Voiță-Mekeres Florica, Buhaș Camelia Liana, Mekeres Gabriel Mihai, Tudoran Cristina, Racovita Mariana, Faur Cosmin Ioan, Tudoran Mariana, Abu-Awwad Ahmed, Voiță Nuțu Cristian, Maghiar Teodor Andrei
Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania.
Department VII, Internal Medicine II, Discipline of Cardiology, University of Medicine and Pharmacy "Victor Babes" Timisoara, 300041 Timisoara, Romania.
Healthcare (Basel). 2021 Oct 26;9(11):1440. doi: 10.3390/healthcare9111440.
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.
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).
Individuals with scars have a distorted perception (compared to controls) of the support provided by significant people [t (202) = 2.473; = 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.
MPIS can be used for research and as an instrument to assess aesthetic damage or disfigurement by forensic physicians and lawyers.
一项重要的法医活动是对美学损伤进行评估，由于与受创伤受害者相关的主观因素，专家标准和分析尚不明确。因触犯刑法的各种情况可能会出现不美观的形态变化，导致永久性的不美观形态瘢痕。鉴于现有的大多数美学偏见评估量表仅涉及形态测量变化，我们的目标是创建一种现代的美学损伤评估方法，该方法还应考虑其社会和心理后果。
在本研究中，我们开发了梅凯雷斯心理社会内化量表（MPIS），该量表明确界定了美学损伤的有无。在至少六个月后（对于平均瘢痕而言，这是定义瘢痕特征所必需的）对受创伤者进行评估，以评估相貌变化甚至受害者对自身身体美学认知的改变。我们对103名有瘢痕的患者进行了研究，并将结果与101名对照组（无瘢痕受试者）进行了比较。
与对照组相比，有瘢痕的个体对重要他人提供的支持存在扭曲的认知[t（202）=2.473；P=0.01]。假设他们很可能表现出细微的社会认知和心理情感脆弱性，这可能是未来功能障碍的根源。通过使用克朗巴哈系数估计MPIS量表的信度，得出的值为0.934（15项）。采用方差最大化旋转模式的探索性因子分析支持单一主导因子，表明内部一致性良好。本研究结果为MPIS的社会心理或心理测量价值提供了证据。
MPIS可用于研究，并作为法医和律师评估美学损伤或毁容的工具。
