The Sdudy Of Psychological Factors To Chronic Prostatitis Prognostic

【Objective】To explore the relationship between mental health status andseverity of clinical symptoms in patients with chronic prostatitis.【Methods】To analyze the mental health status of 34 patients with chronicprostatitis by SCL-90,SDS and NIH-CPSI,and the scores were compared with thenormal control. At the same time,34 in-patients other than chronic prostatitis areincluded as the contrast.【Results】The scores of NIH-CPSI show that the severity of clinical symptomsin patients with chronic prostatitis concentrates on media degree, the number of thepatients was15,and the rate was 44.2％. The prevalence rate of psychologicalproblems in patients by SCL-90 was 29.4％,and significantly higher than that incontrols. The most worst psychological factor was depression, followed bycompulsion, somatization, anxiety and others. The prevalence rate by SDS was36.4％,higher than that of the normal and was 6 times. The severity of clinicalsymptoms with CP was heavy in morning and light in evening. To analyze therelationship between severity of clinical symptoms in patients with chronic prostatitisand mental health status by SCL-90 and SDS. The severity of clinical symptoms inpatients with CP has positive correlation with many factors of SCL-90, such asdepression, psychotics factor,somatization, anxiety, phobia and others.Also theseverity of clinical symptoms in CP has positive correlation with many factors ofSDS.There is certain statistical difference between psychological symptoms andseveral factors such as the therapeutic process, the severity of clinical symptoms andcourse of disease in CP. As the incidence of the course of disease in CP is less than 1year, 1 to 2year, and more than 2 year, the prevalence rate is 46.2％,47.1％,75.0％bySDS, and 38.5％,70.6％,75.0％by SCL-90, respectively, both had significantstatistical difference with SOS and SCL-90; the incidence of psychological symptomsin patients to see doctors for the first times, the 2 to 3 times and more than 3 timeswere 35.3％,44.4％,63.6％by SOS, and 33.3％,55.6％,81.8％by SCL-90,respectively,had difference with SDS, and had significant statistical difference with SCL-90; theincidence of psychic symptoms in patients with mild,media,and severe clinicalsymptom were 46.1％,46.7％,50.0％by SDS, and 53.8％,60.0％,66.7％by SCL-90, had difference with SCL-90, but had not with SDS.【Conclusion】Psychological problems commonly exist in patients with CP. Therewere severe psychological problems in the patients who had complex and serioussymptoms. These patients often suffer from depression. Depressive symptoms is oneof the most severe psychological symptoms in patients with CP. Psychic symptoms inpatients with CP had direct relationship with times patient seeking medical care,course of disease and the severity of clinical symptoms, and prolonged therapeuticprocess aggravated the psychic symptoms. The chronic prostatitis patients'life qualityis worse than the healthy's, and they have more physiological and mental problems.Psychological therapy to them is necessary.Adequate notes and synthetic measuresshould be made to prevent and treat the disease according to mental status and therelated factors.