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.