https://doi.org/10.4081/aiua.2024.12452

Psychological and sexological assessment of patients with chronic prostatitis

Vol. 96 No. 1 (2024)
Published: March 26, 2024
Chronic prostatitis, chronic pelvic pain syndrome, depression, anxiety, affective temperaments
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Authors

Konstantinos Stamatiou
Department of Urology, Tzaneio Hospital, Pireus, Greece.
Vittorio Magri
Urology Unit, ASST Fatebenefratelli Sacco, Milan, Italy.
Margherita Trinchieri
Psichiatry Unit, ASST Rhodense, G. Salvini Hospital, Garbagnate (Milan), Italy.
Alberto Trinchieri
School of Urology, University of Milan, Italy.
Gianpaolo Perletti
Gianpaolo.Perletti@uninsubria.it
https://orcid.org/0000-0001-7209-9191
Department of Biotechnology and Life Sciences, Section of Medical and Surgical Sciences, University of Insubria, Varese, Italy.

Purpose: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by a multiform clinical presentation requiring a differentiated treatment based on different phenotypes including the psychosocial and sexual domains. The aim of this study was assessing the complex correlations between somatic, psychological, and sexual symptoms of CP/CPPS patients.
Materials and methods: We performed a cross-sectional study on patients attending a Prostatitis Clinic. Patients were administered the following questionnaires: National Institutes of Health- Chronic Prostatitis Symptom Index (NIH-CPSI), International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF), Premature Ejaculation Diagnostic Tool (PEDT), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), Oxford Happiness Questionnaire (OHQ), and Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A).
Results: Linear regression analyses show highly significant correlations between scores of the NIH-CPSI and the scores of the GAD-7, PHQ-9 and OHQ psychometric questionnaires. IPSS scores correlate significantly with the psychometric scores only when a non-parametric analysis is performed. IIEF and PEDT sexual function scores did not correlate with any of the psychometric tests. NIH-CPSI scores correlate positively with most of the TEMPS-A profiles but the hyperthymic profile correlated negatively with the total and QoL NIH-CPSI and with PEDT scores.
Conclusions: Scores measuring anxiety, depression, and psychological well-being in patients with CP/CPPS are strictly correlated with prostatitis-like symptoms although they are poorly correlated with symptoms of prostatism, as measured by IPSS, and not correlated with scores of sexual dysfunctions, as measured by IIEF and PEDT. A hyperthymic temperament may increase resilience against the disease. 

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How to Cite

Stamatiou, K., Magri, V., Trinchieri, M., Trinchieri, A., & Perletti, G. (2024). Psychological and sexological assessment of patients with chronic prostatitis. Archivio Italiano Di Urologia E Andrologia, 96(1). https://doi.org/10.4081/aiua.2024.12452
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