-efficacy, in sequential order to reduce time 4 traumatic stress severity. Conclusions Findings show the importance of received social support and coping self-efficacy in mitigating psychopathology risk. Interventions can support mental health by focusing on social resource engagement that facilitates coping empowerment, which may decrease risk for mental health job-related problems among frontline healthcare workers exposed to highly stressful events.

Although the transition out of military service is a high-risk time for suicidal ideation (SI), a paucity of research examines the development of SI during this transition process and veteran subgroups at risk for SI as they readjust to civilian life.A population-based, longitudinal post-9/11 veteran cohort reported SI frequency at 3, 9, 15, 21, and 27 months post-separation using the Patient Health Questionnaire-9. We identified distinct trajectories of SI over time (i.e., classes) using latent class growth analysis and examined demographic and military service predictors of class membership overall and by gender using multinomial logistic regression.Four SI trajectories that were similar across genders were identified: resilient (90.1%), delayed onset (5.0%), remitting (2.7%), and chronic (2.2%). Younger age, minority race/ethnicity, medical and other (vs. honorable) separation types, and Veterans Health Administration service utilization were associated with increased odds of assignment to a higher-risk trajectory (delayed onset, remitting, and/or chronic vs. resilient), whereas continued service in the National Guard/Reserves and officer rank was associated with lower odds of assignment to a higher-risk trajectory.Findings regarding veterans at greatest risk for SI following military separation can inform targeted assessment and early intervention efforts.

Moral injury (MI) symptoms (guilt, shame, isolation) can be associated with military experiences. While a degree of overlap is recognized between MI and posttraumatic stress disorder (PTSD) symptoms, MI symptoms do not always respond to evidence-based treatments for PTSD. Mental Health Clinician Community Chaplain Collaboration (MC4) was delivered by community clergy to address MI symptoms through facilitation of forgiveness and community reintegration. Thirteen veterans participated and the results suggested that MC4 was generally feasible and acceptable. However, it is unlikely community clergy time could keep up with demand. Shifting intervention delivery to Department of Veterans Affairs (VA) chaplains will alleviate many barriers experienced in this feasibility study.

BackgroundAlthough research has shown that exposure to potentially traumatic and morally injurious events is associated with psychological symptoms among veterans, knowledge regarding functioning impacts remains limited.MethodsA population-based sample of post-9/11 veterans completed measures of intimate relationship, health, and work functioning at approximately 9, 15, 21, and 27 months after leaving service. Moral injury, posttraumatic stress, and depression were assessed at ~9 months post-separation. We used Latent Growth Mixture Models to identify discrete classes characterized by unique trajectories of change in functioning over time and to examine predictors of class membership.ResultsVeterans were assigned to one of four functioning trajectories: high and stable, high and decreasing, moderate and increasing, and moderate and stable. Whereas posttraumatic stress, depression, and moral injury associated with perpetration and betrayal predicted worse outcomes at baseline across multiple functioning domains, moral injury associated with perpetration and depression most reliably predicted assignment to trajectories characterized by relatively poor or declining functioning.ConclusionsMoral injury contributes to functional problems beyond what is explained by posttraumatic stress and depression, and moral injury due to perpetration and depression most reliably predicted assignment to trajectories characterized by functional impairment over time.

Our goal was to identify gender differences in the prevalence and outcomes of exposure to potentially morally injurious events (PMIEs) in a sample of U.S. military veterans. In a national sample of post-9/11 veterans (n = 7200) weighted to reflect the larger population of newly separated U.S. veterans, we conducted gender-stratified analyses of the prevalence of exposure to PMIEs and their associations with psychological and functional problems. Veterans reported exposures stemming from witnessing (27.9%), perpetrating (18.8%), and being betrayed (41.1%). Women more frequently reported witnessing- and betrayal-based PMIEs, but no gender differences were observed for perpetration-based PMIEs. Psychological distress was associated with witnessing and betrayal among women and with witnessing, betrayal, and perpetration among men. Whereas betrayal was most consistently associated with functional impairment across domains for women, perpetration was most consistently associated with functional impairment for men. Moral injury contributes to psychological and functional problems among a significant minority of military veterans, although effects vary based on PMIE type and gender. Implications for veterans and other populations who experience moral injury are discussed.

