Joshua D Auerbach1, Baron S Lonner2, Canice E Crerand3, Suken A Shah4, John M Flynn3, Tracey Bastrom5, Phedra Penn2, Jennifer Ahn2, Courtney Toombs2, Neil Bharucha6, Whitney P Bowe7, Peter O Newton5. 1. Bronx-Lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 10457. 2. Division of Spine Surgery, Department of Orthopedic Surgery, Mount Sinai Medical Center Beth Israel Hospital, 16th Street and First Avenue, New York, NY 10003. 3. Divisions of Plastic and Reconstructive Surgery (C.E.C.) and Orthopaedic Surgery (J.M.F.), The Children's Hospital of Philadelphia, Wood Ambulatory Care Building, 34th and Civic Center Boulevard, Philadelphia, PA 19104. 4. Nemours Children's Clinic-Wilmington, Alfred I. DuPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803. 5. Pediatric Orthopedic & Scoliosis Center, Department of Orthopaedic Surgery, Rady Children's Hospital, 3030 Children's Way #410, San Diego, CA 92123. 6. UCSF School of Medicine, 500 Parnassus Avenue, San Francisco, CA 94143. 7. SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203.
Abstract
BACKGROUND: Appearance concerns in individuals with adolescent idiopathic scoliosis can result in impairment in daily functioning, or body image disturbance. The Body Image Disturbance Questionnaire (BIDQ) is a self-reported, seven-question instrument that measures body image disturbance in general populations; no studies have specifically examined body image disturbance in those with adolescent idiopathic scoliosis. This study aimed to validate a modified version of the BIDQ in a population with adolescent idiopathic scoliosis and to establish discriminant validity by comparing responses of operatively and nonoperatively treated patients with those of normal controls. METHODS: In the first phase, a multicenter study of forty-nine patients (mean age, fourteen years; thirty-seven female) with adolescent idiopathic scoliosis was performed to validate the BIDQ-Scoliosis version (BIDQ-S). Participants completed the BIDQ-S, Scoliosis Research Society (SRS)-22, Children's Depression Index (CDI), and Body Esteem Scale for Adolescents and Adults (BESAA) questionnaires. Descriptive statistics and Pearson correlation coefficients were calculated. In the second phase, ninety-eight patients with adolescent idiopathic scoliosis (mean age, 15.7 years; seventy-five female) matched by age and sex with ninety-eight healthy adolescents were enrolled into a single-center study to evaluate the discriminant validity of the BIDQ-S. Subjects completed the BIDQ-S and a demographic form before treatment. Independent-sample t tests and Pearson correlation coefficients were calculated. RESULTS: The BIDQ-S was internally consistent (Cronbach alpha = 0.82), and corrected item total correlations ranged from 0.47 to 0.67. The BIDQ-S was significantly correlated with each domain of the SRS-22 and the total score (r = -0.50 to -0.72, p ≤ 0.001), with the CDI (r = 0.31, p = 0.03), and with the BESAA (r = 0.60, p < 0.001). BIDQ-S scores differed significantly between patients (1.50) and controls (1.06, p < 0.005), establishing discriminant validity. CONCLUSIONS: The BIDQ-S is an internally consistent outcomes instrument that correlated with the SRS-22, CDI, and BESAA outcomes instruments in a scoliosis population. The scores of the patients with scoliosis indicated greater back-related body image disturbance compared with healthy controls. To our knowledge, this user-friendly instrument is the first to examine body image disturbance in adolescent idiopathic scoliosis, and it provides a comprehensive evaluation of how scoliosis-related appearance concerns impact psychosocial and daily functioning.
BACKGROUND: Appearance concerns in individuals with adolescent idiopathic scoliosis can result in impairment in daily functioning, or body image disturbance. The Body Image Disturbance Questionnaire (BIDQ) is a self-reported, seven-question instrument that measures body image disturbance in general populations; no studies have specifically examined body image disturbance in those with adolescent idiopathic scoliosis. This study aimed to validate a modified version of the BIDQ in a population with adolescent idiopathic scoliosis and to establish discriminant validity by comparing responses of operatively and nonoperatively treated patients with those of normal controls. METHODS: In the first phase, a multicenter study of forty-nine patients (mean age, fourteen years; thirty-seven female) with adolescent idiopathic scoliosis was performed to validate the BIDQ-Scoliosis version (BIDQ-S). Participants completed the BIDQ-S, Scoliosis Research Society (SRS)-22, Children's Depression Index (CDI), and Body Esteem Scale for Adolescents and Adults (BESAA) questionnaires. Descriptive statistics and Pearson correlation coefficients were calculated. In the second phase, ninety-eight patients with adolescent idiopathic scoliosis (mean age, 15.7 years; seventy-five female) matched by age and sex with ninety-eight healthy adolescents were enrolled into a single-center study to evaluate the discriminant validity of the BIDQ-S. Subjects completed the BIDQ-S and a demographic form before treatment. Independent-sample t tests and Pearson correlation coefficients were calculated. RESULTS: The BIDQ-S was internally consistent (Cronbach alpha = 0.82), and corrected item total correlations ranged from 0.47 to 0.67. The BIDQ-S was significantly correlated with each domain of the SRS-22 and the total score (r = -0.50 to -0.72, p ≤ 0.001), with the CDI (r = 0.31, p = 0.03), and with the BESAA (r = 0.60, p < 0.001). BIDQ-S scores differed significantly between patients (1.50) and controls (1.06, p < 0.005), establishing discriminant validity. CONCLUSIONS: The BIDQ-S is an internally consistent outcomes instrument that correlated with the SRS-22, CDI, and BESAA outcomes instruments in a scoliosis population. The scores of the patients with scoliosis indicated greater back-related body image disturbance compared with healthy controls. To our knowledge, this user-friendly instrument is the first to examine body image disturbance in adolescent idiopathic scoliosis, and it provides a comprehensive evaluation of how scoliosis-related appearance concerns impact psychosocial and daily functioning.
Authors: Whitney P Bowe; James J Leyden; Canice E Crerand; David B Sarwer; David J Margolis Journal: J Am Acad Dermatol Date: 2007-05-10 Impact factor: 11.527
Authors: Klaus Freidel; Dagmar Reichel; Angela Steiner; Petra Warschburger; Franz Petermann; Hans-Rudolf Weiss Journal: Stud Health Technol Inform Date: 2002
Authors: Mark Wetterkamp; Meinald T Thielsch; Georg Gosheger; Patrick Boertz; Jan Henrik Terheyden; Tobias L Schulte Journal: Eur Spine J Date: 2016-12-01 Impact factor: 3.134
Authors: James Meyers; Lily Eaker; Theodor Di Pauli von Treuheim; Sergei Dolgovpolov; Baron Lonner Journal: Sci Rep Date: 2021-11-29 Impact factor: 4.379
Authors: Meinald T Thielsch; Mark Wetterkamp; Patrick Boertz; Georg Gosheger; Tobias L Schulte Journal: J Orthop Surg Res Date: 2018-10-30 Impact factor: 2.359