Purpose
To measure the effect of spine deformity on mood, acceptance, and interactions with environment, and as a result, the effect of experienced stress.
Area of Assessment
Quality of LifeLife Participation
Stress & Coping
To measure the effect of spine deformity on mood, acceptance, and interactions with environment, and as a result, the effect of experienced stress.
8
2 minutes
Child
6 - 12
yearsAdolescent
13 - 17
yearsAdult
18 - 64
yearsInitially reviewed by University of Illinois at Chicago Master of Science in Occupational Therapy students Kate Jordan, Brandi Preston, and Agela Rahman.
Quick and easy to administer
Patient self-report
Adolescent Idiopathic Scoliosis: (Xu et al., 2015; n = 86; mean age = 13.5 (1.5) years; wearing a brace > 12 h/d for 3 months; mean Cobb angle = 30.5 degrees; Chinese sample)
SEM for entire group (n = 86): 1.01 (calculated from RMD Statistics Calculator)
Adolescent Idiopathic Scoliosis: (Xu et al., 2015)
MDC for entire group (n = 86): 2.79 (calculated from RMD Statistics Calculator)
Adolescent Idiopathic Scoliosis: (Xu et al., 2015)
Excellent test-retest reliability: (ICC = 0.85)
Adolescent Idiopathic Scoliosis: (Misterska, G?owacki, & Harasymczuk, 2009; n = 35; median age = 14.8 (1.5) years; wearing a brace 14.9 h/d for 16.1 mos; median Cobb's angle = 27.8 degrees; Polish sample)
Excellent test-retest reliability: (ICC = 0.88)
Adolescent Idiopathic Scoliosis: (Xu et al., 2015)
Excellent: Cronbach's alpha = 0.85
Adolescent Idiopathic Scoliosis: (Misterska et al., 2009)
Excellent: Cronbach’s alpha = 0.87
*Scores higher than .9 may indicate redundancy in the scale questions.
Convergent validity:
Adolescent Idiopathic Scoliosis: (Xu et al., 2015)
Adequate convergent validity of the BSSQ-Deformity with SRS-22 (r = 0.48*)
Excellent convergent validity of the BSSQ-Deformity with BSSQ-Brace (r = 0.79*)
Poor convergent validity of the BSSQ-Deformity with Pain (r = 0.29*)
Adequate convergent validity of the BSSQ-Deformity with Mental Health (r = 0.32*)
Adequate convergent validity of the BSSQ - Deformity with Self Image (r = 0.37*)
Adequate convergent validity of the BSSQ - Deformity with Function Activity Level (r = 0.33*)
Adequate convergent validity of the BSSQ - Deformity with Treatment Satisfaction (r = 0.34*)
*p < 0.01
BSSQ-Brace |
Z-Skewness |
Corrected Item-Total Correlation |
Standard for Clinical Use |
Item 1 |
0.05 |
0.53 |
Adequate |
Item 2 |
-0.39 |
0.48 |
Adequate |
Item 3 |
-0.39 |
0.79 |
Excellent |
Item 4 |
-0.48 |
0.82 |
Excellent |
Item 5 |
-0.38 |
0.60 |
Excellent |
Item 6 |
-0.51 |
0.50 |
Adequate |
Item 7 |
-0.53 |
0.72 |
Excellent |
Item 8 |
-0.43 |
0.67 |
Excellent |
BSSQ-Deformity |
Z-Skewness |
Corrected Item-Total Correlation |
Standard for Clinical Use |
Item 1 |
-0.26 |
0.62 |
Excellent |
Item 2 |
0.03 |
0.66 |
Excellent |
Item 3 |
-0.22 |
0.59 |
Adequate |
Item 4 |
-0.34 |
0.21 |
Poor |
Item 5 |
-0.24 |
0.66 |
Excellent |
Item 6 |
0.40 |
0.37 |
Adequate |
Item 7 |
0.18 |
0.50 |
Adequate |
Item 8 |
0.01 |
0.63 |
Excellent |
Adolescent Idiopathic Scoliosis: (Misterska et al., 2009)
Poor convergent validity of the BSSQ-Deformity with Cobb's angle (r = -.10)
Poor convergent validity of the BSSQ-Deformity with angle of trunk rotation (r = -.06)
Adequate convergent validity of the BSSQ-Deformity with distance from CSVL (r = -.33)
Poor convergent validity of the BSSQ-Deformity with no. of hours a day of brace wearing (r = .03)
Poor convergent validity of the BSSQ-Deformity with duration of brace wearing in months (r = .20)
Adolescent Idiopathic Scoliosis: (Kotwicki, Kinel, Stryla, & Szulc, 2007; n = 111; mean age = 14.2 (2.2) years; mean Cobb's angle = 42.8 (17) degrees; mean Bunnell angle = 11.4 (4.5) degrees; Polish sample)
Adequate convergent validity of the BSSQ-Deformity with Cobb angle (r = -0.34)
Adequate convergent validity of the BSSQ-Deformity with Bunnell primary curve rotation (r = -0.34)
Adequate convergent validity of the BSSQ-Deformity with Bunnell sum of rotation (r = -0.33)
Adolescent Idiopathic Scoliosis: (Misterska et al., 2009)
Adequate ceiling effect of 17.1% found for the first administration of the BSSQ-Deformity
Adequate ceiling effect of 11.4% found for the second administration of the BSSQ-Deformity
Kotwicki, T., Kinel, E., Stryla, W., & Szulc, A. (2007). Estimation of the stress related to conservative scoliosis therapy: An analysis based on BSSQ questionnaires. Scoliosis Journal, 2(1).
Misterska, E., G?owacki, M., & Harasymczuk, J. (2009). Polish adaptation of Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity. European Spine Journal, 18(12), 1911.
Xu, X., Wang, F., Yang, M., Huang, Q., Chang, Y., Wei, X., … Li, M. (2015). Chinese Adaptation of the Bad Sobernheim Stress Questionnaire for patients with adolescent idiopathic scoliosis under brace treatment. Medicine, 94(31).
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.