Is There an Association Between Psychiatric Disorders and Adolescent Idiopathic Scoliosis? A Large-database Study Article Swipe
Soo‐Bin Lee
,
Hyun Wook Chae
,
Ji-Won Kwon
,
Sahyun Sung
,
Hwan‐Mo Lee
,
Seong-Hwan Moon
,
Byung Ho Lee
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/corr.0000000000001716
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/corr.0000000000001716
Background Children with adolescent idiopathic scoliosis (AIS) have reduced quality of life related to poor self-image, perhaps because of cosmetic concerns. However, there has not been a large-database epidemiologic study on the association between psychiatric disorders and scoliosis. Questions/purposes Using the Korean National Health Insurance database, we asked: (1) How common are psychiatric disorders among children with AIS? (2) After controlling for gender, age, insurance type, and residential district, are psychiatric disorders more common among children with AIS than among age-matched controls? Methods A retrospective analysis was conducted using sample datasets from the Health Insurance Review and Assessment Service from 2012 to 2016, which is a 10% randomly extracted sample of total inpatients and outpatients each year. The mean number of total patients in each dataset was 1,047,603 ± 34,534. The mean number of children with AIS was 7409 ± 158 for each year. The age criteria was 10 to 19 years for the matching. Mood disorders, anxiety disorders, and behavioral disorders were selected as disorders possibly associated with AIS. We identified children with AIS who had any of the disorders above, and we obtained the prevalence of these disorders based on diagnostic codes. As an exploratory analysis, clinically meaningful variables were selected among the available codes in the dataset, and a univariable logistic regression test was performed for each variable. A multivariable logistic regression test with advanced variables was performed to identify the adjusted odds ratios of psychiatric disorders in children with AIS. Results The median (range) prevalence of psychiatric disorders in children with AIS from 2012 to 2016 was 7% (6% to 7%). Compared with children who did not have AIS, and after controlling for gender, age, insurance type, and residential district, children with AIS were more likely to have psychiatric disorders in all 5 years. The adjusted ORs of psychiatric disorders in children with AIS compared with children who did not have AIS ranged from 1.47 to 1.74 (2012: OR 1.60 [95% CI 1.46 to 1.75]; p < 0.001; 2013: OR 1.73 [95% CI 1.58 to 1.89]; p < 0.001; 2014: OR 1.74 [95% CI 1.59 to 1.91]; p < 0.001; 2015: OR 1.71 [95% CI 1.56 to 1.88]; p < 0.001; 2016: OR 1.47 [95% CI 1.33 to 1.62]; p < 0.001). Conclusion Considering the higher prevalence of psychiatric disorders in children with AIS compared with children who did not have AIS, children with AIS and their parents should be counseled about the increased risk of deteriorating mental health of the patients, and surgeons should provide early referral to pediatric psychiatrists. Further studies should investigate the effect of the factors related to AIS, such as curve type, Cobb angle, and treatment modality. Level of Evidence Level III, prognostic study.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/corr.0000000000001716
- OA Status
- hybrid
- Cited By
- 29
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3145912987
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3145912987Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/corr.0000000000001716Digital Object Identifier
- Title
-
Is There an Association Between Psychiatric Disorders and Adolescent Idiopathic Scoliosis? A Large-database StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-03-24Full publication date if available
- Authors
-
Soo‐Bin Lee, Hyun Wook Chae, Ji-Won Kwon, Sahyun Sung, Hwan‐Mo Lee, Seong-Hwan Moon, Byung Ho LeeList of authors in order
- Landing page
-
https://doi.org/10.1097/corr.0000000000001716Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/corr.0000000000001716Direct OA link when available
- Concepts
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Medicine, Mood disorders, Logistic regression, Anxiety, Psychiatry, Odds ratio, Depression (economics), Mood, Database, Internal medicine, Macroeconomics, Computer science, EconomicsTop concepts (fields/topics) attached by OpenAlex
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29Total citation count in OpenAlex
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2025: 12, 2024: 4, 2023: 10, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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