{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:32:59Z","timestamp":1792179179725,"version":"4.4.0"},"reference-count":83,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T00:00:00Z","timestamp":1729900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004281","name":"National Science Centre","doi-asserted-by":"publisher","award":["2017\/27\/B\/NZ5\/02109"],"award-info":[{"award-number":["2017\/27\/B\/NZ5\/02109"]}],"id":[{"id":"10.13039\/501100004281","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Adolescents with idiopathic scoliosis require emotional support to change their experience of their desired body shape and to feel optimistic about the cosmetic results of surgical treatment. Recently, the use of virtual reality in psychological assessment and treatment has given specialists a technology that appears particularly well-suited for addressing body image disorders. The study objectives were two-fold. Firstly, we aimed to evaluate changes within the body image of scoliosis patients pre- and postoperatively. Secondly, we aimed to investigate if differences in body image exist in scoliosis females after implementing cognitive-behavioral therapy. Methods: Thirty-six total scoliosis patients participated in the 1st and 2nd study phases. The psychotherapy took place before and after surgery and during the patient\u2019s stay in the hospital. Body image was assessed using a virtual reality-based application, \u201cAvatar Scoliosis 3D\u201d. Results: Regarding body image dissatisfaction evaluated via virtual tasks, the difference between the desired by patients and actual (based on the radiographic parameters) body shape is significant preoperatively in both scoliosis samples: with and without therapy (p &lt; 0.000001 and p &lt; 0.000001, respectively). Conclusions: The results of the present study may have important implications for developing standards for body image disorder treatments in scoliosis patients. We revealed that irrespective of received therapeutic support, scoliosis patients accurately estimate their body shape pre- and postoperatively, and they feel dissatisfied with their body preoperatively but not postoperatively.<\/jats:p>","DOI":"10.3390\/jcm13216422","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T07:47:18Z","timestamp":1730101638000},"page":"6422","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Assessing the Efficacy of Cognitive-Behavioral Therapy on Body Image in Adolescent Scoliosis Patients Using Virtual Reality"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9726-9214","authenticated-orcid":false,"given":"Ewa","family":"Misterska","sequence":"first","affiliation":[{"name":"Department of Pedagogy and Psychology, University of Security, 60-778 Poznan, Poland"},{"name":"Chair of Psychiatry, Poznan University of Medical Sciences, 60-572 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Tomaszewski","sequence":"additional","affiliation":[{"name":"Department of Spine Disorders and Pediatric Orthopedics, Poznan University of Medical Sciences, 61-545 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8548-2544","authenticated-orcid":false,"given":"Filip","family":"G\u00f3rski","sequence":"additional","affiliation":[{"name":"Institute of Materials Technology, Poznan University of Technology, 61-138 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4508-1652","authenticated-orcid":false,"given":"Jakub","family":"Gapsa","sequence":"additional","affiliation":[{"name":"Institute of Materials Technology, Poznan University of Technology, 61-138 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"S\u0142ysz","sequence":"additional","affiliation":[{"name":"Department of Psychology and Cognitive Sciences, Adam Mickiewicz University, 60-547 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"G\u0142owacki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Traumatology, Poznan University of Medical Sciences, 61-545 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/01241398-198905000-00001","article-title":"Stress and coping with scoliosis: Psychological effects on adolescents and their families","volume":"9","author":"MacLean","year":"1989","journal-title":"J. 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