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Psychological Effects of the SRS-22 on Girls With Adolescent Idiopathic Scoliosis

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Abstract

Study Design

Prospective, randomized control study.

Objectives

To determine whether the SRS-22r (SRS-22) has a negative effect on the body image of females with adolescent idiopathic scoliosis (AIS) using the Body Appreciation Scale (BAS).

Summary

The SRS-22 is a validated questionnaire designed by the Scoliosis Research Society (SRS) to assess outcomes of scoliosis patients. Parents and nursing staff have expressed concern that the questionnaire may incite body image concerns when administered to teenagers with AIS.

Methods

Female AIS patients were prospectively enrolled and randomly assigned to the study or control group. Patients were being observed, braced, or planning operative intervention. Patients in the study group were administered the SRS-22, followed by the BAS. Patients in the control group were administered only the BAS. The BAS is scored from 13 to 65, with higher scores indicating a more positive body image.

Results

45 females were enrolled and assigned to study group (n = 24, SRS-22+BAS) or control group (n = 21, BAS only). There were no differences between the groups in age (p = .55) or Cobb angle (p = .21). There were no differences in overall BAS scores between study (mean = 55.9, range 31–65) and control group participants (mean = 54.2, range 42–64, p = .56). SRS-22 questions and BAS scores had multiple correlations. A higher BAS score is associated with the following SRS-22 questions: being a happy person in the last 6 months, feeling calm and peaceful during the past 6 months, and feeling attractive with one’s current back condition. A lower BAS score is associated with the following SRS-22 questions: being down in the dumps, feeling downhearted and blue, and feeling that one’s back condition affects personal relationships.

Conclusion

Similar BAS scores were observed between the study and control group. Despite concerns regarding the potential negative impact of the SRS-22, taking the questionnaire was not observed to negatively affect patients’ body image.

Level of Evidence

Level II.

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Author information

Authors and Affiliations

  1. Children’s Orthopaedic Center, Children’s Hospital Los Angeles, 4650 Sunset Blvd, MS#69, 90027, Los Angeles, CA, USA

    Gabriela A. Villamor BA, Lindsay M. Andras MD, Joshua Yang BA & David L. Skaggs MD, MMM

Authors
  1. Gabriela A. Villamor BA
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  2. Lindsay M. Andras MD
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  3. Joshua Yang BA
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  4. David L. Skaggs MD, MMM
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Corresponding author

Correspondence to David L. Skaggs MD, MMM.

Additional information

Author disclosures: GAV (none), LMA (personal fees from Biomet, Zimmer, Medtronic, NuVasive; other from Eli Lilly, Journal of Pediatric Orthopedics; personal fees from Orthobullets; other from Pediatric Orthopaedic Society of North America, Scoliosis Research Society, outside the submitted work), JY (none), DLS (grants from Pediatric Orthopaedic Society of North America and Scoliosis Research Society, paid to Columbia University; Ellipse [co–principal investigator, paid to GSF], personal fees from ZimmerBiomet, Medtronic, Zipline Medical, Inc., Orthobullets, Grand Rounds [a healthcare navigation company]; other from Zipline Medical, Inc., Green Sun Medical, Orthobullets; nonfinancial support from Growing Spine Study Group, Scoliosis Research Society, Growing Spine Foundation; personal fees from Johnson & Johnson; other from Medtronic & ZimmerBiomet, from Wolters Kluwer Health–Lippincott Williams & Wilkins, Biomet Spine; other from Orthobullets, co-editor in chief, outside the submitted work).

All figures in this manuscript are reproduced with permission of the Children’s Orthopaedic Center, Los Angeles.

This study has been carried out with approval from the Institutional Review Board at Children’s Hospital Los Angeles.

None of the authors received financial support for this study.

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Villamor, G.A., Andras, L.M., Yang, J. et al. Psychological Effects of the SRS-22 on Girls With Adolescent Idiopathic Scoliosis. Spine Deform 6, 699–703 (2018). https://doi.org/10.1016/j.jspd.2018.04.005

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  • DOI: https://doi.org/10.1016/j.jspd.2018.04.005

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