Psychological problems of patients with scoliosis who utilize the Cheneau's brace

Background

An important element in treatment of scoliosis is the evaluation and correction of the patient's psychological status. Changes in their usual lifestyle as well as the daily need to use the brace are the additional negative factors which affect a child. The psychological disorders which evolve may create limitations in personal relationships.

Methods

Clinical cases of 260 patients aged 10–16 treated by Cheneau's brace were included.

To evaluate the psychological and emotional state the following were implemented: Lusher colour test, evaluation of light perception in dreams, psychological image test, observance of the level of neurosis, Spilberg's questionnaire for parents and children, vegetative test by Hildenbrand and Kerdo as well as an evaluation of the general somatic state.

Results

All children had problems adapting to the brace. This period was characterized by negative emotional conditions, such as dream disturbance, increased irritability, negation, anxiety, fears, and change of mood. Internal disharmony connected with a new life in the brace was seen among girls aged 13–16. Approximately 30% of the patients experienced neurosis due to personal discomfort, to process expectations and to the potential for a negative treatment result. Psychological condition of 16.2% of patients depended on their relatives' attitude to the process and result of treatment.

Conclusion

Monitoring of the emotional response to treatment for scoliosis by the Cheneau's brace will improve the quality of the treatment. In addition, incorporating a psychologist's assistance in the management of these emotional responses may lead to improved quality of treatment.