How adolescents cope with the stress of bracing or spinal fusion surgery for idiopathic scoliosis (AIS) and how coping might impact quality of life (QOL) for this population is unknown. The primary aim of this study was thus to examine these relationships.
Forty-eight adolescents participated in this cross-sectional study and completed the SRS-22r, the PedsQL, and the A-COPE during regularly scheduled orthopedic appointments. Treatment groups did not differ significantly on either dimension of coping (approach or avoidant) or on either measure of quality of life. In addition, neither dimension of coping moderated QOL. However, higher use of avoidant coping predicted lower QOL. In addition, QOL was comparable to healthy samples.
These findings suggest that, in general, AIS treatment does not significantly impair QOL, but use of avoidant coping does. Therefore, coping should be assessed to ascertain whether coping skills intervention is warranted in order to improve disease-specific QOL.
","abstract_html":"<p>How adolescents cope with the stress of bracing or spinal fusion surgery for idiopathic scoliosis (AIS) and how coping might impact quality of life (QOL) for this population is unknown. The primary aim of this study was thus to examine these relationships.</p> <p>Forty-eight adolescents participated in this cross-sectional study and completed the <em>SRS-22r</em>, the <em>PedsQL</em>, and the <em>A-COPE</em> during regularly scheduled orthopedic appointments. Treatment groups did not differ significantly on either dimension of coping (approach or avoidant) or on either measure of quality of life. In addition, neither dimension of coping moderated QOL. However, higher use of avoidant coping predicted lower QOL. In addition, QOL was comparable to healthy samples.</p> <p>These findings suggest that, in general, AIS treatment does not significantly impair QOL, but use of avoidant coping does. Therefore, coping should be assessed to ascertain whether coping skills intervention is warranted in order to improve disease-specific QOL.</p>","abstract_has_math":false,"creators":["Kuhl, Elizabeth Shannon"],"institution":null,"degree_name":"Master of Science (MS)","degree_level":"Open Access Thesis","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Flora Hoodin, Ph.D., Chair","Karen Saules, Ph.D.","Michelle Byrd, Ph.D."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2006,"date_issued":"2006-01-01T08:00:00Z","date_published":"2006-01-01T08:00:00Z","updated_at":"2026-07-24T02:16:36Z","subjects":["Scoliosis in children Psychological aspects","Adjustment (Psychology)","Psychology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://commons.emich.edu/theses/255","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Flora Hoodin, Ph.D., Chair","Karen Saules, Ph.D.","Michelle Byrd, Ph.D."]},{"key":"dc:creator","label":"Author","values":["Kuhl, Elizabeth Shannon"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science (MS)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Scoliosis in children Psychological aspects","Adjustment (Psychology)","Psychology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://commons.emich.edu/theses/255"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["How adolescents cope with the stress of bracing or spinal fusion surgery for idiopathic scoliosis (AIS) and how coping might impact quality of life (QOL) for this population is unknown. The primary aim of this study was thus to examine these relationships.
Forty-eight adolescents participated in this cross-sectional study and completed the SRS-22r, the PedsQL, and the A-COPE during regularly scheduled orthopedic appointments. Treatment groups did not differ significantly on either dimension of coping (approach or avoidant) or on either measure of quality of life. In addition, neither dimension of coping moderated QOL. However, higher use of avoidant coping predicted lower QOL. In addition, QOL was comparable to healthy samples.
These findings suggest that, in general, AIS treatment does not significantly impair QOL, but use of avoidant coping does. Therefore, coping should be assessed to ascertain whether coping skills intervention is warranted in order to improve disease-specific QOL.
"]},{"key":"dc:title","label":"Title","values":["Coping and quality of life of adolescents with idiopathic scoliosis"]}]}],"canonical_facts":{"dc:contributor":["Flora Hoodin, Ph.D., Chair","Karen Saules, Ph.D.","Michelle Byrd, Ph.D."],"dc:creator":["Kuhl, Elizabeth Shannon"],"dc:description.abstract":["How adolescents cope with the stress of bracing or spinal fusion surgery for idiopathic scoliosis (AIS) and how coping might impact quality of life (QOL) for this population is unknown. The primary aim of this study was thus to examine these relationships.
Forty-eight adolescents participated in this cross-sectional study and completed the SRS-22r, the PedsQL, and the A-COPE during regularly scheduled orthopedic appointments. Treatment groups did not differ significantly on either dimension of coping (approach or avoidant) or on either measure of quality of life. In addition, neither dimension of coping moderated QOL. However, higher use of avoidant coping predicted lower QOL. In addition, QOL was comparable to healthy samples.
These findings suggest that, in general, AIS treatment does not significantly impair QOL, but use of avoidant coping does. Therefore, coping should be assessed to ascertain whether coping skills intervention is warranted in order to improve disease-specific QOL.
"],"dc:identifier":["https://commons.emich.edu/theses/255"],"dc:subject":["Scoliosis in children Psychological aspects","Adjustment (Psychology)","Psychology"],"dc:title":["Coping and quality of life of adolescents with idiopathic scoliosis"],"thesis:degree_discipline":["Psychology"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Master of Science (MS)"]},"updated_at":"2026-07-24T02:16:36Z"}