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<p>Intimate partner sexual violence (IPSV) has significant psychological consequences, yet no research has examined the relationship between IPSV and moral injury—a distinct form of bio-psycho-social-spiritual distress. This study explored IPSV, moral injury, religious and spiritual struggles (R/SS), purity culture beliefs (PCB), and psychological distress among Christian women in the USA (<i>N</i> = 210). Results revealed significant relationships between study variables. While the gender roles subscale of PCB moderated the link between IPSV and R/SS, the shame and guilt subscale did not. Further, R/SS significantly mediated the association between IPSV and moral injury, and moral injury (self– and other-directed) mediated the relationship between IPSV and psychological distress. These findings underscore the need for interventions to address the moral and spiritual dimensions of IPSV.</p>

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Moral Injury: Religious and Spiritual Struggles Among Survivors of Intimate Partner Sexual Violence in the USA

  • 期刊论文

  • 发表日期：

    2025年2月13日

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  • Rachel L. Kanter,
  • Krista R. Hoffman,
  • Christina M. Hassija

摘要

Intimate partner sexual violence (IPSV) has significant psychological consequences, yet no research has examined the relationship between IPSV and moral injury—a distinct form of bio-psycho-social-spiritual distress. This study explored IPSV, moral injury, religious and spiritual struggles (R/SS), purity culture beliefs (PCB), and psychological distress among Christian women in the USA (N = 210). Results revealed significant relationships between study variables. While the gender roles subscale of PCB moderated the link between IPSV and R/SS, the shame and guilt subscale did not. Further, R/SS significantly mediated the association between IPSV and moral injury, and moral injury (self– and other-directed) mediated the relationship between IPSV and psychological distress. These findings underscore the need for interventions to address the moral and spiritual dimensions of IPSV.