Review article

IDIOPATHIC SCOLIOSIS FROM PSYCHOPATHOLOGICAL AND MIND-BODY MEDICINE PERSPECTIVES

Goran Talić ; Institute of Physical Medicine and Rehabilitation ''Dr Miroslav Zotovic'', Banja Luka, Bosnia and Herzegovina
Ljerka Ostojić ; School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
Snježana Novaković Bursać ; Institute of Physical Medicine and Rehabilitation ''Dr Miroslav Zotovic'', Banja Luka, Bosnia and Herzegovina
Tatjana Nožica-Radulović ; Institute of Physical Medicine and Rehabilitation ''Dr Miroslav Zotovic'', Banja Luka, Bosnia and Herzegovina
Đurđica Stevanović-Papić ; Institute of Physical Medicine and Rehabilitation ''Dr Miroslav Zotovic'', Banja Luka, Bosnia and Herzegovina

Abstract

Idiopathic scoliosis, defined as a three-dimensional spine and trunk deformity, which appears in otherwise healthy subjects,
exhibits complex relations with various forms of personal well-being and psychopathology. Most research studies have documented a
higher proportion of psychological disturbances (e.g., self-criticism, negative body image, low self-esteem) and mental disorders
(e.g., anxiety and depressive disorders, personality disorders) among idiopathc scoliosis patients compared to healthy controls. In
addition, there are some reports, although more systematic research is warranted, on the role of mental health and personality traits
in relation to the adherence to conservative treatment. Given the increasing role of surgical treatment in the management of
scoliosis, as well as several reports on negative psychological outcomes of such interventions, there is a growing need for ongoing
screening and mental health care in this population. It seems this also holds true for non-operative treatments, particularly bracing
therapy. One should keep in mind that these scoliosis-psychopathology relations are deduced from a limited number of empirical
studies, usually conducted on small sample sizes, suggesting the need for further large-scale investigations, preferrably those with
longitudinal research designs. Understanding the complex interplay between personality/psychopathology and spinal deformities
within the framework of personalized mind-body medicine, should help clinicians tailor more individualized and specific treatments
and predict therapeutic outcomes in this clinical population.

Keywords

idiopathic scoliosis; psychopathology; personality; mind-body medicine; psychosomatic

Hrčak ID:

177086

URI

https://hrcak.srce.hr/177086

Publication date:

12.12.2016.

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