Turkish translation and validation of the body image in the pelvic organ prolapse questionnaire.

Abstract

Objective: The primary aim was to adapt the Body Image in the Pelvic Organ Prolapse Questionnaire (BIPOP-Q) to Turkish culture and evaluate its reliability and validity. The secondary aim was to examine how body image is affected by partner status and the presence of pelvic organ prolapse (POP) symptoms.

Methods: The study included 150 women with POP stage ≥2. The reliability of the BIPOP-Q was evaluated by internal consistency and test-retest analyses. To assess the criterion validity of BIPOP-Q, genital image and POP questionnaires were administered. Correlation coefficients were determined by Spearman correlation analysis. To evaluate the construct validity of the BIPOP-Q, confirmatory factor analysis was conducted. The Mann-Whitney U test was used to compare independent groups.

Results: The internal consistency of the BIPOP-Q (Cronbach α = 0.918) was found to be high, and the test-retest reliability of the scale items (r = 0.538-0.828) ranged from moderate to excellent. Correlations between the BIPOP-Q and criterion scale scores were found to be low to moderate (r = -0.450 to 0.377, P < 0.05). The two-factor construct validity of the BIPOP-Q was confirmed. Women without a partner or with symptomatic POP exhibited lower body image scores than women with a partner or with asymptomatic POP (P < 0.05).

Conclusion: The Turkish BIPOP-Q is a reliable and valid scale for assessing POP-specific body image. Turkish women without a partner or with symptomatic POP appear to have more impaired body image. Further studies are needed to examine the responsiveness of the BIPOP-Q to interventions.