Body Image Perceptions and Influencing Factors in Adolescent Cochlear Implant Recipients

Abstract

Background Body image perception significantly impacts adolescent psychological well-being. For adolescents with sensorineural hearing loss, cochlear implantation may affect body image due to the visible nature of the device, influencing their self-esteem and social interactions. Understanding these factors is essential for targeted interventions. Objective To investigate the current status of body image in adolescent patients following cochlear implantation and analyze the factors influencing it. Methods A total of 104 adolescent patients with severe to profound sensorineural hearing loss who underwent unilateral cochlear implantation at our Cochlear Implantation Center from January 2020 to January 2024 were selected. Data were collected using a general information questionnaire, the Body Image Scale (BIS), the Rosenberg Self-Esteem Scale (SES), the Perceived Social Support Scale (PSSS), and the Positive and Negative Affect Schedule (PANAS). Multiple stepwise regression analysis was applied to identify factors affecting body image in adolescents post-cochlear implantation. Results The mean body image score among adolescent patients was 8.43±3.65. Multiple linear regression analysis identified gender, primary caregiver’s education level, self-esteem, social support, and negative emotions as significant influencing factors of body image in adolescents, explaining 34.4% of the total variance. Conclusion Body image disturbances are present in adolescent patients post-cochlear implantation. Clinical healthcare providers should be attentive to the body image concerns of these patients and implement targeted interventions based on influencing factors to enhance body image, thereby promoting physical and mental well-being.