Department of Pediatric Orthopaedics, Stanford University, Stanford, CA, USA.
Department of Surgery, Stanford University, Stanford, CA, USA.
Spine Deform. 2021 Mar;9(2):349-354. doi: 10.1007/s43390-020-00243-w. Epub 2020 Nov 17.
Mindset theory describes two different belief systems regarding ability: "fixed", in which a particular personal characteristic is seen as unchangeable, and "growth", in which the characteristic is viewed as malleable and subject to improvement. The purpose of this study is to evaluate how that mindset toward one's health correlates with health-related quality of life assessments (HRQoL) in patients with adolescent idiopathic scoliosis (AIS).
Patients undergoing brace treatment for AIS were prospectively recruited for this study and completed both an SRS-30 and Health Mindset Scale questionnaire. Inclusion criteria for patients are based on Scoliosis Research Society standardized criteria for bracing studies: diagnosis of AIS, a prescribed TLSO brace for full-time wear, skeletal immaturity at brace initiation (Risser 0-2), Cobb angles 25-50 degrees, no prior treatment, and, if female, no more than 1 year post-menarchal at the time of brace initiation. Statistical analysis was performed utilizing Mann-Whitney U tests for skewed data and two-sample t tests for normally distributed data. Multivariable models were also used to evaluate the relationships of SRS-30 subscores with health mindset, adjusting for age, gender, and pre-treatment curve magnitudes.
Among the 110 enrolled patients, a stronger growth mindset was associated with significantly higher SRS-30 scores overall (p = 0.001), as well as in the appearance (p = 0.003), and mental (p = 0.001) subscores.
We demonstrate that health mindset affects an AIS patients' HRQoL. Prior studies have demonstrated that mindset is malleable and can be altered. Further studies are required to determine whether changing health mindset from a fixed to a growth mindset can also improve HRQoL in patients with scoliosis.
心态理论描述了两种关于能力的不同信念系统：“固定”，其中特定的个人特征被视为不可改变的，而“成长”，其中特征被视为可塑的，并可改善。本研究的目的是评估对健康的心态如何与青少年特发性脊柱侧凸（AIS）患者的健康相关生活质量评估（HRQoL）相关。
本研究前瞻性招募接受支具治疗的 AIS 患者，并完成 SRS-30 和健康心态量表问卷。患者的纳入标准基于脊柱侧凸研究协会支具研究的标准化标准：AIS 诊断、TLSO 支具全时佩戴、支具开始时骨骼不成熟（Risser 0-2）、Cobb 角 25-50 度、无先前治疗，如果是女性，在开始支具治疗时，初潮后不超过 1 年。对于偏态数据，使用 Mann-Whitney U 检验进行统计分析，对于正态分布数据，使用两样本 t 检验进行统计分析。还使用多变量模型来评估 SRS-30 子评分与健康心态之间的关系，调整年龄、性别和治疗前曲线幅度。
在 110 名入组患者中，较强的成长心态与总体 SRS-30 评分显著相关（p=0.001），以及外观（p=0.003）和精神（p=0.001）子评分。
我们证明健康心态会影响 AIS 患者的 HRQoL。先前的研究表明心态是可塑的，可以改变。需要进一步研究确定是否从固定心态转变为成长心态可以改善脊柱侧凸患者的 HRQoL。
