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
The research on the correlation between social psychological factors and the physical and psychological symptoms of patients with chronic prostatitis/chronic pelvic pain syndrome
郭一俊 1周任远 1苗帅 1孙传玉 2胡青峰 2葛圣阳3
作者信息
- 1. 复旦大学附属静安区中心医院泌尿外科(上海 200040)
- 2. 复旦大学附属华山医院泌尿外科(上海 200040)
- 3. 复旦大学生物医学研究院(上海 200032)
- 折叠
摘要
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.
Abstract
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.
关键词
慢性前列腺炎/慢性盆腔疼痛综合征/社会支持/自尊Key words
chronic prostatitis/chronic pelvic pain syndrome/social support/self-esteem引用本文复制引用
基金项目
上海市静安区医学科研项目(2020MS04)
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)(ZY2021-2023-0104-02-JS-26)
国家自然科学基金青年基金(82100813)
静安区学科建设项目(2021ZD01)
出版年
2024
NETL
NSTL
万方数据