Effect of Environmental Psychological Factors on Compliance with Brace Treatment in Adolescent Idiopathic Scoliosis

Abstract

Abstract Objective To investigate the Effect of Environmental Psychological Factors on Orthosis Therapy for Adolescent Idiopathic Scoliosis (AIS) in the three-dimensional perspectives included oneself, family and school environment. Methods Patients with AIS undergoing bracing therapy from January 2019 to December 2021 were retrospectively studied. Information about the patients included baseline data, Eysenck Personality Questionnaire, family environment scale, and academic achievement was collected. The patient‘s data of Eysenck Personality Questionnaire and family environment scale was compared with the Chinese norm to determine the representativeness of the included sample. The patients were divided into complianced group and control group according to the compliance condition, single factor analysis was carried out by χ2 test or independent sample t test. The meaningful variables were further analyzed by multivariate logistic regression. Results A total of 50 patients were included. There was no statistical difference observed in patient’s statistics compared with Chinese norm (P < 0.05). Univariate analysis results showed statistical difference in emotional stability (t = 3.14, P = 0.00) of the Eysenck Personality Questionnaire, whereas there was no statistical difference in internal and external direction (t = 1.07, P = 0.28), mental quality (t = 0.17, P = 0.86); There had statistical difference in intimacy (t = 3.96, P = 0.00) in the household environmental scale, whereas contradictions (t = 1.53, P = 0.13) and culture (t = 0.38, P = 0.70) were not statistically different; Statistical difference was observed in academic performance (χ2 = 7.96, P = 0.00). In the multivariate logistic regression analysis, Statistical difference was not observed in the emotional stability and academic achievement (p > 0.05). Intimacy remained an independent influence factor for compliance (P = 0.01, Exp (B) = 3.10, 95% confidence interval: 1.27～7.56). Conclusion High-intimacy family environment is an important environmental characteristic of high compliance. Effective communication between parents and patients is required in Orthosis Therapy for AIS.