捷克道德伤害症状量表的心理测量特性。
Psychometric properties of the Czech moral injury symptom scale.
作者信息
Vlckova Karolina, Janouskova Miroslava, Bankovska-Motlova Lucie
机构信息
Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Thomayer Faculty Hospital, Prague, Czech Republic.
出版信息
Sci Rep. 2025 Apr 15;15(1):12965. doi: 10.1038/s41598-025-97530-1.
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.
道德伤害被定义为一种深刻的违规感，包括因违背核心道德信念而产生的羞耻感、悲伤感、无意义感和悔恨感。本研究旨在改编《医疗保健专业人员道德伤害症状量表》（MISS-HP），以便在捷克共和国测量这一概念，并探索其心理测量特性。医疗保健提供者样本（N = 694）完成了MISS-HP问卷、希罗姆·梅拉梅德倦怠量表（SMBM）和职业生活质量量表（PROQoL）。发现MISS-HP的克朗巴哈系数为0.62；探索性因素分析得出4个因素。与SMBM和PROQoL的相关性为中等（0.31 - 0.46），这证实了MISS-HP的结构效度。ROC曲线分析确定最佳临界分为42分，灵敏度为75%，特异性为69%。女性、较年轻的年龄和无神论与较高的道德伤害症状相关。发现捷克版MISS-HP是一种有效且可靠的道德伤害测量工具。
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