SRS-22对青少年特发性脊柱侧弯女孩的心理影响。

Psychological Effects of the SRS-22 on Girls With Adolescent Idiopathic Scoliosis.

作者信息

Villamor Gabriela A, Andras Lindsay M, Yang Joshua, Skaggs David L

机构信息

Children's Orthopaedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS#69, Los Angeles, CA 90027, USA.

出版信息

Spine Deform. 2018 Nov-Dec;6(6):699-703. doi: 10.1016/j.jspd.2018.04.005.

DOI:10.1016/j.jspd.2018.04.005

PMID:30348346

Abstract

STUDY DESIGN

Prospective, randomized control study.

OBJECTIVES

To determine whether the SRS-22r (SRS-22) has a negative effect on the body image of females with adolescent idiopathic scoliosis (AIS) using the Body Appreciation Scale (BAS).

SUMMARY

The SRS-22 is a validated questionnaire designed by the Scoliosis Research Society (SRS) to assess outcomes of scoliosis patients. Parents and nursing staff have expressed concern that the questionnaire may incite body image concerns when administered to teenagers with AIS.

METHODS

Female AIS patients were prospectively enrolled and randomly assigned to the study or control group. Patients were being observed, braced, or planning operative intervention. Patients in the study group were administered the SRS-22, followed by the BAS. Patients in the control group were administered only the BAS. The BAS is scored from 13 to 65, with higher scores indicating a more positive body image.

RESULTS

45 females were enrolled and assigned to study group (n = 24, SRS-22+BAS) or control group (n = 21, BAS only). There were no differences between the groups in age (p = .55) or Cobb angle (p = .21). There were no differences in overall BAS scores between study (mean = 55.9, range 31-65) and control group participants (mean = 54.2, range 42-64, p = .56). SRS-22 questions and BAS scores had multiple correlations. A higher BAS score is associated with the following SRS-22 questions: being a happy person in the last 6 months, feeling calm and peaceful during the past 6 months, and feeling attractive with one's current back condition. A lower BAS score is associated with the following SRS-22 questions: being down in the dumps, feeling downhearted and blue, and feeling that one's back condition affects personal relationships.

CONCLUSION

Similar BAS scores were observed between the study and control group. Despite concerns regarding the potential negative impact of the SRS-22, taking the questionnaire was not observed to negatively affect patients' body image.

LEVEL OF EVIDENCE

Level II.

摘要

研究设计

前瞻性随机对照研究。

目的

使用身体欣赏量表（BAS）确定脊柱侧凸研究学会-22修订版（SRS-22r，即SRS-22）是否会对青少年特发性脊柱侧凸（AIS）女性患者的身体意象产生负面影响。

概述

SRS-22是脊柱侧凸研究学会（SRS）设计的一份经过验证的问卷，用于评估脊柱侧凸患者的治疗效果。家长和护理人员担心，当该问卷用于AIS青少年患者时，可能会引发对身体意象的担忧。

方法

前瞻性纳入女性AIS患者，并将其随机分配至研究组或对照组。患者正在接受观察、支具治疗或计划进行手术干预。研究组患者先接受SRS-22问卷调查，随后接受BAS调查。对照组患者仅接受BAS调查。BAS的评分范围为13至65分，分数越高表明身体意象越积极。

结果

45名女性被纳入研究，并被分配至研究组（n = 24，SRS-22 + BAS）或对照组（n = 21，仅BAS）。两组患者在年龄（p = 0.55）或Cobb角（p = 0.21）方面无差异。研究组（均值 = 55.9，范围31 - 65）和对照组参与者（均值 = 54.2，范围42 - 64，p = 0.56）的BAS总分无差异。SRS-22的问题与BAS分数存在多重相关性。较高的BAS分数与以下SRS-22问题相关：在过去6个月是个快乐的人、在过去6个月感到平静安宁、对自己目前的背部状况感到有吸引力。较低的BAS分数与以下SRS-22问题相关：情绪低落、感到沮丧忧郁、觉得自己的背部状况影响人际关系。