Department of Urology, University of Health Sciences, Doctor Abdurrahman-Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Department of Psychiatry, University of Health Sciences, Doctor Abdurrahman-Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Fr J Urol. 2024 Sep;34(9):102707. doi: 10.1016/j.fjurol.2024.102707. Epub 2024 Jul 25.
To investigate the association between pain and sleep quality, anxiety, depression, body perception, and biological rhythm in chronic scrotal pain (CSP).
This cross-sectional study of 140 CSP patients was conducted between January and October 2023. The patients were separated into groups according to the Visual Analogue Scale (VAS) score as group 1 (score<3, n=27), group 2 (score: 3-6, n=84), and group 3 (score>6, n=29). In addition to demographic data, the points were recorded from the Body Image Scale (BIS), Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN), Hospital Anxiety and Depression Scale (HADS), and the Pittsburgh Sleep Quality Index (PSQI).
The median (IQR) age of patients was 33 (20) years and the median (IQR) duration of pain was 5 (9) months. Group 3 patients had more anxiety (24.1% vs. group 1: 22.2%; group 2: 8.3%; P=0.03) and depression (55.2% vs. group 1: 40.7%; group 2: 29.8%; P=0.04) symptoms. No statistical differences were determined between the groups according to the BIS (P=0.54). The median (IQR) total BRIAN score was higher in group 3 than group 1 [37 (11) vs. 33 (13), P=0.03]. Higher rates of poor sleep quality were determined in group 3 patients according to the PSQI (75.9% vs. group 1: 48.1%; group 2: 51.2%; P=0.04). The VAS score was found to be positively associated with pain duration, total BRIAN score and PSQI score (r=0.31, P<0.001; r=0.17, P=0.04; r=0.23, P=0.006, respectively). The PSQI score was found to be an independent predictor for a higher VAS score (HR: 1.14, P=0.01).
The results of this study suggest that poor sleep quality may influence the perceived intensity of pain.
II.
探讨慢性阴囊疼痛（CSP）患者疼痛与睡眠质量、焦虑、抑郁、身体感知和生物节律的关系。
这是一项 2023 年 1 月至 10 月期间进行的 140 例 CSP 患者的横断面研究。根据视觉模拟评分（VAS）将患者分为三组：组 1（评分<3，n=27）、组 2（评分：3-6，n=84）和组 3（评分>6，n=29）。除了人口统计学数据外，还记录了身体意象量表（BIS）、生物节律访谈评估神经精神药理学量表（BRIAN）、医院焦虑和抑郁量表（HADS）和匹兹堡睡眠质量指数（PSQI）的评分。
患者的中位（IQR）年龄为 33（20）岁，中位（IQR）疼痛持续时间为 5（9）个月。组 3 患者焦虑（24.1%比组 1：22.2%；组 2：8.3%；P=0.03）和抑郁（55.2%比组 1：40.7%；组 2：29.8%；P=0.04）症状更为严重。BIS 评分三组间无统计学差异（P=0.54）。组 3 患者的总 BRIAN 评分中位数高于组 1 [37（11）比 33（13），P=0.03]。PSQI 结果显示，组 3 患者睡眠质量较差的比例更高[75.9%比组 1：48.1%；组 2：51.2%；P=0.04]。VAS 评分与疼痛持续时间、总 BRIAN 评分和 PSQI 评分呈正相关（r=0.31，P<0.001；r=0.17，P=0.04；r=0.23，P=0.006）。PSQI 评分是 VAS 评分升高的独立预测因素（HR：1.14，P=0.01）。
本研究结果提示，睡眠质量差可能会影响疼痛的感知强度。
II 级。
