中文摘要：

目的：探讨影响成人语后聋患者心理健康的相关因素。方法：随机选取52例重度到极重度语后聋成年患者接受测试,采用自陈测试的评估方法,使用自行编制的基本信息调查表获得本组受试者的社会学数据;使用焦虑自评量表、抑郁自评量表和交流恐惧自陈量表获得本组受试者的心理学数据,探讨影响语后聋成年患者心理健康的相关因素。结果：1心理评估结果显示：语后聋成年患者普遍存在＂焦虑、抑郁和交流恐惧＂的心理症状,本组受试者中存在焦虑症状者24例（46.15%）、抑郁症状者18例（34.61%）、交流恐惧体验者45例（86.54%）。2影响语后聋成年患者心理健康相关因素的结果显示：性别、病程、伴随症状、教育水平、家庭支持均可对耳聋者的心理健康状态产生影响;其中男性患者（优势比为2.246）;伴随耳鸣症状患者（优势比为0.536）、病程较短患者（优势比为1.397,1.530）更易出现心理问题;文化水平较高患者（优势比为0.323）、缺乏家庭支持患者（优势比为1.724）更易出现心理问题。结论：成人语后聋患者的心理健康水平远远低于普遍水平,并受到性别、耳聋持续时间、耳鸣、文化程度、家庭支持等诸多因素的影响。听力障碍对耳聋者身心健康造成的负面影响不容忽视,关心和维护耳聋群体的心理健康,减少或避免心理危机的发生和发展具有一定的现实意义。

英文摘要：

Objective：To evaluate the mental health level of the post-linguistic deafen adult, to analyze factors affecting the mental health level. Method：Fifty-two adult patients with severe to extremely severe post--linguistic hearing loss were randomly selected to participate the study. A self-reporting questionnaire drew up by researchers was used to collect sociological data of the participants. The self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and personal report of communication apprehension （PRCA-24） were used to measure the mental health degree of 52 post-linguistic hearing loss adults. To analyze related factors affecting the mental health in post-linguistic deafen adult. Result：（1）Majority of post linguistic deafen adult have mental symptoms, including 24 subjects （46.15 % ） with anxiety feeling, 18 subjects （34.61 % ） with depression feeling and 45 subjects （86.54 % ） with communication apprehension. （2）Gander, with/without tinnitus, duration of hearing loss, education back- ground and family support had significant correlation with the mental health level of subjects. Higher incident rate of mental symptoms were found in male （OR=2. 246）, with tinnitus （OR=0. 536）, short duration （OR= 1. 397, 1. 530）, high education background （OR=0. 323） and poor family support （OR= 1. 724）. Conclusion： The mental health of the post-linguistic deafen adult was worse than that of the normal people, pathological feature and socio- logical factors were significantly correlated to the psychological evaluation. It is very important to pay attention on mental health and to give effective counseling of hearing loss people.