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

Year 2022, Volume: 9 Issue: 2, 125 - 132, 19.07.2022
https://doi.org/10.15437/jetr.981199

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.

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Thanks

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References

  • 1. Cash TF, Phillips KA, Santos MT, et al. Measuring “negative body image”: validation of the Body Image Disturbance Questionnaire in a nonclinical population. Body Image. 2004;1:363-372.
  • 2. Tones M, Moss N, Polly Jr DW. A review of quality of life and psychosocial issues in scoliosis. Spine. 2006;31:3027-3038.
  • 3. Carrasco MIB, Ruiz MCS. Perceived self-image in adolescent idiopathic scoliosis: an integrative review of the literature. Rev Esc Enferm USP. 2014;48:748-757.
  • 4. Payne III WK, Ogilvie JW, Resnick MD, et al. Does scoliosis have a psychological impact and does gender make a difference? Spine. 1997;22:1380-1384.
  • 5. Ólafsson Y, Saraste H, Ahlgren R-M. Does bracing affect self-image? A prospective study on 54 patients with adolescent idiopathic scoliosis. Eur Spine J. 1999;8:402-405.
  • 6. Watanabe K, Ohashi M, Hirano T, et al. Health-related quality of life in nonoperated patients with adolescent idiopathic scoliosis in the middle years: a mean 25-year follow-up study. Spine. 2020;45:E83-E89.
  • 7. Auerbach JD, Lonner BS, Crerand CE, et al. Body image in patients with adolescent idiopathic scoliosis: validation of the Body Image Disturbance Questionnaire--Scoliosis Version. J Bone Joint Surg Am. 2014;96:e61.
  • 8. Bao H, Yan P, Lonner B, et al. Validation of the simplified Chinese version of the body image disturbance questionnaire-scoliosis. Spine. 2015;40:E1155-E1160.
  • 9. Bae SH, Son SM, Shin WC, et al. Validation of the Korean Version of the Body Image Disturbance Questionnaire-Scoliosis. Spine. 2020;45:E582-E586.
  • 10. Kuzu D, Sertel Berk HÖ, Şimşek ÖF. Reliability and Validity of the Turkish Version of the Body Image Disturbance Questionnaire-Scoliosis. Spine (Phila Pa 1976). 2020;45:E1033-E1038.
  • 11. Wetterkamp M, Thielsch MT, Gosheger G, et al. German validation of the BIDQ-S questionnaire on body image disturbance in idiopathic scoliosis. Eur Spine J. 2017;26:309-315.
  • 12. Alanay A, Cil A, Berk H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) Questionnaire. Spine. 2005;30:2464-2468.
  • 13. Sanders JO, Polly Jr DW, Cats-Baril W, et al. Analysis of patient and parent assessment of deformity in idiopathic scoliosis using the Walter Reed Visual Assessment Scale. Spine. 2003;28:2158-2163.
  • 14. Bago J, Sanchez-Raya J, Perez-Grueso FJS, et al. The Trunk Appearance Perception Scale (TAPS): a new tool to evaluate subjective impression of trunk deformity in patients with idiopathic scoliosis. Scoliosis. 2010;5:1-9.
  • 15. Zaina F, Negrini S, Atanasio S. TRACE (Trunk Aesthetic Clinical Evaluation), a routine clinical tool to evaluate aesthetics in scoliosis patients: development from the Aesthetic Index (AI) and repeatability. Scoliosis. 2009;4:1-7.
  • 16. Asher MA, Lai SM, Burton DC. Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument. Spine. 2000;25:2381-2386.
  • 17. Asher M, Lai SM, Burton D, et al. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine. 2003;28:63-69.
  • 18. Asher M, Lai SM, Burton D, et al. Scoliosis research society-22 patient questionnaire: responsiveness to change associated with surgical treatment. Spine. 2003;28:70-73.
  • 19. Asher M, Min Lai S, Burton D, et al. Discrimination validity of the scoliosis research society-22 patient questionnaire: relationship to idiopathic scoliosis curve pattern and curve size. Spine. 2003;28:74-78.
  • 20. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977:159-174.
  • 21. Goldberg MS, Mayo NE, Poitras B, et al. The Ste-Justine Adolescent Idiopathic Scoliosis Cohort Study. Part II: Perception of health, self and body image, and participation in physical activities. Spine. 1994;19:1562-1572.
  • 22. Schwieger T, Campo S, Weinstein SL, et al. Body image and quality-of-life in untreated versus brace-treated females with adolescent idiopathic scoliosis. Spine. 2016;41:311-319.
  • 23. Gallant JN, Morgan CD, Stoklosa JB, et al. Psychosocial difficulties in adolescent idiopathic scoliosis: Body image, eating behaviors, and mood disorders. World Neurosurg. 2018;116:421-432.

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

Year 2022, Volume: 9 Issue: 2, 125 - 132, 19.07.2022
https://doi.org/10.15437/jetr.981199

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.

Project Number

None.

