“The silent strain: Exploring self-image and mental health in braced adolescents with scoliosis”: a scoping review

Basit Öğe Kaydı
dc.contributor.authorAl Hajaj, Sari Wathiq
dc.contributor.authorAl Hajaj, Dawod
dc.contributor.authorSingh, Prabhjit
dc.contributor.authorBharadwaj, Sanjeevi
dc.contributor.authorNair, Vishnu V.
dc.contributor.authorSrinivasan, Sriram Harish
dc.date.accessioned2025-10-22T11:27:08Z
dc.date.available2025-10-22T11:27:08Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi
dc.descriptionArticle number : 103217
dc.description.abstractBackground: 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.
dc.identifier.citationAl 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
dc.identifier.doi10.1016/j.jcot.2025.103217
dc.identifier.issn0976-5662
dc.identifier.pmid41103608
dc.identifier.scopus2-s2.0-105017912170
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5976
dc.identifier.volume70
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAl Hajaj, Dawod
dc.language.isoen
dc.publisherDelhi Orthopedic Association
dc.relation.ispartofJournal of Clinical Orthopaedics and Trauma
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Öğrenci
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectadolescent
dc.subjectadolescent idiopathic scoliosis
dc.subjectArticle
dc.subjectcognitive behavioral therapy
dc.subjectconservative treatment
dc.subjectcoping
dc.subjectdiscomfort
dc.subjectdistress syndrome
dc.subjectemotional stress
dc.subjectexercise
dc.subjectholistic care
dc.subjecthuman
dc.subjectmental disease
dc.subjectmental health
dc.subjectpatient compliance
dc.subjectpeer support
dc.subjectpsychological well-being
dc.subjectpsychosocial withdrawal
dc.subjectquality of life
dc.subjectscoping review
dc.subjectself concept
dc.subjectself esteem
dc.subjectsocial anxiety
dc.title“The silent strain: Exploring self-image and mental health in braced adolescents with scoliosis”: a scoping review
dc.typeArticle

Dosyalar

Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.17 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu