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

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。

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

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.