Table 1.
Moral injury symptom scale-military version-short form (MISS-M-SF)
| 1. I feel betrayed by leaders who I once trusted | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Mildly disagree | Neutral | Mildly agree | Strongly agree | |||||
| 2. I feel guilt over failing to save the life of someone in war | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Mildly disagree | Neutral | Mildly agree | Strongly agree | |||||
| 3. I feel ashamed about what I did or did not do during this time | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Mildly disagree | Neutral | Mildly agree | Strongly agree | |||||
| 4. I am troubled by having acted in ways that violated my own morals or values | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Mildly disagree | Neutral | Mildly agree | Strongly agree | |||||
| 5. Most people are trustworthy | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |||||
| 6. I have a good sense of what makes my life meaningful | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Absolutely untrue | Mostly untrue | Somewhat untrue | Can’t say true or false true | Somewhat true | Mostly true | Absolutely true | |||
| 7. I have forgiven myself for what happened to me or others during combat | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |||||
| 8. All in all, I am inclined to feel that I am a failure | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |||||
| 9. I wondered what I did for God to punish me | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| A great deal | Quite a bit | Somewhat | Not at all | ||||||
| (very true) | (very untrue) | ||||||||
| 10. Compared to when you first went into the military has your religious faith since then… | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Weakened a lot | Weakened a little | Strengthened a little | Strengthened a lot | ||||||
| 11. Do the feelings you indicated above cause you significant distress or impair your ability to function in relationships, at work, or other areas of life important to you? In other words, if you indicated any problems above, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? | |||||||||
| □ Not at all | □ Mild | □ Moderate | □ Very Much | □ Extremely | |||||
Psychometric properties reported in Koenig et al., 2018b, Military Medicine, 183(11–12), e659–e665