The Role of Moral Injury in the Relationship Between Intimate Partner Violence and Psychological Distress

Intimate partner violence (IPV) is consistently associated with deleterious mental health outcomes. Moral injury, a distinct form of trauma that can arise from witnessing, engaging in, failing to prevent, or being the victim of acts that conflict with one's moral beliefs, is similarly associated with adverse mental health. However, despite the conceptual relation between moral injury and IPV, no previous research to these authors' knowledge has examined this relationship. The present study investigated IPV experiences (perpetration and victimization), moral injury, and psychological distress in a sample of diverse college students (N = 152). We hypothesized that IPV experiences would be positively associated with moral injury and psychological distress, that moral injury would be positively associated with psychological distress, and that moral injury would mediate the relationship between IPV experiences and psychological distress. Results revealed significant positive correlations between IPV experiences, moral injury, and psychological distress. Mediation analyses revealed that both self-directed and other-directed moral injury fully mediated the relationship between IPV perpetration and psychological distress, while only self-directed moral injury emerged as a significant mediator between IPV victimization and psychological distress. These findings highlight the complex relationships among IPV, moral injury, and psychological distress, and underscore the importance of assessing moral injury in IPV-affected individuals. The present study addresses gaps in the literature by examining moral injury in a diverse, civilian sample of IPV survivors and perpetrators.