Berghuis J P, Heiman J R, Rothman I, Berger R E
Department of Urology, University of Washington School of Medicine, Seattle, USA.
J Psychosom Res. 1996 Oct;41(4):313-25. doi: 10.1016/s0022-3999(96)00157-2.
Idiopathic prostatitis is a common, often chronic condition in which psychological factors are suspected to play a role. Men with chronic prostatitis (n = 51) and a control group of 34 men without any chronic pain condition, equivalent on demographic characteristics, were compared on psychological and perineal muscle tension measures. Prostate-specific antigen and expressed prostatic secretion cell counts were also measured. Chronic prostatitis patients were consistently more elevated than controls on hypochondriasis, depression, and hysteria (MMPI), and on somaticization and depression (Brief Symptom Inventory), and were less elevated on masculine/instrumentality (Personal Attributes Questionnaire) scales. A cluster analysis of MMPI profiles revealed that 57% of the chronic prostatitis patients produced generally unelevated MMPI profiles, whereas the remaining 43% fell into two groups with distinct patterns of distress. The results indicate depression and psychosocial distress are common among chronic prostatitis patients, calling for careful evaluation and attention to psychological symptoms.
特发性前列腺炎是一种常见的、通常为慢性的疾病，其中心理因素被怀疑发挥了作用。对患有慢性前列腺炎的男性（n = 51）和34名无任何慢性疼痛状况的男性组成的对照组进行了比较，两组在人口统计学特征方面相当，比较内容包括心理和会阴肌肉紧张度测量。还测量了前列腺特异性抗原和前列腺分泌物细胞计数。慢性前列腺炎患者在疑病症、抑郁和癔症（明尼苏达多相人格调查表）方面以及在躯体化和抑郁（简明症状量表）方面的得分始终高于对照组，而在男性气质/工具性（个人属性问卷）量表上的得分则较低。对明尼苏达多相人格调查表概况的聚类分析显示，57%的慢性前列腺炎患者的明尼苏达多相人格调查表概况总体得分未升高，而其余43%分为两组，有不同的痛苦模式。结果表明，抑郁和心理社会困扰在慢性前列腺炎患者中很常见，需要仔细评估并关注心理症状。
