Emotional indicators in young patients with Idiopathic Scoliosis: a study through the drawing of Human Figure

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Emotional indicators in young patients with Idiopathic Scoliosis: a study through the drawing of Human Figure Elisabetta D’Agata1*, Manuel Rigo2, Carles Pérez-Testor3, Núria Casanovas Puigví4 and Carmina Castellano-Tejedor1

Abstract Background: Investigating Health Related Quality of Life (HRQL) is considered determinant in patients with Adolescent Idiopathic Scoliosis (AIS) in clinical as in research field. The aim of the present study is to explore the most relevant aspects of personality of the patients with AIS and its relationship with HRQL. Method: 50 patients (mean age = 16 years) were given a socio-demographic data questionnaire, the Human Figure Drawing (HFD) and SRS (Scoliosis Research Society) -22. Results: In Subtotal SRS-22, patients presented a mean value of 3.9. In HFD, half of these patients presented physical and/or emotional tensions with reference to the shoulders and almost all of them did not show any expression of aggressiveness. No relationship between personality and HRQL was confirmed. The older the patients were, the more body tension was discovered as well as the more concerns about their bodies they showed to have. There was also a correlation between growing old and a decreasing in Mental Health. Previous conservative treatment did not show any impact on personality or on HRQL. Conclusions: Patients with AIS suffer stress and general concern more frequently with the increase of age. We suggest an appropriate supportive treatment for this type of patients.

Background Adolescent Idiopathic Scoliosis (AIS) is a complex process of a three-dimensional spine and trunk deformity, which appears in otherwise healthy subjects, and can progress in relation to multiple factors, during any period of rapid growth [1]. Most of the studies about AIS have focused on investigating the Health Related Quality of Life (HRQL), due to the delicate age of development of scoliosis in these young patients, with the aim of assessing the impact of the deformity and of the treatments in their lives. For this reason, specific instruments for patients with AIS have been created [2], as SRS (Scoliosis Research Society) -22 [3] and QLSD (Quality of Life in Spinal deformities) [4]. Among all the instruments, the SRS22 is the most widely used and translated into many languages. * Correspondence: [email protected] 1 Vall d’Hebron Research Institute, Passeig Vall d’Hebron, 119-129, 08035 Barcelona, Spain Full list of author information is available at the end of the article

However, in AIS the studies interested in investigating the personality traits of patients with scoliosis are limited. To know the personality of these patients may be useful to identify changes over treatment, modify the intensity of brace treatment, indicate a supportive psychological therapy and reduce dropout in conservative treatment [5-8]. In fact, through the application of scoliosis personality questionnaires, interesting results have been found. In this sense, Rivett et al. [9] have demonstrated the existence of signifi