Clearinghouse for Military Family Readiness, The Pennsylvania State University, 402 Marion Place, University Park, PA, 16802, USA.
National Network of Public Health Institutes, Washington D.C., USA.
J Relig Health. 2022 Aug;61(4):3384-3401. doi: 10.1007/s10943-022-01606-5. Epub 2022 Jul 5.
This study assessed the Moral Injury Symptoms Scale - Military Version - Short Form's (MISS-M-SF) factor structure and construct validity. Participants included 3650 combat-deployed U.S. veterans who answered all 10 MISS-M-SF items from the sixth wave of The Veterans Metric Initiative (TVMI). EFA results suggested a two-factor solution, based on item wording, fit best. CFA results indicated a bifactor model (one general factor and two method factors, based on item wording) fit best. Further investigation revealed that a one-factor model could be used despite the data's multidimensionality. Item-level analyses revealed four items represented the general factor exceptionally well, potentially simplifying assessment in research and clinical applications. Construct validity was also demonstrated through moderate to high correlations with conceptually related measures.
本研究评估了《军人版道德伤害症状量表-短式》（MISS-M-SF）的因子结构和建构效度。参与者包括 3650 名参与战斗部署的美国退伍军人，他们回答了退伍军人度量倡议（TVMI）第六波的所有 10 项 MISS-M-SF 项目。基于项目措辞的 EFA 结果表明，两因素解决方案最适合。CFA 结果表明，基于项目措辞的双因素模型（一个一般因素和两个方法因素）最适合。进一步的研究表明，尽管数据具有多维性，但仍可以使用单因素模型。项目层面的分析表明，有四个项目非常好地代表了一般因素，这可能在研究和临床应用中简化评估。通过与概念上相关的测量方法的中度到高度相关性，也证明了结构效度。
