唇腭裂患儿母亲心理健康状况的城乡对比研究

目的：对来自城乡的唇腭裂患儿母亲的心理健康状况分组进行评估和对比，为对其进行心理支持和治疗提供依据。方法：采用症状自评量表（SCL-90）对168名（农村124，城市44）唇腭裂患儿的母亲在住院期间进行问卷调查。以82名正常儿童的母亲作为对照组。结果：试验组患儿母亲在躯体化、强迫症状、抑郁、焦虑等9个维度上分值均显著高于对照组（P ＜0．05）；农村组患儿母亲在躯体化、强迫症状、抑郁、焦虑等9个维度上分值均高于城市组，其中敌对、精神病性、总分差异有统计学意义（P ＜0．05）；结论：唇腭裂患儿母亲的心理健康状况较差，农村的唇腭裂患儿母亲心理健康状况比城市的更差，应予以特别关注。

Comparative study on the mental health status of urban and rural mothers of children with cleft lip and palate

Objective:To compare the mental health between the urban mothers and rural mothers of children with cleft lip and pal-ate.Methods:1 68 mothers(including 1 24 rural and 44 urban)of the children with cleft lip and palate were included in the trial group and 82 mothers of normal children were included in the control group.The subjects were tested by the self-assessment symptom lists of SCL-90 for the evaluation and comparison of mental health.Results:The scores of nine dimensions of trial group in somatization, forcing symptoms,depression,anxiety,etc were significantly higher than those of the control group(P <0.05).The scores of nine di-mensions of rural group in somatization,forcing symptoms,depression,anxiety,etc were higher than those of the urban group,the ri-val,psychotic and total scores showed significant differences(P <0.05);Conclusion:The mental health status of mothers of children with cleft lip and palate is poorer than that of those of normal children.That of the rural mothers is poorer than that of the urban ones. Special attention should be paid to the mental health status of the parents of children with cleft lip and palate.