Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey

Abstract Backgrounds Adolescent idiopathic scoliosis (AIS) is an adolescent onset spinal deformity, which can negatively affect the mental health of these patients. But no studies about their parental mental health have been reported so far. In this study, the parental mental health of AIS patients...

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Main Authors: Hai Wang, Tao Li, Wangshu Yuan, Zheping Zhang, Jing Wei, Guixing Qiu, Jianxiong Shen
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-019-2128-1
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spelling doaj-5d3f1e51afcb4c20a4644321ee8de5692020-11-25T03:01:32ZengBMCBMC Psychiatry1471-244X2019-05-011911810.1186/s12888-019-2128-1Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional surveyHai Wang0Tao Li1Wangshu Yuan2Zheping Zhang3Jing Wei4Guixing Qiu5Jianxiong Shen6Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Psychology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Rehabilitation, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Orthopaedic Surgery, Beijing Puren HospitalDepartment of Psychology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesAbstract Backgrounds Adolescent idiopathic scoliosis (AIS) is an adolescent onset spinal deformity, which can negatively affect the mental health of these patients. But no studies about their parental mental health have been reported so far. In this study, the parental mental health of AIS patients and the associated risk factors were evaluated by a cross-sectional survey. Methods 64 AIS patients who underwent conservative or surgical treatments in our hospital from April 2017 to March 2018, and their parents were enrolled in the AIS group. 85 parents of healthy children were enrolled in the control group. Depression and anxiety were separately assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Spearman correlation coefficients were first estimated to investigate the relationships among the parental PHQ-9/GAD-7 scores and the patient’s PHQ-9/GAD-7 scores in the AIS group. Then, the morbidities of the parental probable major depressive disorder (pMDD, PHQ score ≥ 10) and probable general anxiety disorder (pGAD, GAD-7 score ≥ 10) were compared between the AIS and control groups. Third, the potential risk factors for parental pMDD or pGAD in the AIS group were compared using the chi-squared test or Student’s t-test, respectively. Finally, the uneven distributive variates were analyzed using the binary logistic regression model. Results Both parental depression and anxiety were moderately associated with those of the patients (r = 0.448~0.515, p < 0.01) in the AIS group, respectively. The morbidities of parental pMDD and pGAD in the AIS group were 14.1%, significantly higher than those in the control group (pMDD = 4.7%, p = 0.045; pGAD = 3.5%, p = 0.019). A Cobb angle of the major curve ≥50° (p = 0.034, odds ratio [OR] = 8.264), patients with pMDD (p = 0.018, OR = 17.576), and low education level of the parents (p = 0.026, OR = 0.122) were the risk factors of parental pMDD. Household income < 8000 rmb/month was the risk factor for parental pGAD (p = 0.021). Conclusions The morbidities of pMDD and pGAD in parents of AIS patients were higher than those in parents of healthy children. Parental depression and anxiety were closely associated with their children’s depression and anxiety. Therefore, the parental mental health of AIS patients should be paid attention to, especially for those parents with risk factors.http://link.springer.com/article/10.1186/s12888-019-2128-1Adolescent idiopathic scoliosis (AIS)ParentsDepressionAnxietyMental health
collection DOAJ
language English
format Article
sources DOAJ
author Hai Wang
Tao Li
Wangshu Yuan
Zheping Zhang
Jing Wei
Guixing Qiu
Jianxiong Shen
spellingShingle Hai Wang
Tao Li
Wangshu Yuan
Zheping Zhang
Jing Wei
Guixing Qiu
Jianxiong Shen
Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey
BMC Psychiatry
Adolescent idiopathic scoliosis (AIS)
Parents
Depression
Anxiety
Mental health
author_facet Hai Wang
Tao Li
Wangshu Yuan
Zheping Zhang
Jing Wei
Guixing Qiu
Jianxiong Shen
author_sort Hai Wang
title Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey
title_short Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey
title_full Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey
title_fullStr Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey
title_full_unstemmed Mental health of patients with adolescent idiopathic scoliosis and their parents in China: a cross-sectional survey
title_sort mental health of patients with adolescent idiopathic scoliosis and their parents in china: a cross-sectional survey
publisher BMC
series BMC Psychiatry
issn 1471-244X
publishDate 2019-05-01
description Abstract Backgrounds Adolescent idiopathic scoliosis (AIS) is an adolescent onset spinal deformity, which can negatively affect the mental health of these patients. But no studies about their parental mental health have been reported so far. In this study, the parental mental health of AIS patients and the associated risk factors were evaluated by a cross-sectional survey. Methods 64 AIS patients who underwent conservative or surgical treatments in our hospital from April 2017 to March 2018, and their parents were enrolled in the AIS group. 85 parents of healthy children were enrolled in the control group. Depression and anxiety were separately assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item scale (GAD-7). Spearman correlation coefficients were first estimated to investigate the relationships among the parental PHQ-9/GAD-7 scores and the patient’s PHQ-9/GAD-7 scores in the AIS group. Then, the morbidities of the parental probable major depressive disorder (pMDD, PHQ score ≥ 10) and probable general anxiety disorder (pGAD, GAD-7 score ≥ 10) were compared between the AIS and control groups. Third, the potential risk factors for parental pMDD or pGAD in the AIS group were compared using the chi-squared test or Student’s t-test, respectively. Finally, the uneven distributive variates were analyzed using the binary logistic regression model. Results Both parental depression and anxiety were moderately associated with those of the patients (r = 0.448~0.515, p < 0.01) in the AIS group, respectively. The morbidities of parental pMDD and pGAD in the AIS group were 14.1%, significantly higher than those in the control group (pMDD = 4.7%, p = 0.045; pGAD = 3.5%, p = 0.019). A Cobb angle of the major curve ≥50° (p = 0.034, odds ratio [OR] = 8.264), patients with pMDD (p = 0.018, OR = 17.576), and low education level of the parents (p = 0.026, OR = 0.122) were the risk factors of parental pMDD. Household income < 8000 rmb/month was the risk factor for parental pGAD (p = 0.021). Conclusions The morbidities of pMDD and pGAD in parents of AIS patients were higher than those in parents of healthy children. Parental depression and anxiety were closely associated with their children’s depression and anxiety. Therefore, the parental mental health of AIS patients should be paid attention to, especially for those parents with risk factors.
topic Adolescent idiopathic scoliosis (AIS)
Parents
Depression
Anxiety
Mental health
url http://link.springer.com/article/10.1186/s12888-019-2128-1
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