biostudies-literaturePark SJohns Hopkins UniversityNIMH NIH HHS202-217https://www.ebi.ac.uk/biostudies/studies/S-EPMC11299760biostudies-literatureUnknown25(2)One factor potentially driving healthcare and hospital worker (HHW)'s declining mental health during the COVID-19 pandemic is feeling betrayed by institutional leaders, coworkers, and/or others' pandemic-related responses and behaviors. We investigated whether HHWs' betrayal-based moral injury was associated with greater mental distress and post-traumatic stress disorder (PTSD) symptoms related to COVID-19. We also examined if these associations varied between clinical and non-clinical staff. From July 2020 to January 2021, cross-sectional online survey data were collected from 1,066 HHWs serving COVID-19 patients in a large urban US healthcare system. We measured betrayal-based moral injury in three groups: institutional leaders, coworkers/colleagues, and people outside of healthcare. MulJournal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)Betrayal-Based Moral Injury and Mental Health Problems Among Healthcare and Hospital Workers Serving COVID-19 Patients.PMC11299760F31 MH124582F31 MH124583F31MH124582Atkins KSchneider-Firestone SLanghinrichsen-Rohling JVeenema TGMcDonald KMKalb LGRushton CHCooney EEClosser SPark SSurkan PJThrul JfalseBetrayal-Based Moral Injury and Mental Health Problems Among Healthcare and Hospital Workers Serving COVID-19 Patients.One factor potentially driving healthcare and hospital worker (HHW)'s declining mental health during the COVID-19 pandemic is feeling betrayed by institutional leaders, coworkers, and/or others' pandemic-related responses and behaviors. We investigated whether HHWs' betrayal-based moral injury was associated with greater mental distress and post-traumatic stress disorder (PTSD) symptoms related to COVID-19. We also examined if these associations varied between clinical and non-clinical staff. From July 2020 to January 2021, cross-sectional online survey data were collected from 1,066 HHWs serving COVID-19 patients in a large urban US healthcare system. We measured betrayal-based moral injury in three groups: institutional leaders, coworkers/colleagues, and people outside of healthcare. Mul2024-01-01T00:00:00Z2024 Mar-Apr2025-04-18T13:26:26.452Z2025-04-06T23:13:59.244ZS-EPMC112997603804757910.1080/15299732.2023.2289195