Objective Military veterans who interpret their own or others' actions as moral transgressions are theorized to experience moral distress. The purpose of this study was to explore patterns of moral distress and associated psychological, social, and religious or spiritual problems among student veterans. Method Student veterans (N = 498) retrospectively reported experiences of moral distress associated with deployment-related events in which they felt (a) troubled by what they witnessed, (b) troubled by what they did, (c) troubled by what they failed to do, (d) betrayed by military leaders, or (e) betrayed by fellow service members. Results Latent profile analysis revealed 5 response patterns: No Moral Distress (42%), Witnessing-Only (16%), Moral Distress-Other (19%; encompassing distress mostly from being betrayed by others), Moral Distress-Self (8%; encompassing distress mostly from one's own actions or inactions), and Moral Distress-Self and Other (15%). We compared scores on measures of posttraumatic stress, familial or social functioning, and religious or spiritual struggles between profiles and observed moderate to large differences. Conclusions Whereas participants reported some problems (e.g., interpersonal conflict) regardless of whether they were exposed to a morally injurious event by witnessing, perpetrating, or being betrayed, in comparison to those reporting no moral distress, those who felt responsible for the event reported greater guilt and lack of purpose and those who held others responsible for the event reported greater posttraumatic stress. Participants who endorsed feeling betrayed by others' and troubled by their own actions reported multiple problems including posttraumatic stress, interpersonal difficulties, and religious or spiritual struggles. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The present study is the first randomized, controlled trial comparing REACH Forgiveness and Forgive for Good, two of the most commonly used approaches to promote forgiveness. Additionally, the combined effects of psychoeducation and a community forgiveness intervention were examined. Psychoeducation participants were 99 Luther College students randomly assigned to six hours of one of two types of forgiveness training led by undergraduate facilitators or a control condition. The community forgiveness intervention involved campus-wide modifications to the environment that were difficult for most students to not notice. Unforgiveness and forgiveness were measured at pre-, post-intervention, and two-month follow-up. Both forgiveness groups reported decreased unforgiveness and increased forgiveness pre- to post-intervention, and these gains were maintained at follow-up. Both methods were found to be equally effective, can be taught by undergraduates, and were effective in tandem with a community intervention.

Background Our goal was to examine the association between moral injury, mental health, and suicide attempts during military service and after separation by gender in post-9/11 veterans. Methods A nationally representative sample of 14057 veterans completed a cross-sectional survey. To examine associations of exposure to potentially morally injurious events (PMIEs; witnessing, perpetrating, and betrayal) and suicidal self-directed violence, we estimated two series of multivariable logistic regressions stratified by gender, with peri- and post-military suicide attempt as the dependent variables. Results PMIE exposure accounted for additional risk of suicide attempt during and after military service after controlling for demographic and military characteristics, current mental health status, and pre-military history of suicidal ideation and attempt. Men who endorsed PMIE exposure by perpetration were 50% more likely to attempt suicide during service and twice as likely to attempt suicide after separating from service. Men who endorsed betrayal were nearly twice as likely to attempt suicide during service; however, this association attenuated to non-significance after separation in the fully adjusted models. In contrast, women who endorsed betrayal were over 50% more likely to attempt suicide during service and after separation; PMIE exposure by perpetration did not significantly predict suicide attempts before or after service among women in the fully adjusted models. Conclusions Our findings indicate that suicide assessment and prevention programs should consider the impact of moral injury and attend to gender differences in this risk factor in order to provide the most comprehensive care.

The mental health of healthcare workers (HCWs) is critical to their long-term well-being and future disaster preparedness. Goal 1 of this study was to identify rates of mental health problems experienced by HCWs. Goal 2 was to test a model of risk stemming from pandemic-related stressors and vulnerability factors. This cross-sectional study included HCWs (N ​= ​2,246 [1,573 clinical providers; 673 non-clinical staff]) in the Rocky Mountain West who voluntarily completed an online survey in April/May 2020. Respondents completed measures for traumatic stress symptoms, depression, anxiety, alcohol use, and sleep. Logistic regressions stratified by professional role (clinical versus non-clinical) were specified to predict clinical screening cutoff (positive/negative) as a function of five pandemic-related stressors (immunocompromised self; immunocompromised household member; care provision to infected patients; clinical management role; positive cases). Results showed that more than half of HCWs surveyed (52.5%) screened positive (above cutoff) for traumatic stress, depression, or anxiety, with ~20% reporting problematic alcohol use, and variable insufficient sleep from ~10% off shift to ~50% on shift. Clinical employees with an immunocompromised household member had increased odds of screening positive for a mental health problem. Non-clinical HCWs who were immunocompromised were at elevated risk for screening positive a mental health problem. Being female, minority status, and younger increased odds for mental health problems. Implications include alleviating a portion of the mental health burden of HCWs involved in response to the SARS-CoV-2 pandemic by considering policies to protect immunocompromised HCWs and their families (e.g., vaccine priorities, telework options).

