Cross-Cultural Adaptation and Validation of the Spanish Version of the Amputee Body Image Scale (ABIS-E)

Author:

Gómez-Calcerrada-García-Navas Eva A.1ORCID,Arranz-Escudero Adrián2ORCID,Izquierdo-García Juan12ORCID,Briones-Cantero María1,Molina-Rueda Francisco3ORCID,Martín-Casas Patricia24ORCID

Affiliation:

1. University Hospital 12 de Octubre, Biomedical Research Institute of 12 de Octubre University Hospital, 28041 Madrid, Spain

2. Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain

3. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Faculty of Health Sciences, Rey Juan Carlos University, 28933 Madrid, Spain

4. Health Research Institute of the San Carlos Clinical Hospital of Madrid (IdISSC), 28040 Madrid, Spain

Abstract

Background. Assessing the patient’s perceived body image is essential to measure the impact of lower limb amputation on quality of life and psychological well-being. Objective. The aim of this study was to develop a Spanish version of the Amputee Body Image Scale (ABIS-E) for Spanish-speaking lower limb amputees. Methods. A cross-sectional study was conducted including amputee patients in Madrid, Spain. Clinical outcomes of body image (Amputee Body Image Scale, ABIS), health-related quality of life (EuroQol-5D-5L), depression and anxiety (Hospital Anxiety and Depression Scale, HADS), pain (Brief Pain Inventory-Short Form, BPI-SF), and functional capacity (Prosthesis Evaluation Questionnaire, PEQ) were collected. Results. Seventy-three participants were assessed. Excellent test–retest reliability (ICC = 0.847) and good internal consistency (Cronbach’s alpha = 0.753) were obtained. Factor analyses extracted three factors. Convergent validity with Pearson’s and Spearman’s correlation coefficients were calculated for depression and anxiety questionnaires (HADS) (values between 0.57 and 0.67), functional capacity (PEQ) (values between −0.35 and 0.71), and quality of life (EQ-5D-5L) (values between −0.37 and 0.61). Conclusions. The ABIS-E is a reliable and valid instrument to measure body image in the Spanish population with lower limb amputation, potentially useful in primary care to identify psychosocial problems.

Publisher

MDPI AG

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