Mindset correlates with health-related quality of life assessment in patients with adolescent idiopathic scoliosis
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Mindset correlates with health‑related quality of life assessment in patients with adolescent idiopathic scoliosis Gabriel P. Joseph1 · Nicole A. Segovia1 · Robert C. Wright2 · Claudia Mueller2 · Kali R. Tileston1 Received: 25 February 2020 / Accepted: 24 October 2020 © Scoliosis Research Society 2020
Abstract Purpose Mindset theory describes two different belief systems regarding ability: “fixed”, in which a particular personal characteristic is seen as unchangeable, and “growth”, in which the characteristic is viewed as malleable and subject to improvement. The purpose of this study is to evaluate how that mindset toward one’s health correlates with health-related quality of life assessments (HRQoL) in patients with adolescent idiopathic scoliosis (AIS). Methods Patients undergoing brace treatment for AIS were prospectively recruited for this study and completed both an SRS-30 and Health Mindset Scale questionnaire. Inclusion criteria for patients are based on Scoliosis Research Society standardized criteria for bracing studies: diagnosis of AIS, a prescribed TLSO brace for full-time wear, skeletal immaturity at brace initiation (Risser 0–2), Cobb angles 25–50 degrees, no prior treatment, and, if female, no more than 1 year postmenarchal at the time of brace initiation. Statistical analysis was performed utilizing Mann–Whitney U tests for skewed data and two-sample t tests for normally distributed data. Multivariable models were also used to evaluate the relationships of SRS-30 subscores with health mindset, adjusting for age, gender, and pre-treatment curve magnitudes. Results Among the 110 enrolled patients, a stronger growth mindset was associated with significantly higher SRS-30 scores overall (p = 0.001), as well as in the appearance (p = 0.003), and mental (p = 0.001) subscores. Conclusion We demonstrate that health mindset affects an AIS patients’ HRQoL. Prior studies have demonstrated that mindset is malleable and can be altered. Further studies are required to determine whether changing health mindset from a fixed to a growth mindset can also improve HRQoL in patients with scoliosis. Keywords Adolescent · Idiopathic · Scoliosis · Mindset · Pediatrics · Bracing
Introduction In social psychology literature, an individual’s assumption about the source of their ability is termed “mindset.” There exist two divergent types of mindsets that fundamentally change how individuals respond to similar circumstances [1–3]. A “fixed” mindset is the belief that a certain attribute, such as intelligence, is essentially unchangeable. By contrast, a “growth” mindset is the belief that this attribute can be improved through consistent effort [3]. These assumptions about ability lead people to different patterns * Gabriel P. Joseph [email protected] 1
Department of Pediatric Orthopaedics, Stanford University, Stanford, CA, USA
Department of Surgery, Stanford University, Stanford, CA, USA
2
of perceptions and behaviors, and their distinguishing characteristics are easily summarized
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