id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
cpoj-41454		cpoj-41454		10	.pdf	application/pdf	6697	327	47	The scores of the DAS2, DAS18, DAS21, and DAS24 were significantly different between men and women (P<0.01, <0.01, 0.03, and 0.01, respectively). Therefore, it is of paramount importance for the therapist/clinician to understand the psychosocial factors affecting one’s adaptation process to disfigurement/ amputation to adopt the most effective therapeutic approach and navigate a better restoration of body identity.15 Various psychometric tools have been developed to assess the psychological impact and adjustment of appearances such as the Appearance Schemas Inventory,15 the Body Image Avoidance Questionnaire,16 and the Body Dysmorphic Disorder Examination.17 These questionnaires lack the necessary sensitivity to the nature of the irregularity and were not specifically designed to fully cover the spectrum of symptoms relevant to the wide range of difficulties experienced by individuals with disfigurement.12 Given the complexity of how an appearance difference might affect one’s social interaction and the resulting distress, the measure for this assessment should be well-standardized and psychometrically robust in order to fully capture the distress and dysfunction arising from body-image disturbance.18 The Derriford Appearance Scale (DAS) is a valid and factorial scale that examines the psychosocial adjustment issues of subjects with a visible difference.18 This questionnaire examines the negative emotions of people with facial problems (such as fear, social anxiety, and shyness) and negative behaviors such as isolationism that may affect their lifestyle.19 DAS is available in two versions: DAS59 and the short form of DAS24.	cache/cpoj-41454.pdf	txt/cpoj-41454.txt