The prominent impact of pre-deployment aggression on moral injury outcomes post-discharge: a six-year longitudinal study of former Israeli combatants

Pre-enlistment aggression is a significant risk factor for MI, primarily through its association with betrayal-based PMIEs. These findings highlight the importance of early screening for aggression traits, and the need for targeted interventions to address MI, particularly interventions focused on betrayal-related distress and self-directed moral emotions.