Turkish Version of The Amputee Body Image Scale and Relationship with Quality of Life

Abstract

Objective: To adapt the Amputee Body Image Scale (ABIS) into Turkish and to assess the reliability of the original and revised Amputee Body Image Scale (ABIS-R) in lower limb amputees. Method: Turkish version of the ABIS (20 items; ratings of 1?5) was administered to 91 lower-limb amputee patients wearing prosthesis. One month later, retest was applied to 37 patients. SF?36 was also administered to 37 patients for validity. The scores have been reevaluated for the reliability of the ABIS-R (14 items; ratings of 0?2). Results: Turkish version of the ABIS and ABIS-R fitted the unidimensional construct that the scale was intended to measure and demonstrated good reliability. Cronbach?s alpha was 0.88 for the ABIS and 0.86 for the ABIS-R. Items-total correlation ranged from 0.25 (item 3) to 0.75 (items 8 and 14) for the ABIS. Items-total correlation ranged from 0.33 (item 3) to 0.76 (items 6 and 8) for the ABIS-R. Test-retest correlation coefficient was 0.78 for the ABIS and 0.74 for the ABIS-R. Negative correlations with SF-36 subscales ranged from 0.33 (mental health) to 0.60 (physical functioning) for the ABIS and ranged from 0.31 (mental health) to 0.60 (physical functioning) for the ABIS-R. Conclusions: We conclude that the Turkish versions of ABIS and ABIS-R demonstrate good reliability for measuring body image disturbances in individuals with lower-limb amputations. Moreover, the two scales displayed significant correlations with SF?36.