【摘要】：目的:慢性前列腺炎對男性尤其是青壯年男性的健康和生活造成了嚴(yán)重的危害,并且很難用傳統(tǒng)的抗菌療法治愈。除了少見的細(xì)菌性前列腺炎外,大量前列腺炎病例的發(fā)病因素不能為軀體模型所解釋。治療通常不能取得令人滿意的效果,而且心理因素常常被忽視。許多人格變量,尤其是軀體化、抑郁、焦慮、疑病和男子女性化在問卷調(diào)查研究中扮演重要角色。近年來,關(guān)于慢性前列腺炎的研究很多,人們已經(jīng)認(rèn)識到心理因素在慢性前列腺炎發(fā)病中起重要作用。以往的研究多用心理觀察,很少用定量研究。國內(nèi)學(xué)者進(jìn)行的定量研究多是與全國常模進(jìn)行比較,很少有與健康男性的對照研究,因此我們設(shè)計了本實驗。對慢性前列腺炎病人的心理問題及相關(guān)因素進(jìn)行定量研究,以期獲得心理因素對慢性前列腺炎的客觀影響。方法:本實驗從醫(yī)院門診慢性前列腺炎病人中選取符合實驗條件的72名患者作為實驗組,隨機(jī)選擇72名健康男性作為對照組,兩組均采用90項癥狀自評量表(SCL-90)、焦慮自評量表(SAS)和抑郁自評量表(SDS)進(jìn)行評定。同時用自制問卷對被試的年齡、病程、文化程度、性功能以及生活滿意度進(jìn)行調(diào)查研究。結(jié)果:兩組的SCL-90總分和陽性項目數(shù)、10個因子分以及SAS總分、SDS總分均存在顯著性差異(p0.05)�；颊呓M焦慮情緒和抑郁障礙的發(fā)生率分別為77.78%、83.33%;對照組焦慮情緒和抑郁障礙的發(fā)生率分別為12.50%、11.11%,也存在顯著性差異(p0.01)。自制調(diào)查問卷顯示81.94%的患者繼發(fā)性功能障礙。中年男性、文化程度較高、病程較長、對婚姻不滿意、病情復(fù)雜、癥狀較重的患者存在著較嚴(yán)重的心理問題。結(jié)論:慢性前列腺炎患者中存在心理問題,心理因素與慢性前列腺炎相互影響。心理因素,特別是抑郁和焦慮,和慢性前列腺炎的癥狀密切相關(guān)。慢性前列腺炎明顯降低患者的生活質(zhì)量和婚姻質(zhì)量。復(fù)雜的人際關(guān)系問題,性功能障礙,抑郁程度,加之既往多種治療方法失敗,往往暗示單純的抗菌治療并不能治愈慢性前列腺炎。心理評估,夫婦咨詢,單獨(dú)咨詢以及抗抑郁藥物治療都是慢性前列腺炎患者可以接受的治療途徑。本研究結(jié)果表明,慢性前列腺炎患者十分需要心理干預(yù)。這一結(jié)論和國內(nèi)外其他類似研究基本一致,
[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.
【學(xué)位授予單位】：山東師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2005
【分類號】：R697.3;R395

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