论文部分内容阅读
目的:研究影响慢性前列腺炎(CP)患者抑郁症状的相关因素。方法:选择国际慢性前列腺炎症状指数表(NIH-CPSI)及IIEF-5评价CP患者的临床症状,抑郁自评量表(SDS)、90项症状清单(SCL-90)抑郁子量表评定抑郁症状,特质应对方式问卷(TCSQ)评价特质应对方式,疾病感知问卷(IPQ)中文修订版(CIPQ-R)进行CP患者疾病感知特点评价。对CP患者的抑郁症状与临床症状进行相关分析,对影响CP患者抑郁症状的因素进行多元逐步回归分析。结果:抑郁症状与NIH中疼痛或不适、排尿症状、症状严重程度、NIH总分呈显著正相关,与勃起功能呈显著负相关(r=0.32,0.31,0.35,0.38,-0.36,P均<0.05)。消极特质应对、IPQ致病因素可解释CP抑郁症状的43.4%(R2=0.434,调整后R2=0.456,F=14.853,P<0.001)。结论:CP患者抑郁症状与临床症状密切相关,消极应对特质和过度的疾病归因是CP患者抑郁症状的重要预测因素。
Objective: To study the related factors of depressive symptoms in patients with chronic prostatitis (CP). Methods: The clinical symptoms, depression self-rating scale (SDS) and depression scale of 90 symptoms (SCL-90) in the CP patients were assessed by NIH-CPSI and IIEF-5, Symptom and Trait Counseling Questionnaire (TCSQ) Evaluation Traits, IPQ Chinese Revised Edition (CIPQ-R). The correlation between depressive symptoms and clinical symptoms in CP patients was analyzed by multivariate stepwise regression analysis on the factors affecting the depressive symptoms in CP patients. Results: There was a significant positive correlation between depression and pain or discomfort in NIH, urination symptoms, severity of symptoms, NIH total score and negative correlation with erectile function (r = 0.32,0.31,0.35,0.38,0.36, P < 0.05). Negative trait coping, IPQ risk factors explained 43.4% of depression symptoms (R2 = 0.434, adjusted R2 = 0.456, F = 14.853, P <0.001). Conclusions: The depressive symptoms in CP patients are closely related to the clinical symptoms. The negative coping style and excessive attribution of disease are important predictors of depressive symptoms in patients with CP.