慢性前列腺炎患者心理问题及相关因素研究

发布时间：2018-07-20 20:03

【摘要】：目的:慢性前列腺炎对男性尤其是青壮年男性的健康和生活造成了严重的危害,并且很难用传统的抗菌疗法治愈。除了少见的细菌性前列腺炎外,大量前列腺炎病例的发病因素不能为躯体模型所解释。治疗通常不能取得令人满意的效果,而且心理因素常常被忽视。许多人格变量,尤其是躯体化、抑郁、焦虑、疑病和男子女性化在问卷调查研究中扮演重要角色。近年来,关于慢性前列腺炎的研究很多,人们已经认识到心理因素在慢性前列腺炎发病中起重要作用。以往的研究多用心理观察,很少用定量研究。国内学者进行的定量研究多是与全国常模进行比较,很少有与健康男性的对照研究,因此我们设计了本实验。对慢性前列腺炎病人的心理问题及相关因素进行定量研究,以期获得心理因素对慢性前列腺炎的客观影响。方法:本实验从医院门诊慢性前列腺炎病人中选取符合实验条件的72名患者作为实验组,随机选择72名健康男性作为对照组,两组均采用90项症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评定。同时用自制问卷对被试的年龄、病程、文化程度、性功能以及生活满意度进行调查研究。结果:两组的SCL-90总分和阳性项目数、10个因子分以及SAS总分、SDS总分均存在显著性差异(p0.05)。患者组焦虑情绪和抑郁障碍的发生率分别为77.78%、83.33%;对照组焦虑情绪和抑郁障碍的发生率分别为12.50%、11.11%,也存在显著性差异(p0.01)。自制调查问卷显示81.94%的患者继发性功能障碍。中年男性、文化程度较高、病程较长、对婚姻不满意、病情复杂、症状较重的患者存在着较严重的心理问题。结论:慢性前列腺炎患者中存在心理问题,心理因素与慢性前列腺炎相互影响。心理因素,特别是抑郁和焦虑,和慢性前列腺炎的症状密切相关。慢性前列腺炎明显降低患者的生活质量和婚姻质量。复杂的人际关系问题,性功能障碍,抑郁程度,加之既往多种治疗方法失败,往往暗示单纯的抗菌治疗并不能治愈慢性前列腺炎。心理评估,夫妇咨询,单独咨询以及抗抑郁药物治疗都是慢性前列腺炎患者可以接受的治疗途径。本研究结果表明,慢性前列腺炎患者十分需要心理干预。这一结论和国内外其他类似研究基本一致,
[Abstract]:Objective: chronic prostatitis causes serious harm to the health and life of men, especially young and middle-aged men, and it is difficult to cure by traditional antimicrobial therapy. In addition to the rare bacterial prostatitis, a large number of prostatitis cases can not be explained by the physical model. Treatment is usually not satisfactory, and psychological factors are often ignored. Many personality variables, especially somatization, depression, anxiety, hypochondriasis, and feminization of men, play an important role in the questionnaire survey. In recent years, there are many studies on chronic prostatitis, people have recognized that psychological factors play an important role in the pathogenesis of chronic prostatitis. In the past, psychological observation was used, but quantitative research was seldom used. Most of the quantitative studies carried out by domestic scholars are compared with the national norm, and there are few comparative studies with healthy men, so we designed this experiment. In order to obtain the objective effect of psychological factors on chronic prostatitis, a quantitative study was carried out on the psychological problems and related factors of chronic prostatitis patients. Methods: 72 patients with chronic prostatitis were selected as experimental group and 72 healthy men as control group. Both groups were assessed with 90 symptom checklist (SCL-90), self-rating anxiety scale (SAS) and self-rating depression scale (SDS). At the same time, self-made questionnaire was used to investigate the subjects' age, course of disease, education level, sexual function and life satisfaction. Results: there were significant differences in the total score of SCL-90, the number of positive items, the scores of 10 factors and the total scores of SAS and SDS between the two groups (p0.05). The incidence of anxiety and depression were 77.78 and 83.33 in the patients group, and 12.50 and 11.11 in the control group, respectively (p0.01). The self-made questionnaire showed that 81.94% of the patients had secondary dysfunction. Middle-aged men with higher education and longer course of disease have serious psychological problems in patients who are not satisfied with their marriage, are complicated and have serious symptoms. Conclusion: there are psychological problems in patients with chronic prostatitis and the interaction between psychological factors and chronic prostatitis. Psychological factors, especially depression and anxiety, are closely related to the symptoms of chronic prostatitis. Chronic prostatitis significantly reduced the quality of life and marital quality of patients. Complex interpersonal problems, sexual dysfunction, degree of depression, and failure of previous treatments often suggest that antimicrobial therapy alone does not cure chronic prostatitis. Psychological assessment, couple counseling, individual counseling, and antidepressant therapy are all acceptable treatments for patients with chronic prostatitis. The results of this study indicate that patients with chronic prostatitis are in great need of psychological intervention. This conclusion is basically consistent with other similar studies at home and abroad.
【学位授予单位】：山东师范大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R697.3;R395

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