Abstract：
OBJECTIVE: Psychosocial interventions can improve teenagers\' self-esteem, mental health and bracing compliance. There is a need to compile available evidence of psychosocial care in adolescent idiopathic scoliosis. This systematic review aimed to identify and evaluate the effects of existing interventional studies of psychosocial care for the adolescent idiopathic scoliosis population.
METHODS: A comprehensive search of relevant literature published from the inception to March 2023 was conducted using nine databases. A google scholar search was performed on 1 July 2023, to update the searching results. Two reviewers independently assessed the methodological quality and extracted details of the included studies. Given the heterogeneity of the selected articles, the findings were synthesized narratively without conducting a meta-analysis.
RESULTS: Four randomized controlled trials reported in six articles involving 385 teenagers were included. The interventions appeared acceptable with high recruitment rates and low dropout rates reported. Psychosocial interventions had shown significant positive effects on postoperative pain, engagement in daily and social activities as well as brace use, coping abilities and anxiety.
CONCLUSIONS: Psychosocial interventions are generally feasible and acceptable among the adolescent idiopathic scoliosis population and have produced positive effects on a variety of physical and psychosocial outcomes. Study findings need to be interpreted with caution due to the limited number of available articles and the methodological concerns of the reviewed articles.
CONCLUSIONS: Well-designed clinical trials are warranted in people from cultural backgrounds to develop and implement effective psychosocial interventions for teenagers with adolescent idiopathic scoliosis, not only for those at the post-surgery stage but also for those receiving conservative treatment.
METHODS: A comprehensive search of relevant literature published from the inception to March 2023 was conducted using nine databases. A google scholar search was performed on 1 July 2023, to update the searching results. Two reviewers independently assessed the methodological quality and extracted details of the included studies. Given the heterogeneity of the selected articles, the findings were synthesized narratively without conducting a meta-analysis.
RESULTS: Four randomized controlled trials reported in six articles involving 385 teenagers were included. The interventions appeared acceptable with high recruitment rates and low dropout rates reported. Psychosocial interventions had shown significant positive effects on postoperative pain, engagement in daily and social activities as well as brace use, coping abilities and anxiety.
CONCLUSIONS: Psychosocial interventions are generally feasible and acceptable among the adolescent idiopathic scoliosis population and have produced positive effects on a variety of physical and psychosocial outcomes. Study findings need to be interpreted with caution due to the limited number of available articles and the methodological concerns of the reviewed articles.
CONCLUSIONS: Well-designed clinical trials are warranted in people from cultural backgrounds to develop and implement effective psychosocial interventions for teenagers with adolescent idiopathic scoliosis, not only for those at the post-surgery stage but also for those receiving conservative treatment.
摘要：
目的：心理社会干预可以提高青少年的自尊，心理健康和支撑依从性。有必要收集青少年特发性脊柱侧凸的心理社会护理的可用证据。本系统综述旨在确定和评估现有的心理社会护理干预研究对青少年特发性脊柱侧凸人群的影响。
方法：使用9个数据库对从开始到2023年3月发表的相关文献进行了全面搜索。2023年7月1日进行了谷歌学者搜索，以更新搜索结果。两名评审员独立评估了方法学质量，并提取了纳入研究的详细信息。鉴于所选文章的异质性，研究结果是在没有进行荟萃分析的情况下进行叙述性综合.
结果：纳入了六篇文章中的四项随机对照试验，涉及385名青少年。据报道，高招聘率和低辍学率的干预措施似乎可以接受。心理社会干预对术后疼痛有显著的积极作用，参与日常和社交活动以及使用支架，应对能力和焦虑。
结论：心理社会干预在青少年特发性脊柱侧凸人群中通常是可行和可接受的，并对各种身体和心理社会结果产生了积极影响。由于可用文章的数量有限以及所审查文章的方法论问题，因此需要谨慎解释研究结果。
结论：有必要在文化背景的人群中进行精心设计的临床试验，以制定和实施有效的心理社会干预措施，以治疗青少年特发性脊柱侧凸，不仅适用于手术后阶段的患者，也适用于接受保守治疗的患者。
方法：使用9个数据库对从开始到2023年3月发表的相关文献进行了全面搜索。2023年7月1日进行了谷歌学者搜索，以更新搜索结果。两名评审员独立评估了方法学质量，并提取了纳入研究的详细信息。鉴于所选文章的异质性，研究结果是在没有进行荟萃分析的情况下进行叙述性综合.
结果：纳入了六篇文章中的四项随机对照试验，涉及385名青少年。据报道，高招聘率和低辍学率的干预措施似乎可以接受。心理社会干预对术后疼痛有显著的积极作用，参与日常和社交活动以及使用支架，应对能力和焦虑。
结论：心理社会干预在青少年特发性脊柱侧凸人群中通常是可行和可接受的，并对各种身体和心理社会结果产生了积极影响。由于可用文章的数量有限以及所审查文章的方法论问题，因此需要谨慎解释研究结果。
结论：有必要在文化背景的人群中进行精心设计的临床试验，以制定和实施有效的心理社会干预措施，以治疗青少年特发性脊柱侧凸，不仅适用于手术后阶段的患者，也适用于接受保守治疗的患者。
