Adölesan idiyopatik skolyozda beden imajı rahatsızlığı: deformite algısı, gövde estetiği ve yaşam kalitesi ile ilişkisi

Abstract

Amaç: İdiyopatik skolyozlu adölesanlarda beden imajındaki bozukluk ana şikayetlerden biridir. Bu nedenle, beden imajı algıları ile ilgili endişeler, deformite algısı, gövde estetiği ve günlük fonksiyonlar ile ilişkili olabilir. Bu çalışmanın amacı adölesan idiyopatik skolyozlu (AİS) hastalarda beden imajı rahatsızlığı ile deformite algısı, gövde estetiği ve yaşam kalitesi arasındaki ilişkiyi değerlendirmektir.
Yöntem: Çalışmaya AİS tanılı 105 hasta dahil edildi. AİS'li hastalarda beden imajı ile ilişkili endişelerin ve fonksiyonel yetersizliklerin değerlendirilmesinde Body Image Disturbance Questionnaire-Scoliosis (BIDQ-S), hastaların deformite algılamasının değerlendirilmesinde Walter Reed Görsel Değerlendirme Skalası (WRVAS) ve Gövde Görünüm Algılama Ölçeği (TAPS), gövde estetiğininin değerlendirilmesinde Trunk Aesthetic Clinical Evaluation (TRACE) ve yaşam kalitesinin değerlendirmesinde Scoliosis Research Society-22 (SRS-22) kullanıldı. Ölçekler arasında ilişkinin incelenmesinde Pearson Korelasyon testi kullanıldı.
Bulgular: Hastaların ortalama yaşı 14,05±2,29 yıl ve primer eğrilik için ortalama Cobb açıları 25,1±9,2° (10°- 52°) idi. BIDQ-S, SRS-22 total skoru (r=-0,672, p<0,001), SRS-22 ağrı alt parametresi (r=-0.631, p<0.001), WRVAS (r=0,713, p<0,001) puanı, TAPS (r=0,672, p<0,001) ve TRACE (r=0,614, p<0,001) puanı ile çok iyi korelasyon gösterdi. BIDQ-S ile SRS-22 fonksiyon, SRS-22 görünüm ve SRS-22 mental sağlık alt parametreleri arasında iyi bir korelasyon vardı (r=-0,520; r=-0,518; r=-0.572, p<0,001). BIDQ-S ile SRS-22 tedaviden tatmin alt parametresi arasında herhangi korelasyon bulunmadı (r=-0,102; p=0,296).
Sonuç: Beden imajı bozuklukları, hastaların deformite algısı, gövde estetiği ve yaşam kalitesi ile güçlü bir şekilde ilişkilidir.

Keywords

• skolyoz
• beden imajı
• yaşam kalitesi

Body image disturbance in patients with adolescent idiopathic scoliosis: correlation with deformity perception, trunk aesthetic, and quality of life

Abstract

Purpose: In adolescents with idiopathic scoliosis, a disturbance in body image is the one of main complaint. Hence, concerns related-body image perceptions may be related to the deformity perception, trunk aesthetics and daily functioning. The aim of this study was to evaluate the body image disturbance and its association among deformity perception, trunk aesthetic, and quality of life in patients with adolescent idiopathic scoliosis (AIS).
Methods: A total of 105 patients with AIS were included in the study. Body Image Disturbance Questionnaire-Scoliosis (BIDQ-S) for body image disturbance, Walter Reed Visual Assessment Scale (WRVAS) and Trunk Appearance Perception Scale (TAPS) for perception of patient’s deformity, Trunk Aesthetic Clinical Evaluation (TRACE) for trunk aesthetic and Scoliosis Research Society-22 (SRS-22) for quality of life were used. Pearson Correlation test were used to compare the data obtained in the study.
Results: The mean age of patients was 14.05±2.29 years, and the mean Cobb angles were 25.1±9.2° (ranged from 10° to 52°) for primary curve. The BIDQ-S demonstrated very good correlated to the SRS-22 total (r=-0.672, p<0.001) and pain domain (r=-0.631, p<0.001), the WRVAS (r=0.713, p<0.001), TAPS (r=0.672, p<0.001) and TRACE (r=0.614, p<0.001). There was a good correlation between BIDQ-S and other SRS-22 activity, image, and mental domains (r=-0.520; r=-0.518; r=-0.572, p<0.001). No correlation was found between BIDQ-S and the SRS-22 satisfaction domain (r=-0.102; p=0.296).
Conclusion: Body image disturbances strongly related with the patients’ perception of deformity, trunk aesthetic, and quality of life.

Keywords

• scoliosis
• body image
• quality of life

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