ArticleBMC psychology2025
Relationship between ear appearance and psychological function among congenital unilateral microtia after autologous cartilage ear reconstruction: a chain mediation model.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Non-Surgical Ear Rejuvenation Through Selective Neuromodulation with Onabotulinum and Abobotulinum Toxin-A.Toxins · 2026Article
- Microsurgical Reconstruction of the Ear and Temporal Region: Structural and Functional Considerations Including Hearing Rehabilitation-A Narrative Review.Audiology research · 2026Review
- Anxiety, depression, and HRQoL in pediatric microtia patients following ear reconstruction: a cross-sectional study.Frontiers in psychiatry · 2025Article
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5 authors.
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Abstract
backgroundCongenital microtia significantly impacts children's psychological health, yet there has been limited focus on the effect of ear reconstruction surgery on psychological improvements, especially its pathway. This study aims to explore the role of ear appearance in improving psychological health in individuals with congenital unilateral microtia based on social identity theory, highlighting the limited understanding of the specific pathways involved in this relationship, and investigating how social function and benefit mediate the connection between ear appearance and psychological health in patients who underwent autologous cartilage ear reconstruction.
methodsA cross-sectional study was conducted, involving 96 patients with congenital unilateral microtia between January and June 2024 at the Eye & ENT Hospital of Fudan University. Sociodemographic and clinical data were collected, along with responses to the EAR-Q and Glasgow Children's Benefit Inventory (GCBI) questionnaires. Data analysis was performed using multiple linear regression and the PROCESS macro in SPSS.
resultsMediation analysis revealed that social function and emotion mediated the relationship between ear appearance and psychological function (total effect = 0.82; direct effect = 0.21; indirect effect = 0.61). Three mediation pathways were identified: ear appearance influenced psychological function through social function, emotional benefit, and a combined effect of both.
conclusionsThese findings underscore the critical role of social interaction and emotional health in shaping psychological outcomes for individuals with congenital unilateral microtia following reconstruction. The results offer valuable insights for developing targeted interventions to enhance psychological well-being in this population.
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