References

  • 1. Cash TF, Phillips KA, Santos MT, et al. Measuring “negative body image”: validation of the Body Image Disturbance Questionnaire in a nonclinical population. Body Image. 2004;1:363-372.
  • 2. Tones M, Moss N, Polly Jr DW. A review of quality of life and psychosocial issues in scoliosis. Spine. 2006;31:3027-3038.
  • 3. Carrasco MIB, Ruiz MCS. Perceived self-image in adolescent idiopathic scoliosis: an integrative review of the literature. Rev Esc Enferm USP. 2014;48:748-757.
  • 4. Payne III WK, Ogilvie JW, Resnick MD, et al. Does scoliosis have a psychological impact and does gender make a difference? Spine. 1997;22:1380-1384.
  • 5. Ólafsson Y, Saraste H, Ahlgren R-M. Does bracing affect self-image? A prospective study on 54 patients with adolescent idiopathic scoliosis. Eur Spine J. 1999;8:402-405.
  • 6. Watanabe K, Ohashi M, Hirano T, et al. Health-related quality of life in nonoperated patients with adolescent idiopathic scoliosis in the middle years: a mean 25-year follow-up study. Spine. 2020;45:E83-E89.
  • 7. Auerbach JD, Lonner BS, Crerand CE, et al. Body image in patients with adolescent idiopathic scoliosis: validation of the Body Image Disturbance Questionnaire--Scoliosis Version. J Bone Joint Surg Am. 2014;96:e61.
  • 8. Bao H, Yan P, Lonner B, et al. Validation of the simplified Chinese version of the body image disturbance questionnaire-scoliosis. Spine. 2015;40:E1155-E1160.
  • 9. Bae SH, Son SM, Shin WC, et al. Validation of the Korean Version of the Body Image Disturbance Questionnaire-Scoliosis. Spine. 2020;45:E582-E586.
  • 10. Kuzu D, Sertel Berk HÖ, Şimşek ÖF. Reliability and Validity of the Turkish Version of the Body Image Disturbance Questionnaire-Scoliosis. Spine (Phila Pa 1976). 2020;45:E1033-E1038.
  • 11. Wetterkamp M, Thielsch MT, Gosheger G, et al. German validation of the BIDQ-S questionnaire on body image disturbance in idiopathic scoliosis. Eur Spine J. 2017;26:309-315.
  • 12. Alanay A, Cil A, Berk H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) Questionnaire. Spine. 2005;30:2464-2468.
  • 13. Sanders JO, Polly Jr DW, Cats-Baril W, et al. Analysis of patient and parent assessment of deformity in idiopathic scoliosis using the Walter Reed Visual Assessment Scale. Spine. 2003;28:2158-2163.
  • 14. Bago J, Sanchez-Raya J, Perez-Grueso FJS, et al. The Trunk Appearance Perception Scale (TAPS): a new tool to evaluate subjective impression of trunk deformity in patients with idiopathic scoliosis. Scoliosis. 2010;5:1-9.
  • 15. Zaina F, Negrini S, Atanasio S. TRACE (Trunk Aesthetic Clinical Evaluation), a routine clinical tool to evaluate aesthetics in scoliosis patients: development from the Aesthetic Index (AI) and repeatability. Scoliosis. 2009;4:1-7.
  • 16. Asher MA, Lai SM, Burton DC. Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument. Spine. 2000;25:2381-2386.
  • 17. Asher M, Lai SM, Burton D, et al. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine. 2003;28:63-69.
  • 18. Asher M, Lai SM, Burton D, et al. Scoliosis research society-22 patient questionnaire: responsiveness to change associated with surgical treatment. Spine. 2003;28:70-73.
  • 19. Asher M, Min Lai S, Burton D, et al. Discrimination validity of the scoliosis research society-22 patient questionnaire: relationship to idiopathic scoliosis curve pattern and curve size. Spine. 2003;28:74-78.
  • 20. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977:159-174.
  • 21. Goldberg MS, Mayo NE, Poitras B, et al. The Ste-Justine Adolescent Idiopathic Scoliosis Cohort Study. Part II: Perception of health, self and body image, and participation in physical activities. Spine. 1994;19:1562-1572.
  • 22. Schwieger T, Campo S, Weinstein SL, et al. Body image and quality-of-life in untreated versus brace-treated females with adolescent idiopathic scoliosis. Spine. 2016;41:311-319.
  • 23. Gallant JN, Morgan CD, Stoklosa JB, et al. Psychosocial difficulties in adolescent idiopathic scoliosis: Body image, eating behaviors, and mood disorders. World Neurosurg. 2018;116:421-432.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Gizem İrem Kınıklı 0000-0003-1013-6393

Zilan Bazancir 0000-0001-6834-8343

Muharrem Beydağı 0000-0003-4655-1978

Sibel Bozgeyik This is me 0000-0003-4156-6900

Hande Guney Deniz 0000-0002-8315-8465

Halil Demirkıran This is me 0000-0001-5612-5599

Project Number None.
Publication Date July 19, 2022
Submission Date August 11, 2021
Published in Issue Year 2022 Volume: 9 Issue: 2

Cite

Vancouver Kınıklı Gİ, Bazancir Z, Beydağı M, Bozgeyik S, Guney Deniz H, Demirkıran H. Body image disturbance in patients with adolescent idiopathic scoliosis: correlation with deformity perception, trunk aesthetic, and quality of life. JETR. 2022;9(2):125-32.