中国男科学杂志
中國男科學雜誌
중국남과학잡지
CHINESE JOURNAL OF ANDROLOGY
2014年
4期
19-22,26
,共5页
前列腺炎/心理学%危险因素
前列腺炎/心理學%危險因素
전렬선염/심이학%위험인소
prostatitis/psychology%risk factors
目的:探讨慢性前列腺炎患者性行为、人格特质、述情特点、疾病观念与求医行为等社会心理特征及相关因素。方法对2011年7月至2013年1月在门诊及病房就诊的120例慢性前列腺炎患者行排尿、疼痛症状及严重程度评估,同时进行勃起功能评分表(IIEF)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、家庭环境量表(FES)、系统家庭动力学自评量表(SSFD)、艾森克人格问卷(EPQA)、多伦多述情障碍量表(TAS)、心理和人际关系问卷(SEAR)、疾病观念与求医行为量表(ICHSB)等问卷调查,同时选取100例健康志愿者进行比较。结果(1)在抑郁、焦虑、家庭环境因子V、艾森克因子N、艾森克因子总分和多伦多述情障碍因子Ⅱ各指标方面,慢性前列腺炎组高于对照组,两组比较分别为(40.13±6.86)vs(35.43±7.15),(38.63±7.59)vs(33.18±7.25),(6.88±1.67)vs(6.72±2.01),(14.67±4.37)vs(10.22±4.43),(43.21±7.32)vs(38.38±5.75),(24.12±3.42)vs(21.97±3.85),差异均有统计学意义(P <0.05);慢性前列腺炎患者在国际勃起功能评分,多伦多述情障碍因子Ⅲ,心理和人际关系评分方面得分均低于对照组,分别为(16.41±3.12)vs (19.03±5.01),(14.73±4.13)vs (16.11±3.48),(57.74±2.42)vs (58.76±3.18),差异均具有统计学意义(P<0.05)。(2)临床症状与抑郁、焦虑、系统家庭动力学的系统逻辑、国际勃起功能评分、成年时期对疾病与健康的观念、态度呈正相关。与家庭环境因子Ⅰ、因子Ⅸ呈负相关,与心理和人际关系无相关。(3)焦虑、疲劳、职业、不当性活动、缺乏识别情感和躯体感受的能力为危险因素,受教育年限为保护因素。结论慢性前列腺炎患者易伴有抑郁、焦虑情绪;焦虑、职业、不正当性行为、缺乏识别情感和躯体感受的能力为其患慢性前列腺炎的危险因素。
目的:探討慢性前列腺炎患者性行為、人格特質、述情特點、疾病觀唸與求醫行為等社會心理特徵及相關因素。方法對2011年7月至2013年1月在門診及病房就診的120例慢性前列腺炎患者行排尿、疼痛癥狀及嚴重程度評估,同時進行勃起功能評分錶(IIEF)、焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)、傢庭環境量錶(FES)、繫統傢庭動力學自評量錶(SSFD)、艾森剋人格問捲(EPQA)、多倫多述情障礙量錶(TAS)、心理和人際關繫問捲(SEAR)、疾病觀唸與求醫行為量錶(ICHSB)等問捲調查,同時選取100例健康誌願者進行比較。結果(1)在抑鬱、焦慮、傢庭環境因子V、艾森剋因子N、艾森剋因子總分和多倫多述情障礙因子Ⅱ各指標方麵,慢性前列腺炎組高于對照組,兩組比較分彆為(40.13±6.86)vs(35.43±7.15),(38.63±7.59)vs(33.18±7.25),(6.88±1.67)vs(6.72±2.01),(14.67±4.37)vs(10.22±4.43),(43.21±7.32)vs(38.38±5.75),(24.12±3.42)vs(21.97±3.85),差異均有統計學意義(P <0.05);慢性前列腺炎患者在國際勃起功能評分,多倫多述情障礙因子Ⅲ,心理和人際關繫評分方麵得分均低于對照組,分彆為(16.41±3.12)vs (19.03±5.01),(14.73±4.13)vs (16.11±3.48),(57.74±2.42)vs (58.76±3.18),差異均具有統計學意義(P<0.05)。(2)臨床癥狀與抑鬱、焦慮、繫統傢庭動力學的繫統邏輯、國際勃起功能評分、成年時期對疾病與健康的觀唸、態度呈正相關。與傢庭環境因子Ⅰ、因子Ⅸ呈負相關,與心理和人際關繫無相關。(3)焦慮、疲勞、職業、不噹性活動、缺乏識彆情感和軀體感受的能力為危險因素,受教育年限為保護因素。結論慢性前列腺炎患者易伴有抑鬱、焦慮情緒;焦慮、職業、不正噹性行為、缺乏識彆情感和軀體感受的能力為其患慢性前列腺炎的危險因素。
목적:탐토만성전렬선염환자성행위、인격특질、술정특점、질병관념여구의행위등사회심리특정급상관인소。방법대2011년7월지2013년1월재문진급병방취진적120례만성전렬선염환자행배뇨、동통증상급엄중정도평고,동시진행발기공능평분표(IIEF)、초필자평량표(SAS)、억욱자평량표(SDS)、가정배경량표(FES)、계통가정동역학자평량표(SSFD)、애삼극인격문권(EPQA)、다륜다술정장애량표(TAS)、심리화인제관계문권(SEAR)、질병관념여구의행위량표(ICHSB)등문권조사,동시선취100례건강지원자진행비교。결과(1)재억욱、초필、가정배경인자V、애삼극인자N、애삼극인자총분화다륜다술정장애인자Ⅱ각지표방면,만성전렬선염조고우대조조,량조비교분별위(40.13±6.86)vs(35.43±7.15),(38.63±7.59)vs(33.18±7.25),(6.88±1.67)vs(6.72±2.01),(14.67±4.37)vs(10.22±4.43),(43.21±7.32)vs(38.38±5.75),(24.12±3.42)vs(21.97±3.85),차이균유통계학의의(P <0.05);만성전렬선염환자재국제발기공능평분,다륜다술정장애인자Ⅲ,심리화인제관계평분방면득분균저우대조조,분별위(16.41±3.12)vs (19.03±5.01),(14.73±4.13)vs (16.11±3.48),(57.74±2.42)vs (58.76±3.18),차이균구유통계학의의(P<0.05)。(2)림상증상여억욱、초필、계통가정동역학적계통라집、국제발기공능평분、성년시기대질병여건강적관념、태도정정상관。여가정배경인자Ⅰ、인자Ⅸ정부상관,여심리화인제관계무상관。(3)초필、피로、직업、불당성활동、결핍식별정감화구체감수적능력위위험인소,수교육년한위보호인소。결론만성전렬선염환자역반유억욱、초필정서;초필、직업、불정당성행위、결핍식별정감화구체감수적능력위기환만성전렬선염적위험인소。
