首页|社会心理因素与慢性前列腺炎/慢性盆腔疼痛综合征患者身心症状的相关性研究

社会心理因素与慢性前列腺炎/慢性盆腔疼痛综合征患者身心症状的相关性研究

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目的 探讨社会心理因素在慢性前列腺炎/慢性盆腔疼痛综合征(chronic prostatitis/chronic pelvic pain syndrome,CP/CPPS)发展中所起的作用.方法 门诊招募181人的CP/CPPS队列,通过常用的临床量表(如NIH-CP-SI、HADS、SSRS、SES等),多角度地对CP/CPPS患者的社会特征进行分析.结果 发现存在焦虑症状的CP/CPPS患者往往存在较低的客观社会支持(P<0.01)和更高的慢性前列腺炎症状量表评分(P<0.01),存在抑郁症状的CP/CPPS患者往往存在较低的主观社会支持和社会支持利用度(P<0.05),NIH-CPSI评分与无抑郁症状组无统计学差异,有焦虑症状和(或)有抑郁症状的CP/CPPS患者有更低的自尊评分(P<0.001),并存在相关性.结论 社会支持和自尊在CP/CPPS中都发挥着关键性作用,有焦虑或抑郁症状患者所涉及的社会支持变化有所不同,CP/CPPS患者有更低自尊可能与更高的焦虑和抑郁水平相关,这进一步加剧对CP/CPPS症状的主观感知.
The research on the correlation between social psychological factors and the physical and psychological symptoms of patients with chronic prostatitis/chronic pelvic pain syndrome
Objective To investigate the role of social psychological factors in the development of chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS).Methods We recruited a clinical cohort of 181 individuals and conducted a multidimensional analysis of social characteristics in CP/CPPS patients using common clinical scales such as NIH-CPSI,HADS,SSRS,and SES.Results CP/CPPS patients with symptoms of anxiety exhibited lower levels of objective social support(P<0.01)and higher scores on the Chronic Prostatitis Symptom Index(P<0.01).Those with symptoms of depression showed lower levels of subjective social support and social support utilization(P<0.05),although their scores on the Chronic Prostatitis Symptom Index did not significantly differ from those without depression.CP/CPPS patients with symptoms of anxiety and/or depression demonstrated lower self-esteem scores(P<0.001),and there was a correlation between emotional symptom scores and self-esteem scores.Conclusion Both social support and self-esteem play critical roles in CP/CPPS,with variations observed in social support among patients with symptoms of anxiety or depression.Lower self-esteem in CP/CPPS patients may be associated with higher levels of anxiety and depression,potentially exacerbating the subjective perception of CP/CPPS symptoms.

chronic prostatitischronic pelvic pain syndromesocial supportself-esteem

郭一俊、周任远、苗帅、孙传玉、胡青峰、葛圣阳

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复旦大学附属静安区中心医院泌尿外科(上海 200040)

复旦大学附属华山医院泌尿外科(上海 200040)

复旦大学生物医学研究院(上海 200032)

慢性前列腺炎 慢性盆腔疼痛综合征 社会支持 自尊

上海市静安区医学科研项目上海市进一步加快中医药传承创新发展三年行动计划治未病技术处方与规范项目(2021-2023)国家自然科学基金青年基金静安区学科建设项目

2020MS04ZY2021-2023-0104-02-JS-26821008132021ZD01

2024

中国男科学杂志
上海交通大学医学院,国家人口和计划生育委员会科学技术研究所

中国男科学杂志

CSTPCD
影响因子:0.437
ISSN:1008-0848
年,卷(期):2024.38(3)