Relational humility (RH) is associated with positive outcomes (e.g., fewer depressive symptoms; less couple conflict). Traditional conceptualizations of RH rely on other-report measures, bu...

Individuals who are exposed to traumatic events that violate their moral values may experience severe distress and functional impairments known as "moral injuries." Over the last decade, moral injury has captured the attention of mental health care providers, spiritual and faith communities, media outlets, and the general public. Research about moral injury, especially among military personnel and veterans, has also proliferated. For this article, we reviewed scientific research about moral injury. We identified 116 relevant epidemiological and clinical studies. Epidemiological studies described a wide range of biological, psychological/behavioral, social, and religious/spiritual sequelae associated with exposure to potentially morally injurious events. Although a dearth of empirical clinical literature exists, some authors debated how moral injury might and might not respond to evidence-based treatments for posttraumatic stress disorder (PTSD) whereas others identified new treatment models to directly address moral repair. Limitations of the literature included variable definitions of potentially morally injurious events, the absence of a consensus definition and gold-standard measure of moral injury as an outcome, scant study of moral injury outside of military-related contexts, and clinical investigations limited by small sample sizes and unclear mechanisms of therapeutic effect. We conclude our review by summarizing lessons from the literature and offering recommendations for future research.Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) Daño Moral: Una revisión integrativa REVISION INTEGRATIVA DE LA INVESTIGACION EN DAÑO MORAL Las personas que están expuestas a eventos traumáticos que violan sus valores morales pueden experimentar una angustia grave y discapacidades funcionales conocidas como “daño moral”. En la última década, el daño moral ha captado la atención de proveedores de servicios de salud mental, comunidades espirituales y religiosas, medios de comunicación y el público en general. La investigación sobre daño moral, especialmente entre el personal militar y los veteranos, también ha proliferado. Para este artículo, revisamos la investigación científica sobre el daño moral. Se identificaron 116 estudios epidemiológicos y clínicos relevantes. Los estudios epidemiológicos describieron una amplia gama de secuelas biológicas, psicológicas / conductuales, sociales y religiosas / espirituales asociadas con la exposición a eventos potencialmente dañinos moralmente. Aunque existe una escasez de literatura clínica empírica, algunos autores debatieron cómo el daño moral podría y no podría responder a los tratamientos basados ​​en la evidencia para el trastorno de estrés postraumático (TEPT), mientras que otros identificaron nuevos modelos de tratamiento para abordar directamente la reparación moral. Las limitaciones de la literatura incluyeron definiciones de variables de eventos potencialmente perjudiciales desde el punto de vista moral, la ausencia de una definición consensuada y una medida de gold-estándar de daño moral y sus consecuencias, escaso estudio de daño moral fuera de contextos relacionados con el ejército e investigaciones clínicas limitadas por muestra de tamaño pequeños y mecanismos poco claros del efecto terapéutico. Concluimos nuestra revisión resumiendo las lecciones de la literatura y ofreciendo recomendaciones para futuras investigaciones.Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Moral Injury: An Integrative Review Traditional Chinese 標題: 道德創傷:一項綜合評估 撮要: 經歷與自己的道德價值相違的創傷事件, 可導致嚴重悲痛和功能損傷, 此為「道德創傷」。過去十年來, 心理治療人士、信仰團體、媒體和普羅大眾開始關注道德創傷, 而針對道德創傷的研究, 特別是專門檢視現役和退役軍人的研究, 亦大大提升。本文將審視有關道德創傷的科學研究, 找出116份相關的流行病學及臨床研究。流行病學研究描述跟經歷潛在會導致道德創傷的事件相關的生物學、心理/行為、社會、信仰/精神層面廣泛的後遺症。雖然目前只有少量具臨床實證的文獻, 但當中有些探討針對創傷後壓力症(PTSD)的實證為本治療是否能治理道德創傷, 有些則找出新的治療模型以直接治理道德創傷。這些文獻的限制, 包括對潛在會導致道德創傷的事件有不同定義、缺乏對定義的共識、未能得出測量道德創傷的黃金標準、缺乏軍事相關環境以外的道德創傷研究, 而臨床研究的樣本數量小而且療效的機制模糊。最後, 我們總結文獻帶來的貢獻, 並為未來研究提供建議。 Simplified Chinese 标题: 道德创伤:一项综合评估 撮要: 经历与自己的道德价值相违的创伤事件, 可导致严重悲痛和功能损伤, 此为「道德创伤」。过去十年来, 心理治疗人士、信仰团体、媒体和普罗大众开始关注道德创伤, 而针对道德创伤的研究, 特别是专门检视现役和退役军人的研究, 亦大大提升。本文将审视有关道德创伤的科学研究, 找出116份相关的流行病学及临床研究。流行病学研究描述跟经历潜在会导致道德创伤的事件相关的生物学、心理/行为、社会、信仰/精神层面广泛的后遗症。虽然目前只有少量具临床实证的文献, 但当中有些探讨针对创伤后压力症(PTSD)的实证为本治疗是否能治理道德创伤, 有些则找出新的治疗模型以直接治理道德创伤。这些文献的限制, 包括对潜在会导致道德创伤的事件有不同定义、缺乏对定义的共识、未能得出测量道德创伤的黄金标准、缺乏军事相关环境以外的道德创伤研究, 而临床研究的样本数量小而且疗效的机制模糊。最后, 我们总结文献带来的贡献, 并为未来研究提供建议。.

