Psychosocial Effect of Brace Treatment in Adolescent Idiopathic Scoliosis

Author:

Bae Byeong Hoon1,Ham Chang Hwa2,Patel Udit3,Suh Yunsun4

Affiliation:

1. Department of Counseling Psychology, Myongji University

2. Neurosurgery

3. Orthopedics, Korea University Guro Hospital, Korea University College of Medicine, Seoul

4. Chadwick International School, Incheon, Republic of Korea

Abstract

Study Design: Retrospective cohort study. Objective: To evaluate psychosocial effect of brace treatment in adolescent idiopathic scoliosis (AIS) using EuroQoL 5-dimension (EQ-5D) depression and anxiety category. Background: AIS is a structural abnormality of the spine often affecting patients during the puberty, a critical period of developing psychosocial problems. Many questionnaires had been adapted to evaluate mental health and health-related quality of life of AIS patients. However, these questionnaires are often time consuming and difficult to obtain. Therefore, a simpler substitute—EQ-5D—was evaluated. Methods: This is a single-center retrospective cohort analysis of adult idiopathic scoliosis patients aged between 8 and 19, visiting outpatient’s clinic. Beck’s depression inventory, EQ-5D and EuroQoL visual assessment scale, and Objectified Body Consciousness Scale for Youth were compared between brace group and non-brace group of AIS patients. Furthermore, difference between male and female were evaluated within brace group. Results: None of the questionnaire showed significant difference between brace and non-brace group. However, when male and female patients were compared within brace group, female patients were significantly more susceptible to depression and anxiety based on EQ-5D and body consciousness. Furthermore, depression and anxiety according to both BDI and EQ-5D were significantly correlated to health-related quality of life. Conclusion: During brace treatment of female AIS patients, psychosocial status played a significant role in health-related quality of life. EQ-5D is a simple way to monitor the mental health status.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Orthopedics and Sports Medicine,Surgery

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