2026-07-28 バース大学
＜関連情報＞
- https://www.bath.ac.uk/announcements/moral-injury-can-be-devastating-new-assessment-protocol-makes-it-easier-to-identify-those-at-risk/
- https://www.sciencedirect.com/science/article/pii/S2468749926000852
道徳的または心理的に苦痛な経験にさらされた英国の成人を対象とした、道徳的傷害尺度（MORIS）の設計と妥当性検証 The design and validation of the Moral Injury Scale in the UK adults exposed to morally or psychologically distressing experiences: MORIS
Victoria Williamson, Dominic Murphy, Daniel Leightley, Obioha C. Ukoumunne, Fatmanur Çimen, Neil Greenberg
European Journal of Trauma & Dissociation Available online: 27 June 2026
DOI:https://doi.org/10.1016/j.ejtd.2026.100716
Abstract
Objectives
Studies have found that moral injury (MI) can be easily missed in clinical assessments and most measures of MI have been developed for and with US military samples. As MI is increasingly recognised in non-military samples, existing scales may not be appropriate to civilian experiences.
Design
To design and validate the Moral Injury Scale (MORIS), a self-report measure of exposure to potentially morally injurious events (PMIEs), moral injury-related distress, and associated risk and protective factors, in UK samples pre-screened for reporting morally or psychologically distressing experiences.
Setting
UK general population.
Participants
We administered an initial set of 47 items to 592 participants and conducted exploratory factor analysis. The reduced MORIS was then administered to an independent sample of 382 participants and confirmatory factor analysis was conducted.
Primary outcome measures
The validity and performance characteristics of the MORIS were assessed against validated measures of mental ill health. Receiver operating characteristic (ROC) curves were used to calculate a likely cut off score for detecting conditions that are associated with moral injury.
Results
Analysis yielded factors for assessing exposure to PMIEs; time since event; MI-related distress; and risk and protective factors. Good convergent validity was evidenced against the measure of MI and mental health symptoms. Confirmatory factor analysis demonstrated a good fit for the model. ROC analyses suggested that a score of ≥18 (ROC 0.83; 95% CI 0.77 – 0.90) on the MORIS Distress subscale may indicate elevated levels of moral injury-related distress within this sample; however, this finding should be considered exploratory at this stage.
Conclusions
This study provides preliminary evidence supporting the reliability, unidimensional factor structure, and convergent validity of the MORIS among UK adults reporting morally or psychologically distressing experiences.
Data set information
Please see data availability statement.
Trial registration number
N/A
