The Relationship between Depression, Anxiety, Somatization, Personality and Symptoms of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Hyperplasia.

The Relationship between Depression, Anxiety, Somatization, Personality and Symptoms of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Hyperplasia.
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DOI:
10.4306/pi.2015.12.2.268
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发表时间:
2015-04
影响因子:
2.7
通讯作者:
Pae CU
Pae CU
中科院分区:
医学4区
文献类型:
--
作者:
Koh JS;Ko HJ;Wang SM;Cho KJ;Kim JC;Lee SJ;Pae CU

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本研究探讨个性、抑郁、躯体化、焦虑与良性前列腺增生症(LUTS/BPH)患者下尿路症状的关系。采用国际前列腺症状评分(IPSS)、44项大五问卷(BFI)、患者健康问卷-9(PHQ-9)、PHQ-15和7项广泛性焦虑量表(GAD-7)对LUTS/BPH患者进行评估。抑郁(p=0.046)和躯体化(p=0.024)患者的下尿路综合征/前列腺增生症症状更为严重。神经症患者的抑郁、焦虑和躯体化程度较高(分别为p=0.0059、p=0.004和p=0.0095)。高外向者的抑郁(p=0.00481)和焦虑(p=0.035)显著低于低外向者。我们的探索性结果表明,LUTS/BPH患者可能需要仔细评估包括抑郁、焦虑和躯体化在内的精神问题。为了支持目前的探索性发现,有必要进行更多具有足够动力和改进设计的研究。
This study investigated the relationship of personality, depression, somatization, anxiety with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH). The LUTS/BPH patients were evaluated with the International Prostate Symptom Score (IPSS), 44-item Big Five Inventory (BFI), the Patient Health Questionnaire-9 (PHQ-9), the PHQ-15, and 7-item Generalized Anxiety Disorder Scale (GAD-7). The LUTS/BPH symptoms were more severe in patients with depression (p=0.046) and somatization (p=0.024), respectively. Neurotic patients were associated with greater levels of depression, anxiety and somatisation (p=0.0059, p=0.004 and p=0.0095, respectively). Patients with high extraversion showed significantly low depression (p=0.00481) and anxiety (p=0.035) than those with low extraversion. Our exploratory results suggest patients with LUTS/BPH may need careful evaluation of psychiatric problem including depression, anxiety and somatization. Additional studies with adequate power and improved designs are necessary to support the present exploratory findings.
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