Healthcare workers are at increased risk for mental health problems during disasters such as the COVID-19 pandemic. Identifying resilience mechanisms can inform development of interventions for this population. The current study examined pathways that may support healthcare worker resilience, specifically testing enabling (social support enabled self-efficacy) and cultivation (self-efficacy cultivating support) models.Healthcare workers (N = 828) in the Rocky Mountain West completed self-report measures at four time points (once per month from April to July of 2020). We estimated structural equation models to explore the potential mediating effects that received social support and coping self-efficacy had (at time 2 and time 3) between traumatic stress symptom severity (at time 1 and time 4). Models included covariates gender, age, minority status, and time lagged co-variations between the proposed mediators (social support and coping self-efficacy).The full model fit the data well, CFI = .993, SRMR = .027, RMSEA = .036 [90% CIs (0.013, 0.057)]. Tests of sequential mediation supported enabling model dynamics. Specifically, the effects of time 1 traumatic stress severity were mediated through received social support at time 2 and time 3 coping self-efficacy, in sequential order to reduce time 4 traumatic stress severity.Findings show the importance of received social support and coping self-efficacy in mitigating psychopathology risk. Interventions can support mental health by focusing on social resource engagement that facilitates coping empowerment, which may decrease risk for mental health job-related problems among frontline healthcare workers exposed to highly stressful events.

The mental health of frontline workers is critical to a community's ability to manage crises and disasters. This study assessed risks for mental health problems (traumatic stress, depression, anxiety, alcohol use, insomnia) in association with pandemic-related stressors in a sample of emergency and hospital personnel (N = 571). Respondents completed self-report surveys online from April 1st to May 7th, 2020 in the Rocky Mountain region of the United States. Results showed that roughly fifteen to thirty percent of respondents screened positive for each disorder. Odds of screening positive were similar between groups for probable acute traumatic stress, depressive disorder, anxiety disorder, and alcohol use disorder; emergency personnel reported significantly higher rates of insufficient sleep than healthcare workers. Logistic regressions showed that respondents who reported having an immunocompromised condition had higher odds of acute traumatic stress, anxiety, and depression. Having an immunocompromised household member was associated with higher odds of insufficient sleep and anxiety. Being in a direct care provision role was associated with higher odds of screening positive for risky alcohol use. Being in a management role over direct care providers was associated with higher odds of screening positive for anxiety, risky alcohol use, and insufficient sleep. There was an inverse relationship between number of positive COVID-19 cases and anxiety, such that as positive cases went up, anxiety decreased. Overall, the mental health risks that we observed early in the COVID-19 pandemic are elevated above previous viral outbreaks (SARS) and comparable to rates shown in disasters (9/11 attacks; Hurricane Katrina).

