Evaluating the prevalence of psychiatric comorbidities associated with pediatric scoliosis utilizing ResearchMatch.

IF 1.6 Q3 CLINICAL NEUROLOGY Spine deformity Pub Date : 2024-11-01 Epub Date: 2024-08-12 DOI:10.1007/s43390-024-00926-8

Jeffrey W Chen, Stefan W Koester, Campbell Liles, Stephen Gannon, Christopher M Bonfield

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Abstract

Purpose: The goal of this study is to characterize the self-reported prevalence of psychiatric comorbidities among patients with adolescent scoliosis.

Methods: Eligible patients across the US were surveyed using ResearchMatch, a validated online platform. The survey collected patient demographics, type of scoliosis, scoliosis treatment received, and the mental health diagnoses and interventions.

Results: Nearly all (98%) of the 162 respondents were patients themselves, the remainder of which were parents. The majority of whom were female (93%), Caucasian (85%), and diagnosed with idiopathic scoliosis (63%). The median age of diagnosis was 13 (IQR 11-18). Most respondents had mild to moderate scoliosis (65%), and 17% received surgical treatment. 76 of 158 (48%) responded that scoliosis affected their overall mental health, and 92 (58%) had received a mental health diagnosis-76% were diagnosed after their scoliosis diagnosis. Of the 92 with mental health diagnoses, the most common diagnoses were clinical depression (83%), anxiety (71%), negative body image (62%). Over 80% of patients received medical treatment or therapy. Of those with depression, 38.4% received counseling and 45.2% received medication. 52% of the respondents also had immediate family members with mental health diagnoses, with siblings (48%) having the highest proportion.

Conclusion: According to the CDC, the prevalence of US teenagers with diagnosed depression was found to be 3.9% and anxiety disorder to be 4.7%, notably higher among adolescent girls. In this national sample, over half of adolescent scoliosis patients report psychiatric comorbidity, often diagnosed years later. The most prevalent psychiatric condition is depression, anxiety, and body-image disturbances. These findings highlight the importance of awareness of the psychiatric impact of adolescent scoliosis, and importance of screening and treatment of comorbid mental health conditions.

Level of evidence: IV.

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利用ResearchMatch评估与小儿脊柱侧弯症相关的精神科合并症的患病率。

目的：本研究旨在了解青少年脊柱侧凸患者自我报告的精神疾病合并症患病率：方法：使用经过验证的在线平台 ResearchMatch 对全美符合条件的患者进行调查。调查收集了患者的人口统计学特征、脊柱侧凸类型、所接受的脊柱侧凸治疗以及精神健康诊断和干预措施：在 162 名受访者中，几乎所有（98%）都是患者本人，其余为患者父母。大部分受访者为女性（93%）、白种人（85%）和特发性脊柱侧弯症患者（63%）。诊断年龄的中位数为 13 岁（IQR 11-18）。大多数受访者患有轻度至中度脊柱侧弯（65%），17%的受访者接受了手术治疗。158名受访者中有76人（48%）回答脊柱侧弯影响了他们的整体心理健康，92人（58%）曾接受过心理健康诊断--其中76%是在脊柱侧弯诊断后接受的诊断。在这 92 位接受过心理健康诊断的患者中，最常见的诊断是临床抑郁症（83%）、焦虑症（71%）和负面身体形象（62%）。超过 80% 的患者接受了医疗或治疗。在抑郁症患者中，38.4% 接受了心理咨询，45.2% 接受了药物治疗。52%的受访者的直系亲属也被诊断出患有精神疾病，其中兄弟姐妹（48%）的比例最高：根据美国疾病预防控制中心的数据，美国青少年中被诊断患有抑郁症的比例为 3.9%，患有焦虑症的比例为 4.7%，其中少女的比例尤其高。在这一全国性样本中，超过半数的青少年脊柱侧弯患者报告患有精神疾病，而且往往是在多年后才被诊断出来。最常见的精神疾病是抑郁、焦虑和身体形象障碍。这些发现强调了认识青少年脊柱侧凸对精神疾病影响的重要性，以及筛查和治疗合并精神疾病的重要性：证据等级：IV。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.