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Traumatology (Tallahass Fla). 2018 Dec;24(4):301-312. doi: 10.1037/trm0000158. Epub 2018 May 03.

Psychometric Properties of a Modified Moral Injury Questionnaire in a Military Population.

Traumatology

Abby L Braitman, Allison R Battles, Michelle L Kelley, Hannah C Hamrick, Robert J Cramer, Sarah Ehlke, Adrian J Bravo

Affiliations

  1. Department of Psychology, Old Dominion University.
  2. Virginia Consortium Program in Clinical Psychology.
  3. Community & Environmental Health, Old Dominion University.
  4. Center on Alcoholism, Substance Abuse, & Addictions, University of New Mexico.

PMID: 30546271 PMCID: PMC6287624 DOI: 10.1037/trm0000158

Abstract

Moral injury (MI) results from perpetration of or exposure to distressing events, known as morally injurious events (MIEs), that challenge moral beliefs and values. Due to the type of involvement in recent military conflicts, many veterans report MIEs that may cause dissonance and, in turn, MI. Although two existing measures assess MIEs, neither currently assesses the defining characteristics of MI (i.e., guilt, shame, difficulty forgiving self and others, and withdrawal). The present study reports the initial psychometric test of a modified version (Robbins, Kelley, Hamrick, Bravo, & White, 2017) of the Moral Injury Questionnaire - Military version (MIQ-M; Currier, Holland, Drescher, & Foy, 2015) in a sample of 328 military personnel (e.g., veterans, National Guard/reservists, active duty members). The MIQ-M was modified to assess both MIEs and the defining characteristics of MI. Exploratory factor analyses suggested a three-factor model of MIEs consisting of

Keywords: combat; exploratory factor analysis; mental health; military; moral injury

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