青少年特发性脊柱侧弯患者社交焦虑相关心理网络结构及特征

doi:10.6040/j.issn.1671-7554.0.2026.0069

Abstract

Abstract: Objective To investigate the relationships among body image disturbance, fear of negative evaluation(FNE), social anxiety, and parent-adolescent attachment in patients with adolescent idiopathic scoliosis(AIS), and to compare the differences in psychological network structures and key node characteristics between patients with different scoliosis severity, so as to clarify the systematic association patterns of social anxiety-related psychological factors and identify potential intervention targets in AIS patients. Methods A convenience sample of 435 AIS patients was recruited from the outpatient spine surgery clinic of a tertiary hospital in Shandong Province between January and October 2025. Network analysis was performed to estimate expected influence(EI)and bridge expected influence(BEI). Network stability was evaluated using bootstrap procedures, and the network comparison test(NCT)was used to examine differences in network structure between scoliosis severity groups. Results Overall network analysis showed that symptom-related FNE had the highest expected influence(EI=1.155), making it the most influential node within the psychological net work, while cognitive FNE had the highest bridge expected influence(BEI=0.744), serving as a key bridge node linking body image disturbance and social anxiety symptoms. Significant differences in body image disturbance scores were observed between groups A and B, with group B scoring higher than group A(t=-3.557, P<0.001). The network comparison test showed no significant difference in global network strength between the two groups(P>0.05), but a significant difference in network structure was detected(P<0.05). Edge-weight comparisons indicated that the edge between cognitive FNE and body image disturbance was stronger in group B(0.206)than in group A(0.081), whereas the edge between symptom-related FNE and body image disturbance was stronger in group A(0.188)than in group B(0.043). Conclusion Symptoms-related FNE was identified as the core node in the psychological network of AIS patients, while cognitive FNE served as a key bridge node linking body image disturbance and social anxiety. Moreover, the bridging role of cognitive FNE was more prominent in patients with moderate-to-severe scoliosis, suggesting that this subgroup should be a priority in clinical psychological care, and that cognitive FNE and body image disturbance should be considered as important intervention targets in AIS patients.

Key words: Network analysis, Body image disturbance, Fear of negative evaluation, Social anxiety, Adolescent idiopathic scoliosis

CLC Number:

R683.2

LIU Zhe, WANG Yuze, WANG Xia, CHEN Si, DI Derun, WANG Lianlei, WANG Kefang, YUAN Suomao. Network structure and characteristics of social anxiety-related psychological factors in adolescents with idiopathic scoliosis[J].Journal of Shandong University (Health Sciences), 2026, 64(8): 114-124.

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Network structure and characteristics of social anxiety-related psychological factors in adolescents with idiopathic scoliosis

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