Cognitive strategies and self-esteem as predictors of brace-wear noncompliance in patients with idiopathic scoliosis and kyphosis.
Psychological determinants of brace-wear compliance were analyzed among 113 patients who used a brace because of an adolescent idiopathic scoliosis (92%), kyphosis (5%), or both (3%). The results showed that noncompliant girls did not expect to succeed in dealing with scoliosis and that they were anxious about the possibility of failure. They also had low self-esteem and did not seek social support from other people. Noncompliant boys, in contrast, had high self-esteem and high achievement success expectation. Among patients with a short time of brace use, low compliance was best predicted by low amount of reflective thinking and a good body-image. In turn, among patients who had used the brace for >6 months, low compliance was best predicted by high amount of reflective thinking, poor body-image, low social success expectation, and low master orientation in social behavior. Only sleeping problems predicted compliance across gender and the time of brace use: the more the patients experienced sleeping problems, the less they used the brace.
Orton Orthopaedic Hospital, Helsinki, Finland.
M
M
Lindeman
K
K
Behm
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D001294:Attitude to Health; D001828:Body Image; D001915:Braces; D003071:Cognition; D003625:Data Collection; D005069:Evaluation Studies as Topic; D005260:Female; D005387:Finland; D006801:Humans; D007738:Kyphosis / Q000175:diagnosis / Q000534:rehabilitation*; D008297:Male; D015999:Multivariate Analysis; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D012044:Regression Analysis; D012600:Scoliosis / Q000175:diagnosis / Q000534:rehabilitation*; D012649:Self Concept; D017678:Sex Distribution; D016312:Treatment Refusal / Q000523:psychology / Q000706:statistics & numerical data*