Abstract
Objectives
The aim of this study was to identify the association between scoliosis and psychopathological effects using the Military Personality Inventory (MPI).
Methods
A retrospective cross-sectional study was conducted of 19-yr-old examinees admitted to the Military Manpower Administration in Korea from February 2007-January 2010. The authors compared the profiles of MPI of 3004 scoliosis cases with the profiles of MPI of 11920 normal controls. The scoliosis cases were classified into two groups according to severity, including mild to moderate, and severe.
Results
There was a significant difference between the two groups based on the validity scales. The neurosis scales, including anxiety, depression, somatization and personality disorder, were significantly different between the groups. Concerning the anxiety, depression and somatization subscales, the scores of the mild to moderate group and the severe group were higher than those of the control group. Regarding the personality disorder subscale, the mild to moderate group was higher than the control group. For the paranoid subscale, there was a significant difference between the groups and the mild to moderate group had a higher score than the control group. Furthermore, the partial eta square was 0.018, 0.019, and 0.018 for anxiety, depression, and somatization respectively, which suggests that scoliosis was significantly associated with symptoms of anxiety, depression, and somatization.
Figures and Tables
References
1. Green BN, Johnson C, Moreau W. Is physical activity contraindicated for individuals with scoliosis? A systematic literature review. J Chiropr Med. 2009; 8:25–37.
2. An KC, Park DH, Kong GM, Kim JY, Jin SY, Lee WS, et al. Prevalence study of adolescent idiopathic scoliosis in ten-, eleven-year olds for 10 years. J Korean Orthop Assoc. 2015; 50:25–30.
3. Lee SG, Oh JK, Lim SK. Relationship between radiological indices, pulmonary function, and inspiratory capacity in idiopathic scoliosis. Health Sports Med. 2016; 18:53–62.
4. Sapountzi-Krepia DS, Valavanis J, Panteleakis GP, Zangana DT, Vlachojiannis PC, Sapkas GS. Perceptions of body image, happiness and satisfaction in adolescents wearing a Boston brace for scoliosis treatment. J Adv Nurs. 2001; 35:683–690.
5. Payne WK 3rd, Ogilvie JW, Resnick MD, Kane RL, Transfeldt EE, Blum RW. Does scoliosis have a psychological impact and does gender make a difference? Spine (Phila Pa 1976). 1997; 22:1380–1384.
6. Dersh J, Gatchel RJ, Polatin P. Chronic spinal disorders and psychopathology. Research findings and theoretical considerations. Spine J. 2001; 1:88–94.
7. Gatchel RJ, Mayer TG. Psychological evaluation of the spine patient. J Am Acad Orthop Surg. 2008; 16:107–112.
8. Choi Y, Mayer TG, Williams MJ, Gatchel RJ. What is the best screening test for depression in chronic spinal pain patients? Spine J. 2014; 14:1175–1182.
9. Chang WP, Lin Y, Huang HL, Lu HF, Wang ST, Chi YC, et al. Scoliosis and the subsequent risk of depression: a nationwide populationbased cohort study in Taiwan. Spine (Phila Pa 1976). 2016; 41:253–258.
10. Freidel K, Reichel D, Steiner A, Warschburger P, Petermann F, Weiss HR. Idiopathic scoliosis and quality of life. Stud Health Technol Inform. 2002; 88:24–29.
11. Reichel D, Schanz J. Developmental psychological aspects of scoliosis treatment. Pediatr Rehabil. 2003; 6:221–225.
12. Tones M, Moss N, Polly DW Jr. A review of quality of life and psychosocial issues in scoliosis. Spine (Phila Pa 1976). 2006; 31:3027–3038.
13. Oh CH, Shim YS, Yoon SH, Park HC, Park CO, Lee MS. The psychopathological influence of adolescent idiopathic scoliosis in Korean male: an analysis of multiphasic personal inventory test results. J Korean Neurosurg Soc. 2013; 53:13–18.
14. Wolf EJ, Miller MW, Orazem RJ, Weierich MR, Castillo DT, Milford J, et al. The MMPI-2 restructured clinical scales in the assessment of posttraumatic stress disorder and comorbid disorders. Psychol Assess. 2008; 20:327–340.
15. Won HT, Han DW, Sin ES, Park KB, Lee YH, Yuk SP. Final report on development study of military personality inventory. Seoul: Korean Psychological Association;1998.
16. Lee JG, Nam WM. The evaluation of the Korean Military Personality Inventory. In : Proceeding of the Korean Psychologial Assocoaition Annual Conference; 2006 Aug 17-19; Seoul, Korea. Seoul: Korean Psychologial Assocoaition;2006. p. 466–467.
17. Lee JG, Nam WM, Park JH, Lim HS, Yoon HH, Han JH. The relationship between the KMPI and the Military Personality Inventory. In : Proceeding of the Korean Psychologial Assocoaition Annual Conference; 2006 Aug 17-19; Seoul, Korea. Seoul: Korean Psychologial Assocoaition;2006. p. 464–465.
18. Kim T, Kim JJ, Kim MY, Kim SK, Roh S, Seo JS. A U-shaped Association between Body Mass Index and psychological distress on the Multiphasic Personality Inventory: retrospective cross-sectional analysis of 19-year-old Men in Korea. J Korean Med Sci. 2015; 30:793–801.
19. Choi KH, Jung SG, Choi KP, Moon CB, Kim JM. Development of new Military Personality Inventory. Seoul: Korea Institute for Defense Analyses;2009.
20. Freidel K, Petermann F, Reichel D, Steiner A, Warschburger P, Weiss HR. Quality of life in women with idiopathic scoliosis. Spine (Phila Pa 1976). 2002; 27:E87–E91.
21. Talić G, Ostojić L, Bursać SN, Nožica-Radulović T, Stevanović-Papić Ð. Idiopathic Scoliosis from Psychopathological and Mind-Body Medicine Perspectives. Psychiatr Danub. 2016; 28:357–362.