Body Image and Body Schema in Adolescents with Idiopathic Scoliosis: A Scoping Review

IF 4.7 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Adolescent Research Review Pub Date : 2022-03-24 DOI:10.1007/s40894-022-00187-4
Margherita Bertuccelli, Francesca Cantele, Stefano Masiero
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引用次数: 8

Abstract

Alterations in body representations (i.e., body image and body schema) are increasingly getting attention in clinical practice. Adolescents affected by idiopathic scoliosis experience body image dissatisfaction, and alterations in body schema have been suggested to be a consequence of the disease development. Although research has recognized the predisposing role of body representation disorders to psychopathologies, these aspects have been largely overlooked in this clinical population. This scoping review aims to establish the state of the art on the widely neglected aspects of body image and body schema disorders in adolescents affected by idiopathic scoliosis. PubMed, Scopus, PsycInfo, and MEDLINE were consulted to select articles published between 2000 and 2021. Three independent reviewers identified 27 articles by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review guidelines. Body image was assessed in 24 of the 27 studies. Body image disorders were reported, with more severe scoliosis cases showing higher body image dissatisfaction. Surgery seems to be the best approach to improve body image outcomes, but studies did not reveal clear associations between clinical measures of scoliosis severity (e.g., Cobb angle, hump height) and body image. Disorders of body schema have been reported, but the finding might have been biased by the paucity of studies on this aspect of body representations (4/27). This review highlighted the wide prevalence of psychological distress and body schema alterations among adolescents affected by idiopathic scoliosis; but it also revealed that both are disregarded and not properly evaluated.

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青少年特发性脊柱侧凸的身体形象和身体图式:范围综述
身体表征(即身体形象和身体图式)的改变在临床实践中越来越受到关注。患有特发性脊柱侧弯的青少年会对身体形象感到不满,身体模式的改变被认为是疾病发展的结果。尽管研究已经认识到身体表征障碍对精神病理学的易感性作用,但在这一临床人群中,这些方面在很大程度上被忽视了。这篇范围界定综述旨在建立关于特发性脊柱侧弯青少年身体形象和身体模式障碍这一被广泛忽视的方面的最新技术。查阅PubMed、Scopus、PsycInfo和MEDLINE,选择2000年至2021年间发表的文章。三位独立评审员根据系统评审的首选报告项目和范围界定评审指南的荟萃分析扩展,确定了27篇文章。在27项研究中,有24项对身体图像进行了评估。据报道,身体形象障碍,更严重的脊柱侧弯病例表现出更高的身体形象不满。手术似乎是改善身体影像结果的最佳方法,但研究并未揭示脊柱侧弯严重程度的临床指标(如Cobb角、驼峰高度)与身体影像之间的明确关联。身体图式障碍已有报道,但这一发现可能因缺乏对身体表征这一方面的研究而有所偏差(4/27)。这篇综述强调了受特发性脊柱侧弯影响的青少年普遍存在心理困扰和身体模式改变;但它也表明,两者都被忽视,没有得到适当的评估。
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来源期刊
Adolescent Research Review
Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
10.40
自引率
0.00%
发文量
17
期刊介绍: Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence.  The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries.  Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.
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