摘要目的 探讨农村留守妇女心理健康服务需求与孤独感、焦虑抑郁的相关性.方法 采用心理健康服务需求量表、UCLA孤独感量表、特质一焦虑量表和流调中心抑郁量表对河北省260名留守妇女进行问卷调查.结果 独生和非独生在心理健康服务需求[(131.72± 13.91)分,(122.94±14.76)分]、孤独感[(52.94±5.65)分,(49.86±5.90)分]和焦虑[(50.97±6.38)分,(47.16±4.80)分]上差异有统计学意义(t=3.313,2.899,4.151,P＜0.01);留守妇女的心理健康服务需求、孤独感、焦虑抑郁水平在婚龄(F=6.196,9.441,5.257,4.221,均P＜0.01)、丈夫外出务工时间(F=2.761,27.020,4.550,2.83,均P＜0.05)、家中农活繁重程度(F=12.142,6.403,4.115,5.366,均P＜0.01)上差异有统计学意义;留守妇女的焦虑与服务内容、服务需求程度、抑郁呈正相关(r=0.138～0.221,P＜0.01);抑郁与心理健康服务需求、服务队伍呈负相关(r=-0.352～-0.223,P＜0.01);孤独感与服务内容、焦虑、抑郁呈正相关(r=0.177～ 0.262,P＜0.01).多重线性回归显示,丈夫外出时间(β=0.326)、家中农活非常繁重(β=-0.376)和较为繁重(β=-0.281)、抑郁情绪(β=-0.194)对心理健康服务需求有预测作用.结论 留守妇女的心理健康服务需求受年龄、独生、婚龄、丈夫外出时间、家中农活繁重程度的影响.

abstractsObjective To explore the correlation between psychological health service demand and loneliness and anxiety depression in rural left-behind women.Methods 260 left-behind wo nen in Hebei province were surveyed by psychological health service demand scale,UCLA loneliness scale,trait anxiety scale and the center for epidemiologic studies depression scale (CES-D).Results There were statistically significant differences between the only child and non-only child left-behind women in mental health service demand ((131.72±13.91) vs (122.94±14.76)),loneliness ((52.94±5.65) vs (49.864±5.90)) and anxiety ((50.97±6.38) vs (47.16±4.80)) (t=3.313,2.899,4.151,P＜0.01).The mental health service demand,loneliness,anxiety and depression of left-behind women were different in the age of marriage (F=6.196,9.441,5.257,4.221,all P＜0.01),husband go out time (F=2.761,27.020,4.550,2.830,all P＜0.05) and degree of farm work (F=12.142,6.403,4.115,5.366,all P＜0.001).The anxiety of left-behind women was positively correlated with service content,service demand and depression (r=0.138-0.221,P＜0.01).Depression was negatively correlated with mental health service demand and service teams (r=-0.352--0.223,P＜ 0.01).Loneliness was positively correlated with service content,anxiety and depression (r=0.177-0.262,P＜ 0.01).Multiple linear regression showed that husbands go out time (β=0.326),farm work in very heavy degree (β=-0.376) and relatively heavy degree (β=-0.281),depression (β=-0.194) had a predictive effect on mental health services.Conclusion The mental health service demand of left-behind women are affected by their age,whether the only child,the age of marriage,their husbands' go out time and the degree of heavy farm work.