{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:17:13Z","timestamp":1788315433380,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2023YFC2507700"],"award-info":[{"award-number":["2023YFC2507700"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008235","name":"Peking Union Medical College Hospital","doi-asserted-by":"publisher","award":["XHHLKY202320"],"award-info":[{"award-number":["XHHLKY202320"]}],"id":[{"id":"10.13039\/501100008235","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Adolescent idiopathic scoliosis (AIS) is a three\u2010dimensional spinal deformity that develops during puberty without a clear etiology. Beyond physical manifestations, AIS severely impacts adolescents' psychological and social well\u2010being, leading to anxiety, depression, and low self\u2010esteem. While advancements in surgical techniques have enhanced objective outcomes, existing studies on AIS have primarily focused on objective indices, with limited attention to the long\u2010term impact of preoperative negative emotions on patient\u2010reported subjective quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a retrospective cohort study. A total of 112 eligible AIS patients who underwent posterior spinal correction surgery between April and August 2023 were enrolled. Inclusion criteria included confirmed AIS, completion of 2\u2010year follow\u2010up, and informed consent; exclusion criteria included missing imaging\/questionnaire data, comorbid psychiatric\/neurological diseases, or prior spinal surgery. Patients were grouped using the Hospital Anxiety and Depression Scale (HADS) administered on admission. Quality of life was assessed preoperatively and 2\u2009years postoperatively using the Scoliosis Research Society\u201022 (SRS\u201022, evaluating self\u2010image, mental health, pain, function, treatment satisfaction) and Short Form 36 Health Survey (SF\u201036, assessing 8 physical and mental health dimensions). Statistical analysis was performed via SPSS, using independent\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, and chi\u2010square test.\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in baseline characteristics (age, gender, BMI, surgical parameters, scoliosis type, preoperative\/postoperative Cobb angles) between the two groups (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Preoperatively, SRS\u201022 and SF\u201036 scores showed no inter\u2010group differences (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Postoperatively, the Negative Emotion Group had significantly lower scores in SRS\u201022 mental health (3.9\u2009\u00b1\u20090.3 vs. 4.5\u2009\u00b1\u20090.2) and treatment satisfaction (4.0\u2009\u00b1\u20090.3 vs. 4.6\u2009\u00b1\u20090.7), as well as SF\u201036 general health (68.6\u2009\u00b1\u20096.4 vs. 79.7\u2009\u00b1\u200913.3), role\u2010emotional (61.3\u2009\u00b1\u20099.3 vs. 70.8\u2009\u00b1\u20099.7), and mental health (61.8\u2009\u00b1\u200914.3 vs. 68.9\u2009\u00b1\u200910.7) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05); no inter\u2010group differences were observed in physical function\u2010related dimensions. Both groups showed significant improvements in physical function\u2010related dimensions postoperatively. The Non\u2010Negative Emotion Group also exhibited significant improvements in SRS\u201022 self\u2010image\/pain and SF\u201036 bodily pain (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), while the Negative Emotion Group showed no significant improvements in these dimensions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative anxiety and depression do not affect the recovery of physical function in AIS patients after spinal correction surgery but significantly impede improvements in subjective quality of life dimensions, including mental health and treatment satisfaction. These findings highlight the need to integrate psychological assessment and targeted interventions into the perioperative management of AIS. Such a patient\u2010centered approach will help optimize both physical and psychological outcomes, ultimately achieving comprehensive rehabilitation for AIS adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70388","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T02:20:13Z","timestamp":1784946013000},"page":"1871-1879","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Baseline Negative Emotions on Postoperative Quality of Life in Adolescent Idiopathic Scoliosis Patients: A 2\u2010Year Follow\u2010Up Study"],"prefix":"10.1111","volume":"18","author":[{"given":"Ying","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoran","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Peking University People's Hospital Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohan","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengru","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3129-5190","authenticated-orcid":false,"given":"Jianguo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaping","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60658-3"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1515\/ijamh-2023-0166"},{"key":"e_1_2_13_4_1","first-page":"20","article-title":"Musculoskeletal Issues in Children and Adolescents: Adolescent Idiopathic Scoliosis","volume":"544","author":"Creech\u2010Organ J.","year":"2024","journal-title":"FP Essentials"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2020.115563"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9050597"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2020.07.009"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02671-7"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2022.102628"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-020-04608-4"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43390-021-00310-w"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2022.07.005"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0798"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.02.018"},{"issue":"2","key":"e_1_2_13_15_1","article-title":"Patient\u2010Reported Mental Health and Quality of Life in Pediatric Adolescent Idiopathic Scoliosis Patients","volume":"9","author":"Feddema T. 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