Moral Injury Events Scale
The MIES is a 9-item self-report measure assessing exposure to morally injurious events in military personnel. Developed by Nash and colleagues in 2013, it captures three dimensions: perpetration (committing acts that violate personal values), betrayal (witnessing leaders/unit members violate moral standards), and observed moral violations. The MIES measures moral injury burden distinct from PTSD and is increasingly used in veteran mental health screening and treatment.
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- Nash, W. P., Marino Carper, T. L., Mills, M. A., Au, T. A., Goldsmith, A. A., & Litz, B. T. (2013). Psychometric evaluation of the Moral Injury Events Scale. Clinical Psychology & Psychotherapy, 20(3), 249-263. · DOI 10.7205/milmed-d-13-00017
- Litz, B. T., Stein, N. B., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695-706. · DOI 10.1016/j.cpr.2009.07.003
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