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The purpose of this study was to examine the factor structure of 2 versions of the Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT-Sp) scale in a sample of Veterans diagnosed with posttraumatic stress disorder (PTSD). The FACIT-Sp has 12- and 23-item versions that have been factor analyzed in other populations with mixed factor solutions. Spiritual well-being is of growing interest in military and veteran populations; valid and reliable measures are needed for research with these groups. A sample of 146 Veterans diagnosed with PTSD was selected for this analysis. Confirmatory factor analysis was used to test competing factorial structures for the 12-item FACIT-Sp. Both a 2-factor and 3-factor model were compared. For the 12-item FACIT-Sp, a more plausible model of spiritual well-being was found with the 3-factor model, separating Meaning from Peace and including Faith subscales. The addition of 11 more items in the 23-item FACIT-Sp did not improve model fit to any substantial degree. Therefore, the 12-item FACIT-Sp with a 3- rather than 2-factor solution (e.g., subscales of Peace, Meaning, and Faith) is recommended as the most accurate representation of the spiritual well-being components in this study of veterans with PTSD

Validation of the Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being Scale in veterans with PTSD.