Measuring Symptoms of Moral Injury in Veterans and Active Duty Military with PTSD
Journal Title: Religions - Year 2018, Vol 9, Issue 3
Abstract
The Moral Injury Symptom Scale-Military Version (MISS-M) is a 45-item measure of moral injury (MI) symptoms designed to use in Veterans and Active Duty Military with PTSD. This paper reviews the psychometric properties of the MISS-M identified in a previous report, discusses the rationale for the development of the scale, and explores its possible clinical and research applications. The MISS-M consists of 10 theoretically grounded subscales that assess the psychological and spiritual/religious symptoms of MI: guilt, shame, betrayal, moral concerns, loss of meaning/purpose, difficulty forgiving, loss of trust, self-condemnation, spiritual/religious struggles, and loss of religious faith/hope. The scale has high internal reliability, high test-retest reliability, and a factor structure that can be replicated. The MISS-M correlates strongly with PTSD severity, depressive symptoms, and anxiety symptoms, indicating convergent validity, and is relatively weakly correlated with social, spiritual, and physical health constructs, suggesting discriminant validity. The MISS-M is the first multidimensional scale that measures both the psychological and spiritual/religious symptoms of MI and is a reliable and valid measure for assessing symptom severity in clinical practice and in conducting research that examines the efficacy of treatments for MI in Veterans and Active Duty Military personnel.
Authors and Affiliations
Harold G. Koenig
Keywords
Related Articles
- EP ID EP25954
- DOI https://doi.org/10.3390/rel9030086
- Views 340
- Downloads 12
Pope Francis and Joseph Selling: A New Approach to Mercy in Catholic Sexual Ethics
Since the Apostolic Exhortation of Amoris Laetitia in May 2016 and Apostolic Letter Misericordia et Misera in November 2016, Pope Francis has stirred a new discussion on mercy and the role of mercy in certain matters o...
Kept in His Care: The Role of Perceived Divine Control in Positive Reappraisal Coping
A formidable body of literature suggests that numerous dimensions of religious involvement can facilitate productive coping. One common assumption in this field is that religious worldviews provide overarching framewor...
Fitnah: The Afterlife of a Religious Term in Recent Political Protest
The phenomenon of fitnah could be traced throughout history in different regions and cultures. The Arab spring events of 2011–2012 are not an exception in this context. The next outburst of protest activity occurred wh...
Pathways to Attempted Suicide as Reflected in the Narratives of People with Lived Experience
Narratives, i.e., stories told by suicidal people, describing personal experiences and meanings given to these experiences, play an important role in understanding suicidal behaviour. The aim of the current study was t...
Impossible Subjects: LGBTIQ Experiences in Australian Pentecostal-Charismatic Churches
This paper is the product of in-depth interviews with 20 Lesbian, Gay, Bisexual, Transgender, Intersex, and Queer (LGBTIQ) people who identify, or formerly identified, as members of Pentecostal-Charismatic Christian (P...