Health Psychology Research / HPR / Online First / DOI: 10.14440/hpr.0339
RESEARCH ARTICLE

Mediating Role of Self-Compassion in the Relationship Between Morally Injurious Events and General Mental Health Among South Korean Youth

Eunyoung Jang*
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1 Department of Counseling Psychology, College of Social Sciences and Management, Honam University, Gwangju 62399, Republic of Korea
Submitted: 18 October 2025 | Revised: 23 January 2026 | Accepted: 23 January 2026 | Published: 26 March 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background

South Korean youth’s strong emphasis on fairness and meritocracy, intensified during COVID-19, may have heightened exposure to morally injurious experiences arising from conflicts between personal values and societal constraints.

Objective

This study investigated the longitudinal associations between morally injurious events (MIEs) and mental health, and examined the mediating roles of self-compassion components among South Korean youth.

Methods

At Time 1, a total of 1,567 young adults aged 20–29 completed the Korean versions of the Moral Injury Events Scale, the Self-Compassion Scale, and the General Mental Health Questionnaire, along with demographic information. After nine months, 726 participants completed a follow-up online survey. Parallel mediation models with 10,000 bootstrap resamples were conducted to test whether six self-compassion subscales mediated the relationships between two types of MIEs—perceived transgressions and perceived betrayals—and general mental health at Time 2.

Results

Both perceived transgressions and perceived betrayals were significantly associated with all six self-compassion components, including positive (e.g., self-kindness, mindfulness, and common humanity) and negative (e.g., self-judgment, isolation, and over-identification) factors. Among these, self-judgment and isolation accounted for significant indirect associations between MIEs and poorer mental health, whereas the positive components did not show significant indirect effects.

Conclusion

Moral injury is associated with enduring adverse mental health outcomes among youth. The findings highlight that negative self-compassion components—particularly self judgment and isolation—appear to represent key psychological pathways associated with moral distress and mental health outcomes. Interventions that cultivate self-compassion while reducing self-criticism and feelings of isolation may help mitigate the long-term psychological impact of moral injury among young people.

Keywords
Moral injurious event
Self-compassion
Mental health
Youth
Funding
None.
Conflict of interest
The author declares no competing interests.
References
  1. Jang The meritocracy belief and the role of  self-compassion  among South Korean young generation. Stud Humanit Soc Sci. 2022;65(1):205-246. doi: 10.17939/hushss2022.65.1.007

 

  1. Litz BT, Stein N, Delaney E, et al. Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clin Psychol Rev. 2009;29(8):695-706. doi: 10.1016/j.cpr.2009.07.003

 

  1. Nash WP, Marino Carper TL, Mills MA, Au T, Goldsmith A, Litz BT. Psychometric evaluation of the Moral Injury Events Scale. Mil Med. 2013;178(6):646-652.  doi: 10.7205/MILMED-D-13-00017

 

  1. Bravo AJ, Kelley ML, Mason R, Ehlke SJ, Vinci C, Redman JC. Rumination as a mediator of the associations between moral injury and mental health problems in combat-wounded veterans. Traumatology. 2020;26(1):52-60. doi: 10.1037/trm0000198

 

  1. Bryan CJ, Bryan AO, Roberge E, Leifker FR, Rozek DC. Moral injury, posttraumatic stress disorder, and suicidal behavior among National Guard personnel. Psychol Trauma. 2018;10(1):36-45. doi: 10.1037/tra0000290

 

  1. Griffin BJ, Purcell N, Burkman K, et al. Moral injury: An integrative review. J Trauma Stress. 2019;32(3):350-362. doi: 10.1002/jts.22362

 

  1. Hall NA, Everson AT, Billingsley MR, Miller MB. Moral injury, mental health and behavioural health outcomes: A systematic review of the literature. Clin Psychol Psychother. 2022;29(1):92- 110. doi: 10.1002/cpp.2607

 

  1. Griffin BJ, Weber MC, Hinkson KD, et al. A systematic review and meta-analysis of moral injury outcome measures. Curr Treat Options Psychiatry. 2024;11(1):1-15.  doi: 10.1007/s40501-024-00342-9

 

  1. Williamson V, Stevelink SAM, Greenberg N. Occupational moral injury and mental health: Systematic review and meta-analysis. Br J Psychiatry. 2018;212(6):339-346. doi: 10.1192/bjp.2018.55

 

  1. Williamson V, Murphy D, Phelps A, Forbes D, Greenberg N. Moral injury: The effect on mental health and implications for treatment. Lancet Psychiatry. 2021;8(6):453-455. doi: 10.1016/S2215-0366(21)00113-9

 

  1. Morriss M, Berle D. Measuring moral injury: Further validation of the MIES-C and EMIS-C in a civilian population. J Psychopathol Behav Assess. 2023;45(4):1046-1058. doi: 10.1007/s10862-023-10071-7

 

  1. Jang Development of the Korean version of the Moral Injury Events Scale and Moral Injury Experience Scale. Korean J Psychol Gen. 2021;40(3):301-327.  doi: 10.22257/kjp.2021.9.40.3.301

