{ "abstract": "Introduction In systemic sclerosis (SSc), disease-related manifestations are expected to adversely impact patients’ self-esteem. This study aimed to evaluate the validity and reliability of the Turkish version of the Rosenberg Self-Esteem Scale-Short Form (RSES-SF) in SSc patients.Material and Methods In this multicenter cross-sectional study, patients fulfilling the ACR/EULAR criteria were included.Convergent validity was assessed through correlations between RSES-SF and the Body-Cathexis Scale, Scleroderma Health Assessment Questionnaire (sHAQ), and five Likert-type questions.Discriminant validity was tested by comparing RSES-SF scores across disease subtypes, organ involvements, employment, and education.Test–retest reliability was evaluated in 59 patients after three weeks using intraclass correlation coefficient (ICC). Internal consistency was determined with Cronbach’s alpha.Results A total of 100 systemic sclerosis patients (mean age: 52.4 ± 11.4 years; 88% female) were included in the study.The mean disease duration was 8 ± 6.3 years. 56% of the patients had the limited subtype, and 40% had the diffuse subtype and 4% sine SSc; 54% had ILD), 52% had gastrointestinal involvement, 29% had digital ulcers, and 13% had PH).We found a strong negative correlation was found between the total score of the RSES-SF and the Body-Cathexis Scale (r = -0.634, p<0.001).The scale was also significantly correlated with sHAQ (r = -0.427, p<0.001), GIS-VAS (r = -0.509, p< 0.001), general health-VAS (r = -0.388, p<0.001), digital ulcer-VAS (r = -0.352, p=0.001), and Raynaud-VAS (r = -0.307, p=0.003).Additionally, significant correlations were found with the Likert-type questions (Likert-2: r = -0.368, p<0.001; Likert-3: r = -0.463, p<0.001; Likert-4: r = -0.436, p<0.001; Likert-5: r = -0.502, p<0.001).In the analysis of discriminant validity, self-esteem was found to be significantly lower in those with PH (26.0 ± 6.6 vs 29.6 ± 4.4; p=0.044), in patients with digital ulcers (27.5 ± 5.5 vs 29.8 ± 4.5; p = 0.045), and in those with mRCS >10 (26.9 ± 5.5 vs 30.3 ± 4.4; p=0.006).Self-esteem was significantly higher in patients with an education duration of >8 years (31.0 ± 4.9 vs. 28.0 ± 4.6; p=0.003) and in those who were employed (31.5 ± 4.3 vs. 28.0 ± 4.8; p=0.003).The internal consistency was good (Cronbach’s alfa=0.780) and the test-retest reliability was excellent (ICC=0.952; 95% CI:0.919–0.971).Conclusions The Turkish RSES-SF is a valid and reliable instrument for assessing self-esteem in SSc patients. Its strong associations with body perception, health status, organ involvement, and functional limitations support its use in both clinical practice and research for psychosocial evaluation in SSc.Abstract P.316 Table 1Demographic and clinical characteristics of patients with systemic sclerosisAbstract P.316 Table 2Correlation of the total score of the Rosenberg self-esteem scale and each item with the body image seale, likert-type questions,and sHAQ", "authors": [ { "affiliations": [ "Van Research and Training Hospital, Clinic of Rheumatology, Van, Turkey" ], "name": "Ozlem Dogan Agbuga" }, { "affiliations": [ "Kocaeli University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Kocaeli, Turkey" ], "name": "Betül Dikkanoglu Demirok" }, { "affiliations": [ "Kocaeli University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Kocaeli, Turkey" ], "name": "Ayse Cefle" }, { "affiliations": [ "Gazi University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey" ], "name": "Esma Eseroglu" }, { "affiliations": [ "Gazi University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey" ], "name": "Abdülsamet Erden" }, { "affiliations": [ "Hatay Mustafa Kemal University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Hatay, Turkey" ], "name": "Gezmis Kimyon" }, { "affiliations": [ "Kartal Dr.Lütfi Kirdar City Hospital,Clinic of Rheumatology, Istanbul, Turkey" ], "name": "Esra Genc" }, { "affiliations": [ "Kartal Dr.Lütfi Kirdar City Hospital,Clinic of Rheumatology, Istanbul, Turkey" ], "name": "Mehmet Engin Tezcan" }, { "affiliations": [ "Ankara University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey" ], "name": "Mücteba Enes Yayla" }, { "affiliations": [ "Ankara University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey" ], "name": "Murat Turgay" }, { "affiliations": [ "Firat University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Elazig, TURKEY" ], "name": "Gülsah Yamancan" }, { "affiliations": [ "Firat University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Elazig, TURKEY" ], "name": "Ahmet Karatas" }, { "affiliations": [ "Firat University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Elazig, TURKEY" ], "name": "Süleyman Serdar Koca" }, { "affiliations": [ "Ankara Etlik City Hospital, Clinic of Rheumatology, Ankara, Turkey" ], "name": "Mehmet Akif Baltaci" }, { "affiliations": [ "Ankara Etlik City Hospital, Clinic of Rheumatology, Ankara, Turkey" ], "name": "Alper Sari" }, { "affiliations": [ "Sivas Cumhuriyet University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Sivas, Turkey" ], "name": "Arif Babayigit" }, { "affiliations": [ "Sivas Cumhuriyet University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Sivas, Turkey" ], "name": "Ali Sahin" }, { "affiliations": [ "Ankara Bilkent City Hospital, Clinic of Rheumatology, Ankara, Turkey" ], "name": "Serdar Can Güven" }, { "affiliations": [ "Ankara Bilkent City Hospital, Clinic of Rheumatology, Ankara, Turkey" ], "name": "Orhan Küçüksahin" }, { "affiliations": [ "Ankara Bilkent City Hospital, Clinic of Rheumatology, Ankara, Turkey" ], "name": "Sükran Erten" }, { "affiliations": [ "Gaziantep University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Gaziantep, Turkey" ], "name": "Fatih Albayrak" }, { "affiliations": [ "Gaziantep University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Gaziantep, Turkey" ], "name": "Orhan Zengin" }, { "affiliations": [ "Marmara University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey" ], "name": "Mustafa Erdogan" }, { "affiliations": [ "Istanbul University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey" ], "name": "Murat Inanc" }, { "affiliations": [ "Dokuz Eylül University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Izmir, Turkey" ], "name": "Merih Birlik" }, { "affiliations": [ "Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey" ], "name": "Ali Akdogan" }, { "affiliations": [ "Kocaeli University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Kocaeli, Turkey" ], "name": "Duygu Temiz Karadag" } ], "title": "P.316 Validity and reliability of the rosenberg self-esteem scale - short form in Turkish in patients with systemic sclerosis", "uid": "a8b3cc66-7564-5f2b-83b2-489c9586dc2f" }