Objective Following exposure to events that transgress moral beliefs and expectations rooted in cultural, organizational, and group-based ethical rules, veterans can experience psychological, social, and spiritual problems referred to as Moral Injury (MI). We examined patterns of exposure to potentially morally injurious events (PMIEs) among Israeli veterans as well as psychological and functional correlates of exposure. Method A sample of 381 Israeli veterans volunteered to complete a cross-sectional electronic survey between 2017−2018. Latent Class Analysis (LCA) was used to identify classes characterized by unique patterns of exposure to PMIEs and compare differences in psychological and functional problems. Results Three subgroups were identified: Moral Injury (12.1 %), Betrayal-Only (20.8 %), and Minimal Exposure (67.1 %). Whereas those in the betrayal-only class reported more traditional posttraumatic symptoms and those in the moral injury class reported more moral injury symptoms (i.e., guilt-related cognitions), some psychological problems were shared by veterans assigned to the moral injury and betrayal-only classes (e.g., entrapment). Importantly, while both those in the betrayal-only and moral injury classes had lower forgiveness relative to those in the minimal exposure class, those in the betrayal-only class received more familial support than did those in the moral injury class. Conclusions The study’s findings offer an overview of the complex associations between patterns of exposure to PMIEs and associated outcomes. Clinicians treating veterans coping with combat trauma should be aware of the unique and shared symptoms reported by those with moral injury and betrayal exposures.

Forgiveness interventions have been employed in individual, couple, family, and group psychotherapy. Few attempts have been made to deliver forgiveness interventions via community-based campaigns. ...

We present two intervention studies designed to promote humility and other virtues. In Study 1, we compared the PROVE Humility workbook (Lavelock, Worthington, & Davis, 2012/2013) to alternative workbooks, each designed to promote a particular virtue (e.g., forgiveness, patience, self-control) or mood state (positivity). Participants who completed the PROVE Humility workbook reported greater increases in humility and other virtues when compared to participants in the other conditions. In Study 2, we revised the workbook and tested it against a test-retest control condition. Study 2 replicated the findings from Study 1, such that participants who completed the PROVE Humility workbook reported improvements in humility and other virtues (e.g., forgivingness and patience), as well as reductions in negative affect. These findings support the idea of humility being a master virtue, and we recommend future directions for the clinical application of humility.

Video games have become a platform for social interaction. Across three studies, we develop a scale to measure social behavior in team-based, multiplayer online games -- the Sociality in Multiplayer Online Games (SMOG) Scale -- and provide evidence for its initial construct validity. We reviewed all measures relating to video games (N=253 measures) to determine whether there was a need for such a scale. As a pilot study, we conducted two focus groups (N=16) to inform item generation. In Study 1 (N=250), we ran an exploratory factor analysis on the items. The SMOG scale was made of two orthogonal factors, assessing anti-social behavior (destructive, SMOG-D) and pro-social (constructive, SMOG-C) behavior. In Study 2 (N=104), we conducted a confirmatory factor analysis and provided evidence supporting initial construct validity of the SMOG: when statistically controlling for age, sex, and frequency of game-play, dominance positively predicts both SMOG-D and SMOG-C scores; and affiliation negatively predicts SMOG-D and positively predicts SMOG-C. We developed a scale measuring social behavior in team-based video games: SMOG-6.The model included two factors: constructive and destructive social behavior.Interpersonal orientation (dominance and affiliation) predicted SMOG-6 subscales.

In this chapter, we identify the strongest measures of forgiveness, describe their psychometric properties, and outline a research agenda to strengthen the measurement of forgiveness. Results of a systematic literature search included measures of forgiveness of others at the offense, relationship, and trait levels; forgiveness of self at the offense and trait levels; and forgiveness of groups at the offense and relationship levels. We discuss in greater detail recent innovations in the measurement of forgiveness including relationship-specific forgiveness of others, factors influencing the forgiveness process, and intergroup forgiveness. Although the measurement of forgiveness has made steady progress, issues of mono-method bias, social desirability bias, and lack of longitudinal studies still plague the forgiveness literature. We outline several ways to address these concerns.

