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IPSV was significantly associated with shame-related moral injury, trust-violation-related moral injury, and posttraumatic stress disorder (PTSD). Results revealed significant indirect effects of IPSV on PTSD via shame-related moral injury and trust-violation-related moral injury. Reflexive thematic analysis of open-ended responses identified three key themes: (a) Self-Betrayal, (b) Self-Blame, and (c) Other-Betrayal. Our findings indicate that moral injury may serve as an important mechanism linking IPSV to PTSD among IPSV survivors.\n                  <\/jats:p>","DOI":"10.1177\/10778012261461589","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:21:26Z","timestamp":1782217286000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cI Betrayed Myself\u201d: A Mixed Methods Study of Moral Injury Among Survivors of Intimate Partner Sexual Violence"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7444-8746","authenticated-orcid":false,"given":"Rachel L.","family":"Kanter","sequence":"first","affiliation":[{"name":"California State University, San Bernardino"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Hassija","sequence":"additional","affiliation":[{"name":"California State University, San Bernardino"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"issue":"15","key":"e_1_3_2_2_1","first-page":"088626052110139","article-title":"The experience of disgust in women exposed to domestic violence in Turkey","volume":"37","author":"Ak\u00e7a S.","year":"2021","unstructured":"Ak\u00e7a S., Gen\u00e7\u00f6z F. 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