Article Text

AB1198-HPR Presentation of a new scale assessing the biopsychosocial aspects of healing properties in rheumatic patients
  1. E Ünal1,
  2. P Kısacık1,
  3. G Arin1,
  4. E Karabulut2,
  5. D Göksülük2,
  6. N Yağlı Vardar1,
  7. D Özcan Aydın1,
  8. U Berberoğlu1,
  9. NB Karaca1,
  10. A Akdoğan3,
  11. Ö Karadağ3,
  12. U Kalyoncu3,
  13. L Kılıç3,
  14. A Erden3,
  15. S Bilgen Apraş3,
  16. S Kiraz3,
  17. AI Ertenli3,
  18. M Çalgüneri3
  1. 1Department of Physiotherapy and Rehabilitation, Hacettepe University Faculty of Health Science
  2. 2Department of Biostatistics
  3. 3Department of Internal Medicine, Rheumatology Subdivision, Hacettepe University, Ankara, Turkey


Background Exercise programs have been being provided in Hacettepe University for 12 years. The group exercises were transformed into a book named as “Bilişsel Egzersiz Terapi Yaklaşımı (BETY) (1)” in 2014 and were registered as a trademark by the Turkish Patent Institute in 2015. This approach includes cognitive processes in pain management, clinical pilates exercises and awareness of mood state via dance therapy (2).When rheumatic patients participating in BETY sessions, they are evaluated with appropriate scales for their diseases and it is stated that these scales do not express enough the healing properties they feel with BETY.

Objectives The aim was to develop a new scale assessing the biopsychosocial aspects of healing properties in rheumatic patients.

Methods After 12 years of treatment, cognitive beliefs about health perceptions were gathered from the patients who participates in the BETY group for at least 5 years, with the open-ended question “What kind of changes did you make in this group?”. After elimination of similar sentences, 30 cognitive beliefs about different health perceptions were obtained. The newly developed scale was applied to 89 patients aged 18–69 years (42,94±12.85), who had different rheumatic diseases and were not included in the BETY group. Working questions were determined.

Results The internal consistency was found to be 0.89. In this process, 5 items that didn't work and had the same meaning were removed from the scale. After this, “What kind of improvements did you make in Daily life by participating in the BETY group?” question was asked to the patients participated in BETY group to narrow the expressions and 5 new sentences are determined. The scale was sent to 24 rheumatologists and 2 physiatrists for expert opinion. 15 rheumatologists and 1 physiatrist were returned. When the survey items were examined on a question-based basis, the acceptance rate of all questions was 70.83%. According to this result, the scale was finalized. Structural validity of the created draft will be investigated in the subheadings of functional activity, pain, sexual life, fear of movement, mood.

Conclusions As a result, an original scale which will assess the biopsychosocial aspects of healing properties in rheumatic patients is developed. Our future purpose is to investigate the validation of this scale in different rheumatic diseases.


  1. E.Ünal (Ed.) Romatizmal Hastalıklarda Biyopsikososyal Model: Bilişsel Egzersiz Terapi Yaklaşımı (BETY), 2014, Pelikan Yayıncılık, Ankara. ISBN: 9786056474101.

  2. Kısacık,P. Ünal,E. Akman,Ü. Yapalı,G. Karabulut,E. Akdoğan,A. Investigatition the effects of a multidimensional exercise program on sypmtoms and antiinflammatory status in female patients with ankylosing spondylitis. Complementary Ther. Clin. Pract. 22(2016):38–43.


Acknowledgements The authors declare that they have no conflict of interest.

Disclosure of Interest None declared

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.