Legacies of slavery and colonialism on the African continent have contributed to conflicts that persist into modern times. Forgiveness has been hypothesized to prevent new conflicts, promote reconciliation, and foster peace. We conducted a review of the research on forgiveness in Africa between 1996 and 2018 (N = 99 articles; 33,810 participants). The review focused mostly on empirical quantitative research, and accounted for the geographical region of the authors and the sample (in quantitative research), study conceptualization and methodology, major empirical findings, and prospects for future research. Our review reveals differences in the conceptualization and application of forgiveness between African and non-African nations as well as within the nations of Africa. The role of collectivism, the principle of Ubuntu, and enemyship are highlighted in understanding forgiveness within an African context. We suggest that an African forgiveness research campaign is needed. Such a campaign would help peacemakers understand culturally mediated definitions and expressions of forgiveness, culturally appropriate ways to promote forgiveness, and potential contributions of forgiveness to African peacemaking efforts.

The transition to parenthood involves a variety of stressors that can influence how partners perceive each other's character. When partners view each other as humble, this tends to increase commitment and relationship quality. In the present study, we expected that greater stress over the transition to parenthood would reduce relational humility. Participants consisted of heterosexual married couples (N = 69 couples; N = 138 individuals) followed from three months prior to childbirth until 21 months after childbirth. A latent growth curve model demonstrated that higher initial levels of stress in couples were associated with a greater decrease in relational humility. The results suggest that individuals who are more stressed perceive their partners as increasingly less humble across the transition into parenthood.

This study evaluated the effectiveness of a workbook intervention designed to promote self-forgiveness, acceptance of responsibility, and willingness to make amends/reparations in a university student sample. The intervention manual consisted of three parts: (a) promoting prosocial and responsible attitudes, (b) reducing barriers to self-forgiveness, and (c) promoting healthy thinking and behaviors. Outcome measures included acceptance of responsibility, motivation to make reparations, and state and trait self-forgiveness. Measures were administered pre-intervention and immediately post-intervention. Participants were randomly assigned to an intervention group (N = 50) or a control group (N = 43). The control group studied materials for their university courses instead of completing the intervention. Following the intervention, the intervention group had significantly a higher state and dispositional self-forgiveness post-test compared to the control group. Changes in acceptance of responsibility ...

In this conceptual article, we argue that some people are resilient in the face of disasters while others are not. Resilience may necessitate forgiveness—of perpetrators of interpersonal harms (e.g., Rwandan Genocide in 1994); of inadequate responder assistance (e.g., Hurricane Katrina); or in situations where community members perceive themselves as victims of offense by virtue of their group affiliation, although they themselves were not actually harmed (e.g., survivors of school shootings). Victims may experience unforgiveness toward others in human-caused disasters and may deal with unforgiveness toward God in natural disasters. Forgiveness may be an effective response to disaster-related injustices that promotes resilience. We used a meta-analysis of forgiveness interventions and an empirical study of awareness-raising campaigns on college campuses to estimate the effects of forgiveness on public health, public mental health, relationships, and spirituality across society after disasters. We advocate for forgiveness as one of many potential resilient responses. Specifically, forgiveness could potentially transform unforgiveness into a stronger sense of purpose and improved social relations.

We describe a model in which guilt and shame associate with reactions to wrongdoing among perpetrators of interpersonal harm. Individuals who reported wronging another person (N = 410) completed measures of perceived transgression severity, guilt and shame, and possible reactions to perpetration of wrongdoing (i.e., forgiving, punishing, and excusing oneself). Guilt positively predicted forgiving and punishing oneself, and negatively predicted excusing oneself of blame. Shame, in contrast, negatively predicted forgiving oneself and positively predicted punishing and excusing oneself. The observed patterns of associations between guilt and shame with perpetrators’ reactions to wrongdoing provide further support for the dual-process model of self-forgiveness. Implications for future basic and applied investigations are discussed.

Previous research on self-forgiveness is mixed. Some argue self-forgiveness may have a salutary influence on mental health problems following an offense, whereas others suggest it may provide an excuse to reoffend. In two studies, we provide correlational and experimental evidence for the salutary effects of self-forgiveness following an offense. In Study 1 (N = 100), self-forgiveness was associated with lower levels of disordered eating behavior. In Study 2 (N = 462), participants recalled a drinking-related transgression, and were randomly assigned to a self-forgiveness or neutral priming condition. Results revealed that participants in the self-forgiveness condition reported significantly more self-forgiving beliefs and fewer feelings of remorse and self-condemnation than participants in the neutral priming condition to the degree that participants believed their drinking was the cause of the offense. These findings highlight the salutary effects of self-forgiveness.

