Psychiatry Investig.  2015 Apr;12(2):268-273. 10.4306/pi.2015.12.2.268.

The Relationship between Depression, Anxiety, Somatization, Personality and Symptoms of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Hyperplasia

• Koh JS
• Ko HJ
• Wang SM
• Cho KJ
• Kim JC
• Lee SJ
• Pae CU

• KMID: 2316439
• DOI: http://doi.org/10.4306/pi.2015.12.2.268

Abstract

This study investigated the relationship of personality, depression, somatization, anxiety with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH). The LUTS/BPH patients were evaluated with the International Prostate Symptom Score (IPSS), 44-item Big Five Inventory (BFI), the Patient Health Questionnaire-9 (PHQ-9), the PHQ-15, and 7-item Generalized Anxiety Disorder Scale (GAD-7). The LUTS/BPH symptoms were more severe in patients with depression (p=0.046) and somatization (p=0.024), respectively. Neurotic patients were associated with greater levels of depression, anxiety and somatisation (p=0.0059, p=0.004 and p=0.0095, respectively). Patients with high extraversion showed significantly low depression (p=0.00481) and anxiety (p=0.035) than those with low extraversion. Our exploratory results suggest patients with LUTS/BPH may need careful evaluation of psychiatric problem including depression, anxiety and somatization. Additional studies with adequate power and improved designs are necessary to support the present exploratory findings.

Keyword

Lower urinary tract symptoms; Benign prostatic hyperplasia; Personality trait; Depression; Somatization; Clinical variable

MeSH Terms

Anxiety Disorders
Anxiety*
Depression*
Extraversion (Psychology)
Humans
Lower Urinary Tract Symptoms*
Prostate
Prostatic Hyperplasia*