{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T20:03:41Z","timestamp":1784664221836,"version":"3.55.0"},"reference-count":46,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Adolescent scoliosis patients frequently experience social alienation, yet comprehensive studies addressing its determinants in China remain scarce. This study aims to understand the current status of social alienation in adolescent scoliosis patients and analyze its influencing factors to inform targeted interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted from January 2022 to December 2023. A total of 252 adolescent scoliosis patients were investigated using the General Information Questionnaire, Social Alienation Scale, Family Care Scale, and Anxiety Self\u2010Rating Scale. Multivariate linear regression analysis was employed to identify independent factors influencing social alienation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adolescent patients with scoliosis experience significant social isolation (37.21\u2009\u00b1\u20090.78), lower levels of family care (6.33\u2009\u00b1\u20090.70), and higher anxiety self\u2010assessment scores (53.11\u2009\u00b1\u20090.88), and the results showed that education level, per capita monthly family income, time of disease onset, type of scoliosis, Cobb's angle, ability to take care of oneself, appearance deformation, family care, and anxiety were found to independently influence the social alienation score (all <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adolescent patients with scoliosis exhibit a heightened degree of social isolation due to a variety of factors. Healthcare professionals should focus on providing individualized interventions, particularly for those with lower levels of education and family support, to alleviate their social isolation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.70073","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T09:37:39Z","timestamp":1747906659000},"page":"2121-2129","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Analysis of the Current Status and Influencing Factors of Social Alienation in Adolescent Scoliosis Patients"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2175-7780","authenticated-orcid":false,"given":"Yi","family":"Zeng","sequence":"first","affiliation":[{"name":"Surgical Intensive Care Unit West China Hospital of Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Fu","sequence":"additional","affiliation":[{"name":"The Second Department of General Surgery West\u00a0China Shangjin Hospital, Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Li","sequence":"additional","affiliation":[{"name":"Surgical Intensive Care Unit West China Hospital of Sichuan University  Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001350"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5346-6"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSMBR.920449"},{"issue":"23","key":"e_1_2_13_5_1","first-page":"1574","article-title":"Clinical Practice Guidelines and Pathway Guidelines for Scoliosis Screening in Chinese Adolescents","volume":"40","author":"Spine Surgery Group of the Chinese Orthopedic Association","year":"2020","journal-title":"Chinese Journal of Orthopedics"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000664"},{"key":"e_1_2_13_7_1","first-page":"374","article-title":"Prevalence of Scoliosis in Southern Portugal Adolescents","volume":"11","author":"Minghelli B.","year":"2014","journal-title":"Pediatric Endocrinology Reviews"},{"issue":"1","key":"e_1_2_13_8_1","first-page":"135","article-title":"The Role of Applying Rosenthal Effect Nursing Intervention in Enhancing Patients' Self\u2010Management Ability and Improving Their Negative Emotions in Scoliosis Surgery Patients","volume":"33","author":"Zhao J.","year":"2020","journal-title":"Medical Theory and Practice"},{"key":"e_1_2_13_9_1","first-page":"1","volume-title":"Social Isolation:Development of an Assessment Tool for HACC Services","author":"Fine M.","year":"2009"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2024.07.007"},{"issue":"15","key":"e_1_2_13_11_1","first-page":"63","article-title":"Investigation and Analysis of Social Alienation Status and Influencing Factors of Lung Cancer Survivors","volume":"36","author":"Yuyao L.","year":"2021","journal-title":"Journal of Nursing"},{"key":"e_1_2_13_12_1","volume-title":"Statistical Methods for Biomedical Research","author":"Fang J.\u2010Q.","year":"2007"},{"issue":"6","key":"e_1_2_13_13_1","first-page":"751","article-title":"Reliability and Validity of the Generalized Social of Alienation Scale Among the Elderly","volume":"10","author":"Wu S.","year":"2015","journal-title":"Journal of Chengdu Medical College"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1290177"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carbpol.2021.117847"},{"issue":"2","key":"e_1_2_13_16_1","first-page":"198","article-title":"A Study on the Reliability and Validity of Hospital Anxiety and Depression Scale","volume":"11","author":"Sun Z. 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