Emerging adulthood is a period of development characterized by the maturation of more complex sexual and religious/spiritual (r/s) identities. In some cases, r/s may enhance positive sexual experiences; however, r/s may also exacerbate problems that result from sexual difficulties. In the current study, a cross-sectional survey was administered to university students (N = 295) to test whether the associations of hypersexual behavior with spiritual struggle and with sexual self-concept would differ based on sexual congruence. We found that the associations of hypersexual behavior with sexual anxiety and with some facets of spiritual struggle were more strongly positive among participants who perceived their sexual values and behaviors as incongruent. Also, the association between hypersexual behavior and sexual esteem was more strongly negative among those who perceived their sexual values and behaviors as incongruent. We discuss implications for future examinations of the intersectionality of sexu...

Gratitude is seen as a central component of Christian theology, and the extant literature suggests that there is an important relation between gratitude and physical health and well-being. In the current review, we summarize 42 studies published since 2009 that inform this relationship. Based on the theoretical framework by Hill, Allemand, and Roberts (2013), we organize our review in three sections that focus on how gratitude influences physical health through (a) mental health, (b) health behaviors, and (c) interpersonal variables. We discuss and integrate the findings from these studies into a theoretical model of gratitude and physical health. In addition to the three mechanisms in the Hill et al. model, we integrate variables from a previously conducted literature review of gratitude and well-being (Wood, Froh, & Geraghty, 2010), and we add personal factors, positive or adverse events, and explicit interventions as antecedents to gratitude in our model. We conclude by discussing future directions for gratitude and health research and its role within Christian psychology.

In two studies (N’s = 515 and 359), we examine the utility of the Dual-Process Model of Self-Forgiveness for conceptualizing and measuring trait self-forgiveness with South African and American adults. Exploratory and confirmatory factor analyses of the trait-adapted Dual-Process Self-Forgiveness Scale supported an eight-item, two-factor structure of self-forgivingness consistent with prior theorizing and empirical evidence. The trait-adapted measure predicted incrementally more variance in outcomes beyond an existing measure of trait self-forgiveness. Latent subgroups characterized by tendencies to forgive, punish, and exonerate oneself in response to wrongdoing or failure were identified. Comparisons of mean differences provided preliminary evidence supporting the validity of the subgroups. Implications of the findings for conceptualizing and measuring self-forgiveness are discussed.

Progress in the scientific study of self-forgiveness reveals a need for (a) integration of the extant self-forgiveness literature with general psychological theory, (b) development of measures that reflect nuanced conceptualizations of self-forgiveness, (c) better understanding of the impact of self-forgiveness on personal and interpersonal functioning, and (d) development of evidence-based clinical applications of self-forgiveness. Accordingly, we conceptualized self-forgiveness within the framework of Social Cognitive Theory and developed the Self-Forgiveness Dual-Process Scale to assess value reorientation (VRO) and esteem restoration (ERS) following perceived interpersonal offense. In Study 1, we identified the hypothesized 2-factor structure in a sample of university students (N = 191). For Study 2, we used an independent sample (N = 100) to replicate the factor structure and provide initial evidence of construct validity by exploring associations of value reorientation and esteem restoration with established measures of self-forgiveness, self-punishment, and self-exoneration. In Study 3, we recruited a third sample (N = 66) to assess contributions of value reorientation and esteem restoration to explain variance in offense-related rumination beyond that explained by an existing measure of state self-forgiveness. Overall, findings supported conceptualization of self-forgiveness according to processes of value reorientation and esteem restoration, distinguished self-forgiveness from other responses to wrongdoing, and revealed the unique impacts of value reorientation and esteem restoration on functioning. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Mounting evidence suggests that experiences of forgiveness vary across cultures. However, culturally sensitive conceptualizations of forgiveness lack empirical support, in part because psychometrically sound instruments designed to capture unique aspects of forgiveness in non-Western cultures are rare. For this reason, we developed the Collectivist-Sensitive Trait Forgivingness Scale (TFS-CS), which is designed to measure trait forgivingness within societies characterized by a blend of individualistic and collectivistic worldviews. In Study 1 (N = 597), exploratory factor analysis revealed a 16-item three-factor structure of third-party forgiveness, collectivistic forgiveness, and interpersonal resentment among South Africans. In Study 2 (N = 897), the three-factor model replicated in an independent South African sample. Findings also offered preliminary evidence supporting the construct validity of the TFS-CS. Overall, these studies support a conceptualization of trait forgivingness with similarities and differences relative to Western models and highlight the importance of appreciating the influence of culture when measuring forgiveness.