Objective To investigate the relationship of sexal behaviors, personality character, alexi-thymia character, disease concept, healthy seeking behaviors in patients with chronic prostatitis. Methods According to China urology disease diagnostic guidelines (2009). Total of 120 patients with chronic prostatitis and 100 controls who hospitalized in our hospital from July, 2011 to Jan, 2013were recruited in the study and evaluated by the questionnaires of international index of erectile function(IIEF) Self-Rating Anxiety Scale(SAS), Serf-Rating Depression scale(SDS), Family Environment Scale(FES), Selfrating Scale of Systemic Family Dynamics(SSFD), Eysenck Personality Questionnaire(EPQ), Toronto Alexithy-mia scale(TAS), Psychological and interpersonal relationship questionnaire (SEAR), serf-rating scale of illness conception and health seeking behavior(ICHSB). Results (1) In chronic prostatitis patients group(120), the scores of SAS, SDS. achievement orientailon in FES, nervous and the total scores of EPQ, factor II in TAS were significantly higher than those in healthy subjects(100), [(40.13±6.86) vs (35.43±7.15), (38.63±7.59) vs (33.18±7.25), (6.88±1.67) vs (6.72± 2.01), (14.67±4.37) vs (10.22±4.43), (43.21±7.32) vs (38.38±5.75), (24.12±3.42)vs (21.97±3.85), P<0.05]; International index of erectile function (IIEF), factor Ⅲ in TAS, Psychological and interpersonal relationship (SEAR) were significantly lower than those in healthy[[(16.41±3.12)vs (19.03±5.01) , (14.73±4.13) vs (16.1l±3.48), (57.74±2.42)vs(58.76±3.18)] (P<0.05). (2) The symptoms of chronic prostatitis patients were positively correlated to the severity of depression, anxiety, systemic Family Dynamics Ⅲ, index of erectile function and illness conception and health seeking behavior factor Ⅱ.The symptoms of chronic prostatitis patients were negatively correlated to the Family EnvironmentⅠ, Ⅸ, but no association with psychological and interpersonal relations. (3) The risk factors of chronic prostatitis were anxiety, Professional, fatigue, improper sexual activity, acking of the ability to distinguish between emotion and physical feelings and loving fantasy、Education level had protective role to chronic prostatitis. Conclusion The chronic prostatitis patients have certain psychological problems such as depression, anxiety; The risk factors of chronic prostatitis were anxiety, professional, improper sexual activity and lacking of the ability to distinguish between emotion and physical feelings and loving fantasy.