Abstract
The aim of this study is to make a prospective analysis of changes in anxiety levels and determining their associations with
a longitudinal subjective assessment of trunk deformity in adolescent females with scoliosis, in relation to clinical, radiological
and brace-related data. The study design was comprised of three questionnaire assessments, with the second and third evaluations
taking place 6 and 12 months after the beginning of the study, respectively. 36 AIS females treated conservatively were asked
to fill in the Polish versions of the Spinal Appearance Questionnaire (SAQ-pl) and the trait version of the Spielberger’s
Anxiety Inventory for Children (STAIC-trait). High anxiety was indicated in 16.6, 8.3 and 8.3% during the 1st, 2nd and 3rd
evaluations. Patients’ results differ in regards to the Curve domain; the discrepancies concern the 2nd and 3rd and the 1st
and 3rd evaluations (p = 0.028 and p = 0.003, respectively). The only association between STAIC-trait and SAQ-pl regards Trunk shift in the 1st evaluation (rs = 0.48).
The logistic regression revealed that the duration of brace-wearing in months has a statistically significant (p = 0.021) influence on the probability of diagnosing patients’ low anxiety levels in the 2nd assessment. Special attention
should be paid to patients’ emotional reactions later on as brace-wearing continues as well as to the results which support
the point that patients’ perceptions of spinal deformity do not deteriorate with treatment time. Clinicians need to be aware
how patients’ appearance-specific cognitions might be associated with levels of emotional distress and relate to clinical
and radiological, scoliosis-related data.
a longitudinal subjective assessment of trunk deformity in adolescent females with scoliosis, in relation to clinical, radiological
and brace-related data. The study design was comprised of three questionnaire assessments, with the second and third evaluations
taking place 6 and 12 months after the beginning of the study, respectively. 36 AIS females treated conservatively were asked
to fill in the Polish versions of the Spinal Appearance Questionnaire (SAQ-pl) and the trait version of the Spielberger’s
Anxiety Inventory for Children (STAIC-trait). High anxiety was indicated in 16.6, 8.3 and 8.3% during the 1st, 2nd and 3rd
evaluations. Patients’ results differ in regards to the Curve domain; the discrepancies concern the 2nd and 3rd and the 1st
and 3rd evaluations (p = 0.028 and p = 0.003, respectively). The only association between STAIC-trait and SAQ-pl regards Trunk shift in the 1st evaluation (rs = 0.48).
The logistic regression revealed that the duration of brace-wearing in months has a statistically significant (p = 0.021) influence on the probability of diagnosing patients’ low anxiety levels in the 2nd assessment. Special attention
should be paid to patients’ emotional reactions later on as brace-wearing continues as well as to the results which support
the point that patients’ perceptions of spinal deformity do not deteriorate with treatment time. Clinicians need to be aware
how patients’ appearance-specific cognitions might be associated with levels of emotional distress and relate to clinical
and radiological, scoliosis-related data.
- Content Type Journal Article
- Category ORIGINAL ARTICLE
- Pages 1-18
- DOI 10.1007/s10882-012-9296-y
- Authors
- Maciej Glowacki, Department of Pediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, 61-545 Poznan, ul. 28 Czerwca 1956 135/147, Poland
- Ewa Misterska, Department of Pediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, 61-545 Poznan, ul. 28 Czerwca 1956 135/147, Poland
- Katarzyna Adamczyk, Department of Human Development Psychology and Family Studies, Adam Mickiewicz University, 60-568 Poznan, ul. Szamarzewskiego 89, Poznan, Poland
- Joanna Latuszewska, Department of Motor System Rehabilitation, Poznan University of Physical Education, 61-871 Poznań, ul. Królowej Jadwigi 27/39, Poland
- Journal Journal of Developmental and Physical Disabilities
- Online ISSN 1573-3580
- Print ISSN 1056-263X