Work

Psychometric properties of the Czech moral injury symptom scale

Year: 2025

Type: article

Abstract: Moral injury is defined as a deep sense of transgression, including feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. This study aimed to adapt the Moral Injury Symptom Scale-Healthcare Professionals (MISS-HP) for measure this concept in the Czech Republic and explore its psychometric properties. Sample of healthcare providers (N = 694) completed the MISS-HP questionnaires, the Shirom Melamed Burnout Measure (SMBM) and the Professional Quality of Life scale (PROQoL). Cronbach´s alpha of MISS-HP was found to be 0.62; exploratory factor analysis returned 4 factors. Correlations with SMBM and PROQoL were moderate (from 0.31-0.46), which confirmed the construct validity of MISS-HP. ROC curve analysis identified the optimal cut-off score at 42 points with 75% sensitivity and 69% specificity. Female gender, younger age and atheism were related to higher symptoms of moral injury. Czech MISS-HP was found to be a valid and reliable measure of moral injury.

Source: Scientific Reports

DOI: 10.1038/s41598-025-97530-1

Authors: Karolina Vlckova, Miroslava Janouskova, Lucie Bankovska-Motlova

Institutions: Charles University, Thomayer University Hospital

Language: English

Topic: Posttraumatic Stress Disorder Research

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,690