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, Głowacki, & 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). Find it on PubMed
Misterska, E., Głowacki, M., & Harasymczuk, J. (2009). Polish adaptation of Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity. European Spine Journal, 18(12), 1911. Find it on PubMed
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). Find it on PubMed
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.