Objective To explore mental health status of male infertility patients with different body mass index (BMI) in order to provide basis for clinical intervention .Methods Accord‐ing to BMI 292 male infertility patients were assigned to 3 groups :normal (n=84) ,overweight (n=114) and obesity group (n=91) .Assessments were conducted with the Symptom Checklist‐90 (SCL‐90) among 3 groups .Results The total ,obsession ,interpersonal relation ,depression and anxiety scores of the SCL‐90 were significantly higher in overweight and obesity group compared with norm (P<0 .05) ,so were the total and obsession compare with normal group (P<0 .05 or 0 .01);the total ,depression and anxiety score were significantly higher in normal group compared with norm (P<0 .05);the BMI was positively related to obsession ,depression and anxiety score notably (P<0 .05) .Conclusion Obesity and overweight male infertility patients have different degrees of psycho‐problems , to them purposeful mental interventions should be given .%目的：探讨不同体质量指数男性不育症患者的心理健康状况，为临床干预提供依据。方法将292例男性不育患者按照体质量指数分为3组，正常组84例，超重组117例，肥胖组91例。对3组患者应用症状自评量表进行测评分析。结果超重组和肥胖组症状自评量表总分及强迫、人际关系、抑郁、焦虑因子分均显著高于常模（P＜0．05），总分及强迫因子分显著高于正常组（P＜0．05或0．01）；正常组总分及抑郁、焦虑因子分显著高于常模（P＜0．05）；入组被试体质量指数与强迫、抑郁、焦虑因子分呈显著正相关（P＜0．05）。结论肥胖和超重男性不育患者存在不同程度的心理问题，应对其予以有针对性的心理干预。
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