Gallant Jean-Nicolas, Morgan Clinton D, Stoklosa Joseph B, Gannon Stephen R, Shannon Chevis N, Bonfield Christopher M
School of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
World Neurosurg. 2018 Aug;116:421-432.e1. doi: 10.1016/j.wneu.2018.05.104. Epub 2018 May 23.
To examine the recent literature on psychologic comorbidities prevalent in youth living with adolescent idiopathic scoliosis (AIS)-including body image, eating behaviors, and mood disorders-to improve patient outcomes.
A comprehensive literature review was performed using the PubMed database. Eligible studies were extracted based on defined inclusion criteria, and the effects of AIS on psychologic comorbidities were evaluated. Studies were categorized and analyzed based on 3 recurrent themes: body image, eating behaviors, and mood.
Body image presents the most important link between psychosocial difficulties and AIS. Self-reported body image is a significant factor for successful treatment outcomes in AIS. As such, specific patient-reported outcome measures have recently been developed and validated to aid in the treatment of AIS. Although patients with AIS consistently demonstrate altered anthropometry compared with their healthy counterparts, links between these factors and pathologic behaviors, such as abnormal fear of gaining weight or disordered eating, are not clear. Equally unclear is the association between AIS and altered moods, notably depression and anxiety, because of the wide variety of disparate instruments used to measure mood disorders in patients with AIS.
Patients with AIS undergoing treatment often face psychosocial difficulties. Together, the current literature points to a growing understanding and appreciation of the psychosocial aspects of AIS, but a clear need for more study is needed to optimize treatment of these patients.
研究近期有关青少年特发性脊柱侧凸（AIS）患者中普遍存在的心理合并症的文献，包括身体意象、饮食行为和情绪障碍，以改善患者的治疗效果。
使用PubMed数据库进行全面的文献综述。根据既定的纳入标准提取符合条件的研究，并评估AIS对心理合并症的影响。根据三个反复出现的主题对研究进行分类和分析：身体意象、饮食行为和情绪。
身体意象是心理社会困难与AIS之间最重要的联系。自我报告的身体意象是AIS治疗成功结果的一个重要因素。因此，最近已经开发并验证了特定的患者报告结局指标，以帮助治疗AIS。尽管与健康同龄人相比，AIS患者始终表现出人体测量学的改变，但这些因素与病理行为（如异常的体重增加恐惧或饮食失调）之间的联系尚不清楚。同样不清楚的是AIS与情绪改变（尤其是抑郁和焦虑）之间的关联，因为用于测量AIS患者情绪障碍的工具种类繁多且各不相同。
接受治疗的AIS患者经常面临心理社会困难。总体而言，当前文献表明对AIS的心理社会方面的理解和认识在不断增加，但显然需要更多研究来优化这些患者的治疗。
