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Measuring Moral Injury: Further Validation of the MIES-C and EMIS-C in a Civilian Population
Journal of Psychopathology and Behavioral Assessment ( IF 2.118 ) Pub Date : 2023-07-19 , DOI: 10.1007/s10862-023-10071-7
Margaux Morriss , David Berle

Moral injury among civilians has garnered increased recognition in recent years. However, most moral injury measures have focused on military experiences, with language being military specific. This study aimed to further validate two self-report measures of civilian moral injury, the Moral Injury Events Scale - Civilian (MIES-C) and Expressions of Moral Injury Scale - Civilian (EMIS-C). Participants were 312 adults (99 males, 212 females, Mage = 37.24) who completed the MIES-C, EMIS-C, and a battery of associated measures on two occasions. For the MIES-C, four Confirmatory Factor Analysis (CFA) models were examined. A three-factor model, with covaried items, provided the best fit to the data. For the EMIS-C, three CFAs were examined. A two-factor model, with covaried items, and the bi-factor model provided the best fit to the data, with the two-factor model being preferred for reasons of parsimony and its absence of weak and negative item loadings. Both measures demonstrated acceptable test-retest reliability and convergent validity with associated measures of psychological distress. This study provides psychometrically sound tools for clinicians and researchers of civilian moral injury.



中文翻译:

衡量道德伤害:MIES-C 和 EMIS-C 在平民中的进一步验证

近年来,平民的道德伤害越来越受到人们的关注。然而,大多数道德伤害衡量标准都集中在军事经历上,并且语言是针对军事的。本研究旨在进一步验证平民道德伤害的两种自我报告措施,即平民道德伤害事件量表(MIES-C)和平民道德伤害表达量表(EMIS-C)。参与者为 312 名成人(99 名男性、212 名女性、男性年龄 = 37.24),两次完成了 MIES-C、EMIS-C 和一系列相关措施。对于 MIES-C,检查了四个验证性因素分析 (CFA) 模型。具有协变项的三因素模型提供了与数据的最佳拟合。对于 EMIS-C,检查了三个 CFA。具有协变项目的双因素模型和双因素模型提供了对数据的最佳拟合,由于简约性以及不存在弱和负项目负载的原因,优选双因素模型。这两项措施均表现出可接受的重测信度和与心理困扰相关措施的收敛效度。这项研究为平民道德伤害的临床医生和研究人员提供了心理测量学上合理的工具。

更新日期:2023-07-20
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