“The silent strain: Exploring self-image and mental health in braced adolescents with scoliosis”: a scoping review
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Tarih
2025
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Delhi Orthopedic Association
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: Adolescent Idiopathic Scoliosis (AIS) is a common spinal deformity. It can create surface deformities that affect adolescents' psychosocial health. Bracing is a non-surgical method to prevent curve progression and avoid surgery. However, the psychosocial effects of long-term brace use during adolescence are often overlooked. issues like decreased self-esteem, social withdrawal, and appearance anxiety may hinder compliance and impact quality of life. Methods: A comprehensive literature review used PubMed, Cochrane Library, and ScienceDirect to identify studies from 2015 to 2025. It was prospectively registered with the PROSPERO database (Registration ID: CRD420251083129). The search terms included: "adolescent idiopathic scoliosis,” "bracing and self-image,” "bracing compliance,” and "psychological impact of bracing.” Two independent reviewers screened studies based on PICOS criteria: (1) adolescents with AIS, (2) bracing or conservative treatment, (3) control or observational groups, (4) outcomes like self-image, quality of life, or compliance, and (5) RCTs, observational studies, systematic reviews, or meta-analyses. Exclusions included surgical interventions, non-adolescents, or non-English publications. Results: We found 807 studies; after removing duplicates, irrelevant titles, and abstracts, 26 full texts were screened. Of these, 10 met all criteria and were included. Adolescents in brace treatment often face negative self-image, low self-esteem, and social anxiety, especially at therapy start, affecting adherence. Concerns about appearance and discomfort hinder compliance. Some adapt over time, but others continue to experience mental health issues. Interventions like cognitive-behavioural therapy (CBT), peer support, and special exercise programs improve coping, adherence, and psychological well-being. Conclusion: Bracing treats Adolescent Idiopathic Scoliosis (AIS) but affects psychosocial well-being, lowering adherence and quality of life. A multidisciplinary, patient-centred approach with mental health support is essential. Early psychological distress identification and interventions like Cognitive Behavioural Therapy (CBT) and peer support can enhance compliance and outcomes. Protocols should include psychosocial screening and holistic care to lessen the adverse effects of brace treatment.
Açıklama
Article number : 103217
Anahtar Kelimeler
adolescent, adolescent idiopathic scoliosis, Article, cognitive behavioral therapy, conservative treatment, coping, discomfort, distress syndrome, emotional stress, exercise, holistic care, human, mental disease, mental health, patient compliance, peer support, psychological well-being, psychosocial withdrawal, quality of life, scoping review, self concept, self esteem, social anxiety
Kaynak
Journal of Clinical Orthopaedics and Trauma
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
70
Sayı
Künye
Al Hajaj, S. W., Al Hajaj, D., Singh, P., Bharadwaj, S., & Nair, V. V. (2025). " The Silent Strain: Exploring Self-Image and Mental Health in Braced Adolescents with Scoliosis": a scoping review. Journal of Clinical Orthopaedics and Trauma, 70, 103217. 10.1016/j.jcot.2025.103217
