虽然特发性脊柱本身通常不引起身体的疼痛在青春期，它可能导致其他形式的疼痛，不适，障碍：
- 情感痛苦。许多青少年从他们的同龄人看不同的思想斗争。有些感情脊柱侧弯可能会报告一个十几岁包括恐惧，羞耻，否认，愤怒，或悲伤。如果年轻的人也被戏弄或欺负，也可能使情况变得更糟。
- 不舒服的支撑治疗。The most-commonly prescribed nonsurgical treatment for scoliosis is to wear a rigid brace that squeezes much of the body’s torso. This treatment can be uncomfortable, especially when the adolescent’s body is first getting used to wearing it. The brace could also add frustration by being too warm in hot weather, making some tasks take longer, limiting activity participation, and potentially becoming a source of teasing.
- Major surgery.如果非手术治疗不适合青少年的工作，将有可能被推荐脊柱融合手术。虽然脊柱侧弯手术是获得满意结果的良好记录一个相对安全的程序，它仍然是大手术。恢复过程，这需要6至12个月，是在精神上和身体要求很高。
SeeBracing Treatment for Idiopathic Scoliosis
See脊柱侧弯手术
由于many challenges that can accompany scoliosis, studies have found that adolescents with this condition are at an increased risk for depression.1,2如果青少年不开发抑郁症，及早发现并获取帮助就可以在取得成功的一个很大的区别。
在青少年抑郁症的症状
虽然抑郁症的青少年的症状可能是类似于那些在成人，青少年是很多父母，家庭成员或教师认识到这个问题，并让他们帮助更多的依赖。此外，抑郁症的一些迹象可以很容易被误认为是情绪化的行为或成长中的青少年典型的其它正常的变化。
If an adolescent is dealing with scoliosis, some possible signs of depression to watch out for include one or more of the following:
- 持续烦躁或愤怒。While it is normal for teens to have more mood swings and the occasional outburst, signs of anger or irritability should not occur frequently.
- 利息损失。A depressed adolescent is less likely to hang out with friends. He or she might also lose interest in activities that were previously enjoyable.
- Lower energy levels.The adolescent might appear tired or sad most of the time.
- Change in routine or habits.There could be a change in eating habits, such as eating much more or much less. Another example could be a change in sleep patterns, such as sleeping more often or having trouble sleeping.
- Reduced performance.老师会说the adolescent is not doing schoolwork as well as before or showing up late.
- Reckless behavior.Examples could include drinking excessive amounts of alcohol, using drugs, or getting speeding tickets, among others.
- Talking about suicide.In severe depression, a teen may start to consider taking his or her own life. Hints might be dropped during conversations or in other communications, such as school writing assignments. Even if an adolescent mentions suicide in seemingly joking terms, it could be a plea for help.
See抑郁症和慢性背痛
应当强调的是，一个人有抑郁症可能不会向外出现悲伤或向下。例如，有些郁闷的青少年可能会改为由生气并表现出鲁莽行为表现出来。此外，这些行为并不一定意味着一个十几岁的郁闷，所以需要准确的诊断医疗专业人员的评估。
In This Article:
如何获得帮助抑郁症
如果是青少年抑郁症表现出任何潜在的迹象，它不能忽视他们是很重要的。这里有一些技巧，可以帮助：
- 尝试开始对话。If someone asks the adolescent what might be wrong, it is possible that he or she will open up. When an adolescent opens up to a parent, teacher, or other trusted adult, the important thing is to focus on listening to the adolescent’s concerns rather than trying to lecture them.
- 寻求专业人士的帮助。The only way for depression to be officially diagnosed is if a medical professional has the opportunity to examine the adolescent. A detailed questionnaire will be given, and a blood test may be taken to rule out the possibility of another medical condition causing the symptoms.
Depression is a serious condition that can affect every aspect a person’s life, including his or her scoliosis treatment. Seeking help sooner rather than later is the best first step for better managing the condition.
References
- 1.Payne WK 3rd, Ogilvie JW, Resnick MD, Kane RL, Transfeldt EE, Blum RW. Does scoliosis have a psychological impact and does gender make a difference? Spine (Phila Pa 1976). 1997; 22(12):1380-4.
- 2.Chang WP, Lin Y, Huang HL, et al. Scoliosis and the subsequent risk of depression: a nationwide population-based cohort study in Taiwan. Spine (Phila Pa 1976). Feb; 41(3):253-8.
