Korean J Urol.  2012 Sep;53(9):643-648. 10.4111/kju.2012.53.9.643.

Depression, Anxiety, Stress Perception, and Coping Strategies in Korean Military Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

• Ahn SG
• Kim SH
• Chung KI
• Park KS
• Cho SY
• Kim HW

• KMID: 2061704
• DOI: http://doi.org/10.4111/kju.2012.53.9.643

Abstract

PURPOSE
The objective of this study was to examine the psychological features and coping strategies of patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
MATERIALS AND METHODS
The participants consisted of 55 military personnel suffering from CP/CPPS and 58 military personnel without CP/CPPS symptoms working at the Military Capital Hospital. The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to assess CP/CPPS symptoms. The Responses to Hospital Anxiety and Depression (HAD) scale, Social Readjustment Rating Scale, and Global Assessment of Recent Stress (GARS) scale were compared between the two groups. The Weisman Coping Strategy Scale was used to assess coping ability with CP/CPPS.
RESULTS
The NIH-CPSI score of the CP/CPPS group was significantly higher than that of the control group for all domains including pain, urinary symptoms, quality of life, and summed score. The Anxiety and Depression domain of the HAD showed significant differences between the two groups. There were no significant differences in the Social Readjustment Rating Scale between the two groups, but the sum of the GARS score was higher in the CP/CPPS group than in the control group. These were correlated with the pain, quality of life, and sum domains of the NIH-CPSI. The Weisman Coping Strategy Scale showed that intellectualization, redefinition, and flexibility were higher in frequency in descending order, and that fatalism, externalization, and self-pity were lower in frequency.
CONCLUSIONS
The CP/CPPS patients had depression, anxiety, and higher perception of stress. In particular, these were closely related to the pain and quality of life of the patients.

Keyword

Anxiety; Depression; Prostatitis; Psychological adaptation; Psychological stress

MeSH Terms

Adaptation, Psychological
Anxiety
Depression
Humans
Military Personnel
National Institutes of Health (U.S.)
Pelvic Pain
Pliability
Prostatitis
Quality of Life
Stress, Psychological

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