{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["79"],"submitter":["Fischer IC"],"pubmed_abstract":["<h4>Objective</h4>To examine the longitudinal associations between dimensions of COVID-19 pandemic-related moral distress (MD) and moral injury (MI)-related guilt in a large sample of frontline COVID-19 healthcare workers (FHCWs).<h4>Methods</h4>Data from a diverse occupational cohort of 786 COVID-19 FHCWs were collected during the initial peak of the COVID-19 pandemic in New York City and again 7 months later. Baseline MD and MI-related guilt at follow-up were assessed in three domains: family-, work-, and infection-related. Social support was evaluated as a potential moderator of associations between MD and MI-related guilt.<h4>Results</h4>A total of 66.8% of FHCWs reported moderate-or-greater levels of MI-related guilt, the most prevalent of which were family (59.9%) or work-related (29.4%). MD was robustly predictive of guilt in a domain-specific manner. Further, among FHCWs with high levels of work-related MD, those with greater perceptions of supervisor support were less likely to develop work-related guilt 7 months later.<h4>Discussion</h4>MD was found to be highly prevalent in FHCWs during the initial wave of the COVID-19 pandemic and was linked to the development of MI-related guilt over time. Prevention and early intervention efforts to mitigate MD and bolster supervisor support may help reduce risk for MI-related guilt in this population."],"journal":["General hospital psychiatry"],"pagination":["158-161"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC9664834"],"repository":["biostudies-literature"],"pubmed_title":["Downstream consequences of moral distress in COVID-19 frontline healthcare workers: Longitudinal associations with moral injury-related guilt."],"pmcid":["PMC9664834"],"pubmed_authors":["Pietrzak RH","Ripp J","Fischer IC","Norman SB","Feingold JH","Peccoralo L","Feder A"],"additional_accession":[]},"is_claimable":false,"name":"Downstream consequences of moral distress in COVID-19 frontline healthcare workers: Longitudinal associations with moral injury-related guilt.","description":"<h4>Objective</h4>To examine the longitudinal associations between dimensions of COVID-19 pandemic-related moral distress (MD) and moral injury (MI)-related guilt in a large sample of frontline COVID-19 healthcare workers (FHCWs).<h4>Methods</h4>Data from a diverse occupational cohort of 786 COVID-19 FHCWs were collected during the initial peak of the COVID-19 pandemic in New York City and again 7 months later. Baseline MD and MI-related guilt at follow-up were assessed in three domains: family-, work-, and infection-related. Social support was evaluated as a potential moderator of associations between MD and MI-related guilt.<h4>Results</h4>A total of 66.8% of FHCWs reported moderate-or-greater levels of MI-related guilt, the most prevalent of which were family (59.9%) or work-related (29.4%). MD was robustly predictive of guilt in a domain-specific manner. Further, among FHCWs with high levels of work-related MD, those with greater perceptions of supervisor support were less likely to develop work-related guilt 7 months later.<h4>Discussion</h4>MD was found to be highly prevalent in FHCWs during the initial wave of the COVID-19 pandemic and was linked to the development of MI-related guilt over time. Prevention and early intervention efforts to mitigate MD and bolster supervisor support may help reduce risk for MI-related guilt in this population.","dates":{"release":"2022-01-01T00:00:00Z","publication":"2022 Nov-Dec","modification":"2025-04-05T11:39:55.42Z","creation":"2025-02-18T23:35:02.754Z"},"accession":"S-EPMC9664834","cross_references":{"pubmed":["36403350"],"doi":["10.1016/j.genhosppsych.2022.11.003"]}}