 

  1. Neff The  development  and validation of a scale to measure self-compassion. Self Identity. 2003;2(3):223-250. doi: 10.1080/15298860309027

 

  1. Neff Self-compassion: Theory, method, research, and  intervention.  Annu  Rev Psychol.  2023;74:193-218.  doi: 10.1146/annurev-psych-032420-031047

 

  1. Neff    Self-compassion, self-esteem,  and  well-being.  Soc Personal Psychol  Compass.  2011;5(1):1-12. doi: 10.1111/j.1751-9004.2010.00330.x

 

  1. Brophy K, Brähler E, Hinz A, Schmidt S, Körner A. The role of self-compassion in the relationship between attachment, depression, and quality of life. J Affect Disord. 2020;260:45-52. doi: 10.1016/j.jad.2019.08.066

 

  1. Jang Mediating role of self-compassion in the association between moral injury and depression among Korean youths. Heliyon. 2022;8(5):e09429. doi: 10.1016/j.heliyon.2022.e09429

 

  1. Bluth K, Roberson PN, Gaylord SA. A pilot study of a mindfulness intervention for adolescents and the potential role of self-compassion in reducing stress. Explore. 2015;11(4):292-295. doi: 10.1016/j.explore.2015.04.005

 

  1. Shin NY, Lim YJ. Contribution of self-compassion to positive mental health among Korean university students. Int J Psychol. 2019;54(6):800-806. doi: 10.1002/ijop.12527

 

  1. Lee EE, Govind T, Ramsey M, et al. Compassion toward others  and  self-compassion  predict  mental  and  physical  well-being: A 5-year longitudinal study of 1090 community-dwelling adults across the lifespan. Transl Psychiatry.  2021;11(1):397.  doi: 10.1038/s41398-021-01491-8

 

  1. Muris P, Petrocchi N. Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clin Psychol Psychother. 2017;24(2):373-383. doi: 10.1002/cpp.2005

 

  1. Raes F. Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Pers Individ Dif. 2010;48(6):757-761.  doi: 10.1016/j. paid.2010.01.023

 

  1. Tobin R, Dunkley DM. Self-critical perfectionism and lower mindfulness and self-compassion predict anxious and depressive symptoms over two years. Behav Res Ther. 2021;136:103780. doi: 10.1016/j.brat.2020.103780

 

  1. Forkus SR, Breines JG, Weiss NH. PTSD and alcohol misuse: Examining the mediating role of fear of self-compassion among military veterans. Psychol Trauma. 2020;12(4):364-372. doi: 10.1037/tra0000481

 

  1. Leary MR, Tate EB, Adams CE, Allen AB, Hancock Self-compassion  and  reactions to  unpleasant  self-relevant  events:  The implications  of  treating  oneself  kindly. J Pers  Soc  Psychol. 2007;92(5):887-904. doi: 10.1037/0022-3514.92.5.887

 

  1. Pace TW, Negi LT, Adame DD, et al. Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocr inology. 2009;34(1):87-98. doi: 10.1016/j.psyneuen.2008.08.011

 

  1. Vettese LC, Dyer CE, Li WL, Wekerle C. Does self-compassion mitigate  the association between childhood maltreatment and later emotion  regulation  difficulties?  A  preliminary    Int  J  Ment  Health Addict.  2011;9(5):480-491.  doi:  10.1007/s11469-011-9340-7

 

  1. Kim KE, Yi GD, Cho YR, Chai SH, Lee WK. The validation study of the Korean version of the Self-Compassion Scale. Korean J Health Psychol. 2008;13(4):1023-1044. doi: 10.17315/ kjhp.2008.13.4.012

 

  1. Shin S. Hangukpan ilban geongang jilmundaji (KGHQ-20)wa KGHQ-30ui tadangdo mit sin- roedo. The validity and reliability of the Korean version of the General Health Questionnaire: KGHQ-20 and KGHQ-30. Korean J Soc Welf. 2001;46:210-235. [In Korean]. Available from: http://www.dbpia.co.kr/journal/articleDe-tail?nodeId=NODE07238254 [Last accessed on 2026 Feb 12].

 

  1. Gilbert P. The Compassionate Mind: A New Approach to  Life’s  Challenges. London: Constable & Robinson; 2014.

 

  1. Neff KD,  Germer    The  Mindful  Self- Compassion Workbook: A Proven Way to Accept Yourself, Build Inner Strength, and Thrive. New York, NY: Guilford Press; 2013.

 

  1. Neff KD, Vonk R. Self-compassion versus global self-esteem: Two different ways of relating to oneself. J Pers. 2009;77(1):23-50. doi: 10.1111/j.1467-6494.2008.00537.x

 

  1. Wollast R, Lacourse É, Mageau GA, et al. Trajectories of self-kindness, common humanity, and mindfulness during the COVID-19 pandemic: A person-oriented multi-trajectory approach. PLoS One. 2023;18(12):e0292522. doi: 10.1371/journal.pone.0292522
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Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research