Mekeres' Psychosocial Internalization Scale: A Scale for the Evaluation of Aesthetic Prejudice in Victims of Accidents and Violence.

Autor: Voiță-Mekeres F; Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania., Buhaș CL; Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania., Mekeres GM; Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania., Tudoran C; Department VII, Internal Medicine II, Discipline of Cardiology, University of Medicine and Pharmacy 'Victor Babes' Timisoara, 300041 Timisoara, Romania.; Center of Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, University of Medicine and Pharmacy 'Victor Babes' Timisoara, 300041 Timisoara, Romania.; County Emergency Hospital, 300736 Timisoara, Romania., Racovita M; Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania., Faur CI; Department XV, Orthopedy-Traumatology, Urology and Imagistical Medicine, Discipline of Orthopedy, University of Medicine and Pharmacy 'Victor Babes' Timisoara, 300041 Timisoara, Romania., Tudoran M; Department VII, Internal Medicine II, Discipline of Cardiology, University of Medicine and Pharmacy 'Victor Babes' Timisoara, 300041 Timisoara, Romania.; Center of Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, University of Medicine and Pharmacy 'Victor Babes' Timisoara, 300041 Timisoara, Romania.; County Emergency Hospital, 300736 Timisoara, Romania., Abu-Awwad A; Department XV, Orthopedy-Traumatology, Urology and Imagistical Medicine, Discipline of Orthopedy, University of Medicine and Pharmacy 'Victor Babes' Timisoara, 300041 Timisoara, Romania., Voiță NC; Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania., Maghiar TA; Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania.
Jazyk: angličtina
Zdroj: Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2021 Oct 26; Vol. 9 (11). Date of Electronic Publication: 2021 Oct 26.
DOI: 10.3390/healthcare9111440
Abstrakt: Background and Objectives: One important forensic activity is the assessment of aesthetic injuries where expert criteria and analysis are insufficiently outlined due to the subjective elements related to the traumatized victim. Unaesthetic morphological changes may occur due to various circumstances committed under the Penal Code, resulting in permanent unaesthetic morphological scarring. Considering that most of the existing scales for the assessment of aesthetic prejudices refer only to morphometric changes, our aim was to create a modern method for the evaluation of aesthetic damage that also considers its social and psychological consequences.
Materials and Methods: In this study, we developed the Mekereș Psychosocial Internalization Scale (MPIS), which proposes a clear boundary between the presence or absence of aesthetic damage. The traumatized person is evaluated after a minimum of six months (in the case of an average scar, necessary for defining the character of the scar) to assess changes in the physiognomy or even alterations in the victim's aesthetic perception of their own body. Our study was conducted on 103 patients with scars, and the results were compared to 101 controls (subjects without scars).
Results: Individuals with scars have a distorted perception (compared to controls) of the support provided by significant people [t (202) = 2.473; p = 0.01]. Hypothetically, they will most likely exhibit a nuanced socio-cognitive and psycho-emotional vulnerability that may be the source of future dysfunctions. The fidelity of the MPIS scale was estimated by employing Cronbach's alpha coefficient, resulting in a value of 0.934 (15 items). The exploratory factorial analysis with Varimax rotation mode sustains a single dominant factor, indicating a good internal consistency. The results of this study provide evidence regarding the psychosocial or psychometric worthiness of MPIS.
Conclusions: MPIS can be used for research and as an instrument to assess aesthetic damage or disfigurement by forensic physicians and lawyers.
Databáze: MEDLINE