ATTITUDE TOWARD DISEASE IN ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS

Abstract

Objective. Investigation of specific features of the attitude toward disease in adolescents with different grades of idiopathic scoliosis.

Material and Methods. Sixty adolescents with scoliotic deformity of the spine were examined, out of them 32 patients had Grades I and II scoliosis, and 28 - Grades III and IV scoliosis. The features of the attitude toward disease were studied using the Test for Attitude toward Disease and the Incomplete Sentence Test.

Results. Adolescents with idiopathic scoliosis, regardless the disease severity, predominantly have mixed and diffusive types of the attitude toward disease. In patients with Grades I and II scoliosis the negative feelings associated with orthopedic pathology and need for treatment may contribute to a harmonious version of the attitude toward disease which provides appropriate behavior in condition of disease and situation of treatment. Responses to disease in adolescents with Grades III and IV scoliosis more often relate to neurasthenic and sensitive types. This is expressed by depressive mood and excessive anxiety about the danger of treatment, and by a fear of unfriendly attention from others. Apparent negative feelings in connection with upcoming surgery in adolescents with severe spinal deformity may contribute to maladaptive behavioral responses.

Conclusion. Strategy of medical and psychological consulting of adolescents suffering from severe scoliosis should include various tactics of conducting a talk and therapeutic techniques aimed at relieving excessive emotional tension, and providing an adolescent with information on positive and effective treatment results.