Journal of Developmental and Physical Disabilities

, Volume 25, Issue 2, pp 203-220

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Prospective Assessment of Scoliosis-Related Anxiety and Impression of Trunk Deformity in Female Adolescents Under Brace Treatment

  • Maciej GlowackiAffiliated withDepartment of Pediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences Email author 
  • , Ewa MisterskaAffiliated withDepartment of Pediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences
  • , Katarzyna AdamczykAffiliated withDepartment of Human Development Psychology and Family Studies, Adam Mickiewicz University
  • , Joanna LatuszewskaAffiliated withDepartment of Motor System Rehabilitation, Poznan University of Physical Education


The aim of this study is to make a prospective analysis of changes in anxiety levels and determining their associations with a longitudinal subjective assessment of trunk deformity in adolescent females with scoliosis, in relation to clinical, radiological and brace-related data. The study design was comprised of three questionnaire assessments, with the second and third evaluations taking place 6 and 12 months after the beginning of the study, respectively. 36 AIS females treated conservatively were asked to fill in the Polish versions of the Spinal Appearance Questionnaire (SAQ-pl) and the trait version of the Spielberger’s Anxiety Inventory for Children (STAIC-trait). High anxiety was indicated in 16.6, 8.3 and 8.3% during the 1st, 2nd and 3rd evaluations. Patients’ results differ in regards to the Curve domain; the discrepancies concern the 2nd and 3rd and the 1st and 3rd evaluations (p = 0.028 and p = 0.003, respectively). The only association between STAIC-trait and SAQ-pl regards Trunk shift in the 1st evaluation (rs = 0.48). The logistic regression revealed that the duration of brace-wearing in months has a statistically significant (p = 0.021) influence on the probability of diagnosing patients’ low anxiety levels in the 2nd assessment. Special attention should be paid to patients’ emotional reactions later on as brace-wearing continues as well as to the results which support the point that patients’ perceptions of spinal deformity do not deteriorate with treatment time. Clinicians need to be aware how patients’ appearance-specific cognitions might be associated with levels of emotional distress and relate to clinical and radiological, scoliosis-related data.


Spinal deformity Adolescence Anxiety Body appearance SAQ STAIC-trait