Supplemental Digital Content 2:
Response frequencies, mean (SD) scores and correlations with total items for 37 Military Related Loss (new) + 18 Grief/Loss (legacy) item bank and 8-item short form (bold and italicized)
Cronbach’s coefficient alpha = 0.98 Percent endorsing response categories Scores
Content typea Item ID Item content
0: Never 1: Rarely 2: Sometimes 3: Often 4: Always
Mean SD
Corrected Item-Total Correlation
P MRL1 I missed the way I used to look 13.0 12.6 24.3 20.8 29.3 3.41 1.36 .59
P MRL2 I missed being able to perform to the highest standards 5.4 5.6 15.5 27.0 46.6 4.04 1.15 .74
P MRL3 I missed being the best at my job 7.0 5.6 17.5 24.9 44.9 3.95 1.22 .77
P MRL4 I missed the level of fitness I used to have 3.1 3.5 14.6 24.1 54.6 4.24 1.03 .66
P MRL5 I missed being in top physical shape 3.7 3.3 14.8 23.7 54.4 4.22 1.06 .65
P MRL6 I felt like my body is deformed 27.4 18.6 20.0 13.2 20.8 2.81 1.49 .56
P MRL7 I felt embarrassed by the way I look 20.0 18.8 23.5 16.3 21.4 3.00 1.42 .61
P MRL8 I felt embarrassed when people look at me 24.1 20.8 22.9 15.3 16.9 2.80 1.40 .65 P MRL9 I missed being able to exercise like I did before my
injury
11.5 7.6 17.3 20.2 43.3 3.76 1.38 .65
P MRL10 I longed for the physical health I used to have 7.0 7.0 19.0 19.4 47.6 3.94 1.26 .68 P MRL11 I longed for the physical fitness I used to have 5.6 5.2 19.4 21.9 48.0 4.02 1.18 .69 P MRL12 I missed being able to move as quickly as I did before
my injury
10.5 5.8 16.3 20.2 47.2 3.88 1.34 .68
O MRL13 I missed being able to drive a car like I used to 39.0 17.9 18.6 9.3 15.3 2.44 1.46 .56 O MRL14 I missed the self confidence I used to have 14.2 8.2 23.7 22.3 31.5 3.49 1.38 .78 O MRL15 I felt sad thinking about how I used to be 15.3 11.5 23.7 22.1 27.4 3.35 1.39 .82 O MRL16 I felt I have lost my sense of direction in life 17.5 12.4 25.8 21.2 23.1 3.20 1.39 .78
O MRL17 I missed my prior direction in life 16.5 9.7 26.2 22.5 25.2 3.30 1.38 .82
O MRL18 I felt like my purpose in life is gone 25.4 14.0 21.9 21.6 17.1 2.91 1.43 .72
? MRL19 I felt like I am where I want to be in life 5.2 9.9 20.2 30.3 34.4 3.79 1.17 .29
M MRL20 I missed being part of a unit 8.7 7.4 24.3 22.5 37.1 3.72 1.27 .65
M MRL21 I missed the sense of belonging I had when I was deployed
10.3 7.8 22.3 25.4 34.2 3.65 1.30 .63
M MRL22 I missed the sense of belonging I had in my former life 12.8 8.2 24.9 22.5 31.5 3.52 1.35 .76
M MRL23 I missed being seen as a leader 11.5 7.2 20.0 22.3 39.0 3.70 1.35 .69
M MRL24 I missed being seen as responsible 11.3 7.2 20.6 22.7 38.1 3.69 1.34 .75
M MRL25 I missed the adrenaline rush I had during deployment 11.1 7.6 24.7 22.1 34.4 3.61 1.32 .52 M MRL26 I felt like I failed to accomplish my mission 27.2 15.1 22.3 16.7 18.8 2.85 1.46 .62
M MRL27 I missed being on a schedule 16.7 13.6 30.7 21.4 17.5 3.09 1.31 .68
M MRL28 I missed feeling connected to people around me 9.5 8.7 25.8 26.6 29.5 3.58 1.26 .74 M MRL29 I felt lost without the structure of military life 20.0 14.6 26.4 19.8 19.2 3.04 1.38 .69
M MRL30 I felt lost without a clear mission 16.9 12.2 30.1 20.2 20.6 3.15 1.34 .74
M MRL31 I felt lost without my team 20.0 12.6 28.2 19.6 19.6 3.06 1.38 .72
M MRL32 I missed being part of a military culture 12.8 9.1 25.6 22.7 29.9 3.48 1.34 .65
M MRL33 I missed my military family 10.9 9.5 25.8 24.1 29.7 3.52 1.30 .63
M MRL34 I felt like my unit has moved on without me 22.9 14.8 19.4 16.5 26.4 3.09 1.51 .61 M MRL35 I missed being able to take care of my family 22.1 12.2 19.4 17.7 28.7 3.19 1.52 .72
M MRL36 I missed my military career 14.8 8.2 23.3 18.6 35.1 3.51 1.42 .67
M MRL37 I felt I do not fit into civilian life 13.2 12.4 23.3 17.5 33.6 3.46 1.40 .72 O GL1 I felt I lost time because of my injury 11.5 10.5 28.2 26.8 22.9 3.39 1.27 .74
O GL2 I had difficulty accepting my injury 12.8 15.5 33.2 22.5 16.1 3.14 1.23 .76
O GL3 I felt that my injury has taken away my future 16.1 13.4 28.2 19.6 22.7 3.19 1.36 .80 O GL4 Because of my injury, I was distressed about the
abilities that I have lost
11.5 13.4 29.5 22.5 23.1 3.32 1.28 .82
O GL5 I spent a lot of time thinking about what I have lost since my injury
14.8 13.8 30.1 20.2 21.0 3.19 1.32 .83
O GL6 Because of my injury, I felt like I lost many opportunities
13.6 12.2 23.7 24.9 25.6 3.37 1.34 .83
O GL7 I felt sad thinking about things I used to enjoy 12.0 9.3 25.8 27.4 25.6 3.45 1.29 .82 O GL8 I missed out on life because of my injury 17.1 15.1 26.6 21.0 20.2 3.12 1.36 .82
O GL9 I have lost spontaneity in my life 12.6 10.5 29.1 23.7 24.1 3.36 1.30 .76
O GL10 I felt that I am not who I used to be 8.2 6.4 22.5 21.6 41.2 3.81 1.27 .77
O GL11 I missed the activities I used to do 8.5 5.4 24.7 25.4 36.1 3.75 1.24 .79
O GL12 I felt that I lost my former life 12.8 8.2 24.3 22.3 32.4 3.53 1.35 .82
O GL13 I was overwhelmed by everything that has happened to me
13.8 12.2 28.9 26.2 19.0 3.24 1.28 .80
O GL14 I felt lost because of my injury 17.3 15.5 26.2 20.6 20.4 3.11 1.36 .83
O GL15 I longed for the life I had before my injury 14.2 10.7 23.5 20.0 31.5 3.44 1.40 .85
O GL16 I questioned why I was injured 23.3 18.6 24.1 16.3 17.7 2.87 1.41 .64
O GL17 I spent a lot of time thinking about walking 44.7 16.1 21.4 9.3 8.5 2.21 1.32 .47 O GL18 Because of my injury, I had difficulty adjusting to the
changes in my body
24.7 14.0 27.4 17.3 16.5 2.87 1.40 .70
aContent types: Loss of physical fitness and physical appearance (P), Loss of opportunities and future-oriented loss (O), Loss of military culture and mission (M), Nonspecific (?)
