Zhang Kai, He Li-jun, Yu Wei, Wang Yi, Bai Wen-jun, Wang Xiao-feng, Zhu Ji-chuan, Jin Jie, Na Yan-qun
Department of Urology, Peking University First Hospital, Beijing 100034, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2013 Aug 18;45(4):609-12.
To examine the relationships among lower urinary tract symptoms (LUTS), erectile dysfunction (ED) and mental health in Chinese men aged from 22 to 50.
The subjects were 907 men aged between 22 and 50 years. The symptoms of mental distress were evaluated by the Zung Self-rating Depression Scale questionnaires and Zung Self-rating Anxiety Scale questionnaires. The symptoms of chronic prostatitis/chronic pelvic pain syndrome (CPPS), LUTS and ED were assessed by the US National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), the International Prostate Symptom Score (IPSS) and the International Index of Erectile Function 5 (IIEF-5) score.
In the study, 894 subjects had their complete data. Their mean NIH-CPSI score was higher for the men with depression and anxiety than for those without (6.2±6.2 vs. 5.0±5.8, P=0.015; 8.7±8.1 vs. 4.7± 5.3, P<0.001), with the mean IPSS score (5.9±6.6 vs. 4.7±5.8, P=0.029; 8.4±8.0 vs. 4.4±5.5, P<0.001). The mean IIEF-5 score was lower for the men with depression and anxiety than for those without (18.3±4.4 vs. 20.2±3.5; 17.2±4.1 vs. 20.1±3.6, both P<0.001). The proportion of total ED was higher for the men with depression and anxiety than for those without (69.7% vs. 57.8%, P=0.002; 81.1% vs. 57.0%, P<0.001).
Our study reveals associations among depression, anxiety, and CPPS, LUTS and ED in Chinese men aged 50 years and younger.
探讨22至50岁中国男性下尿路症状（LUTS）、勃起功能障碍（ED）与心理健康之间的关系。
研究对象为907名年龄在22至50岁之间的男性。采用zung自评抑郁量表问卷和zung自评焦虑量表问卷评估精神痛苦症状。采用美国国立卫生研究院慢性前列腺炎症状指数（NIH-CPSI）、国际前列腺症状评分（IPSS）和国际勃起功能指数5（IIEF-5）评分评估慢性前列腺炎/慢性盆腔疼痛综合征（CPPS）、LUTS和ED的症状。
在本研究中，894名受试者有完整数据。抑郁和焦虑男性的平均NIH-CPSI评分高于无抑郁和焦虑者（6.2±6.2对5.0±5.8，P=0.015；8.7±8.1对4.7±5.3，P<0.001），平均IPSS评分也是如此（5.9±6.6对4.7±5.8，P=0.029；8.4±8.0对4.4±5.5，P<0.001）。抑郁和焦虑男性的平均IIEF-5评分低于无抑郁和焦虑者（18.3±4.4对20.2±3.5；17.2±4.1对20.1±3.6，P均<0.001）。抑郁和焦虑男性的总ED比例高于无抑郁和焦虑者（69.7%对57.8%，P=0.002；81.1%对57.0%，P<0.001）。
我们的研究揭示了50岁及以下中国男性抑郁、焦虑与CPPS、LUTS和ED之间的关联。
