The Impact of Baseline Negative Emotions on Postoperative Quality of Life in Adolescent Idiopathic Scoliosis Patients: A 2-Year Follow-Up Study.
Preoperative anxiety and depression linked to lower postoperative mental health scores after scoliosis surgery
The Impact of Baseline Negative Emotions on Postoperative Quality of Life in Adolescent Idiopathic Scoliosis Patients: A 2-Year Follow-Up Study.
Adolescent idiopathic scoliosis (adolescent idiopathic scoliosis) is a three-dimensional spinal deformity that develops during puberty without a clear etiology.
Were grouped using the Hospital Anxiety and Depression Scale (Hospital Anxiety and Depression Scale) administered on admission.
worse mental health scores after surgery with preop anxiety or depression
There were no significant differences in baseline characteristics (age, gender, BMI, surgical parameters, scoliosis type, preoperative/postoperative Cobb angles) between the two groups (all p > 0.05).
Preoperatively, SRS-22 and SF-36 scores showed no inter-group differences (all p > 0.05).
Both groups showed significant improvements in physical function-related dimensions postoperatively.
The Non-Negative Emotion Group also exhibited significant improvements in SRS-22 self-image/pain and SF-36 bodily pain (all p < 0.05), while the Negative Emotion Group showed no significant improvements in these dimensions.
Preoperative anxiety and depression do not affect the recovery of physical function in adolescent idiopathic scoliosis patients after spinal correction surgery but significantly impede improvements in subjective quality of life dimensions, including mental health and treatment satisfaction.
These findings highlight the need to integrate psychological assessment and targeted interventions into the perioperative management of adolescent idiopathic scoliosis.