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

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-CPSI、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。

Department of Urology,Jing'an District Central Hospital,Fudan University;Department of Urology,Huashan Hospital,Fudan University;Institute of Biomedical Sciences,Fudan University;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.