Theory and research suggest that an individual’s negative interactions with his or her parents or romantic partner are associated with the perpetration of dating abuse. Research is beginning to explore the role of forgivingness within abusive romantic relationships, and these preliminary findings suggest that dispositional forgivingness might mediate the relations between negative interpersonal interactions and dating abuse. The current study assessed negative interactions with one’s parents and one’s romantic partner, the frequency of dating abuse perpetration, and dispositional forgivingness of others and oneself among a sample of emerging adults in college ( n = 421). Dispositional forgivingness of others was negatively associated with the perpetration of emotional/verbal dating abuse and threatening behaviors, and it mediated relations between negative interpersonal interactions and dating abuse perpetration. Our findings suggest that the tendency to forgive others may explain why some individuals who experience negative interpersonal interactions with parents or romantic partners do not escalate to perpetration of abuse within their romantic relationships. Implications for future research and application are discussed.

Evidence indicates that dispositional gratitude may improve romantic relationships by reinforcing positive emotions between partners and by increasing awareness of affective needs, such as receiving emotional support, nurturance, and reassurance. However, little research has investigated the influence of gratitude on relationships characterized by violence. In the present study, participants (N = 421) completed a cross-sectional survey of experiences with dating violence, dispositional gratitude, and affective need. Data were analyzed using structural equation modeling. Among individuals with lower rates of dispositional gratitude, higher levels of affective need were associated with lower frequency of dating violence victimization. However, among individuals with higher rates of dispositional gratitude, there was no evidence to suggest an association between affective need and frequency of victimization. These preliminary findings compel further investigation of how positive processes impact the perceive...

Despite the decision to omit hypersexual behavior or hypersexuality from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), research regarding the nature of hypersexual behavior has flourished in recent years. One area in which there is still a distinct and present need for more work has been outcome research related to the efficacious treatment of hypersexual behavior. Although prior reviews have systematically delineated the necessary changes and improvements in outcome research related to the treatment of hypersexuality, the present review seeks to evaluate the current state of outcome research in light of recent advances in the understanding of hypersexual behavior. Prior reviews are synthesized, recent outcome studies are examined, recent advances in the treatment of related disorders are reviewed, recent advances in hypersexual behavior research are evaluated in terms of treatment implications, and recommendations for future research are offered.

The first 6 months of marriage are optimal for marriage enrichment interventions. The Hope-Focused Approach to couple enrichment was presented as two 9-hr interventions--(a) Handling Our Problems Effectively (HOPE), which emphasized communication and conflict resolution, and (b) Forgiveness and Reconciliation through Experiencing Empathy (FREE). HOPE and FREE were compared with repeated assessment controls. Couples were randomly assigned and were assessed at pretreatment (t1); 1 month posttreatment (t2) and at 3- (t3), 6- (t4), and 12-month (t5) follow-ups using self-reports. In addition to self-report measures, couples were assessed at t1, t2, and t5 using salivary cortisol, and behavioral coding of decision making. Of 179 couples who began the study, 145 cases were analyzed. Both FREE and HOPE produced lasting positive changes on self-reports. For cortisol reactivity, HOPE and FREE reduced reactivity at t2, but only HOPE at t5. For coded behaviors, control couples deteriorated; FREE and HOPE did not change. Enrichment training was effective regardless of the focus of the training.

The present study tested the efficacy of a 6-hr self-directed workbook intervention designed to increase self-forgiveness and reduce self-condemnation among perpetrators of interpersonal offenses. University students (N = 204) were randomly assigned to either an immediate treatment or wait-list control condition, and assessments were administered on 3 occasions. Treatment led to increases in self-forgiveness and decreases in self-condemnation. Stronger treatment effects were associated with (a) lower levels of dispositional self-forgivingness, (b) higher levels of transgression severity, and (c) higher dose of treatment. In summary, the workbook appeared to facilitate self-forgiveness among perpetrators of interpersonal wrongdoing, though replication trials are needed to build from these preliminary findings.