慢性前列腺炎患者心理症状与临床症状严重程度相关分析

The Severity of Psychic Symptoms Closely Correlated with That of Clinical Ones in Chronic Prostatitis Patients

目的:探讨慢性前列腺炎(CP)患者心理症状和临床症状严重程度的相互关系。方法:采用症状自评量表(SCL-90)、NIH-CPSI和自制的相关因素调查表,调查CP患者300例,并对评分进行相关性分析。以CPSI中疼痛不适和排尿症状两项积分之和分为轻度、中度和重度组。结果:回收有效调查表288份。CP患者SCL-90与常模比较,强迫因子分差异无统计学意义(P>0.05),人际因子分低于常模(P<0.01),偏执因子分高于常模(P<0.05),其余因子分及阳性项目数均显著高于常模(P<0.01)。CPSI轻度组67例,中度组173例,重度组48例。躯体化和人际两个因子分3组间比较差异均无统计学意义(P>0.05);恐怖因子分轻度组与中度组比较差异有统计学意义(P<0.05),轻度组、中度组与重度组比较差异均无统计学意义(P>0.05);其余各因子及阳性项目数轻度组与中度组、重度组比较差异均有显著性(P<0.01),中度组和重度组比较差异均无统计学意义(P>0.05)。未能找到SCL-90总评分和CPSI总分的相关性。结论:CP患者的心理症状与临床症状轻重程度密切相关,心理治疗特别是早期心理干预非常重要。

Objective： To study the correlation between the severity of psychic symptoms and that of clinical ones in CP patients. Methods： We investigated 300 CP patients with NIH Chronic Prostatitis Symptom Index （ CPSI ）, Symptom Checklist 90 （SCL-90） and a self-designed questionnaire, and analyzed the correlation between the scores. Based on the scores on pain and urinary symptoms in CPSI, the patients were divided into a mild, a moderate and a severe group. Results ： A total of 288 questionnaires were collected. Compared with normal males, the SCL-90 scores of the CP patients were not different in obsessive-compulsive （ P 〉 0.05 ）, lower in interpersonal-sensitivity （ P 〈 0.01 ）, higher in paranoid ideation （ P 〈 0.05 ） and significantly higher in other factors and the number of positive factors （P 〈 0.01 ）. There were no statistical differences among the mild, moderate and severe groups either in somatization and interpersonal-sensitivity （ P 〉 0.05 ） or in phobic anxiety （ P 〉 0.05 ）, but there were between the mild and moderate groups in phobic anxiety （P 〈 0.05） and significantly among the three groups in other factors and the number of positive factors （P 〈 0.01 or P 〈 0.05）. No correlation was found between CPSI and SCL-90 in the total scores. Conclusion ： There was a close correlation between the severity of psychic symptoms and that of clinical symptoms in CP patients. Psychotherapy, especially psychological intervention, plays an important role in the early stage of the disease.