A Self-control Study Of Mental Health State Of Microtia Patients And Their Patients

Objective: To explore the psychosocial, behavioral problems of congenital microtia children and psychological health status of their parents. Methods: 72 patients with congenital microtia were recruited and investigated for their psychosocial behavioral problems with Achenbach's Child Behavior Checklist (CBCL). Their parents were investigated for psychological health with symptom checklist 90(SCL-90). Results: (1)As determined from CBCL, The percentage of behavioral problems of the microtia was 21.3％in boys, which was higher than that of Chinese Norm(13.4％for boys, 12.5％for girls), the difference wasn't significant in statistics(P=0.103). The percentage of behavioral problems of the microtia was 6.7％in girls, and the difference wasn't significant in statistics(P=0.496) compared with Chinese Norm. There was no significant difference in statistics in the behavioral problems aspects between the microtia boys and girls. For microtia boys, there were significantly higher scores on social withdrawn, depression, compulsiveness and somatic complaints; as for girls, the main problems were compulsiveness, depression, somatic complaints et al. Both microtia boys and girls showed an internalizing behavior problem.(2) As determined from SCL-90, It is found out that the general scores and the number of positive items of the parents with microtia children are significantly higher than of the Chinese Norm, the difference was significant in statistics(P＜0.01). Their parents had significant higher scores on compulsiveness, depression, anxiety, somatization, hostility, and horror than that of Chinese Norm, there was significant difference in statistics(P＜0.01). (3) The level of CBCL scores has not significant corelation with that of SCL-90 scores. Conclusion: The percentage of psychosocial behavioral problems of the microtia children is higher than that of Chinese Norm, Both microtia boys and girls showed an internalizing behavior problem; their parents have certain psychological health problems as compulsiveness, depression, anxiety, somatization, hostility, and horror that should get more attention from mental health professionals. The appearance of microtia is the main cause of the psychosocial behavioral problems of the microtia children and their parents. Objective: To explore the psychosocial, behavioral outcomes of microtia children and psychological health of their parents after microtia reconstruction, and to observe the effects of microtia reconstrution on the psychosocial health of microtia children and their parents. Methods: 72 patients were recruited and investigated for their psychosocial behavioral problems with Achenbach's Child Behavior Checklist(CBCL). Their parents were investigated for psychological health with symptom checklist 90(SCL-90). The patients and their parents were both assessed with questionnaire before the after operation(6 to 12months postoperation). Results: After microtia reconstruction, the score of CBCL and SCL-90 decreased significantly, (1) As determined fromCBCL, after operation the scores of activity and sociality ability of the patients increased with significant difference in statistics(P＜0.01). The behavioral problems raw scores were higher than that of pre-operation. The percentage of behavioral problems of the microtia children decreased significantly compared with that before operation, it was significant in statistics(P＜0.01). There was significant difference in statistics(P＜0.01) on depression, social withdrawn, compulsiveness and aggressiveness in the microtia girl, and on all behavior factors except for somatic complaints in the boys. (2) As determined from SCL-90, It is found out that the general scores and the number of positive items of the parents with microtia children direased significantly, there was significant difference in statistics(P＜0.01). The scores of SCL-90 factors decreased, with a significant difference in statistics(P＜0.01) except for horror. Conclusion: There was significant improvement in the psychosocial behavioral outcomes of microtia children and their patients after microtia reconstruction. There is positive effect of microtia reconstruction on microtia children and their parents.