Lower urinary tract symptoms are associated with clinically relevant depression, anxiety, and stress symptoms.

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Aging Male Pub Date : 2022-12-01 DOI:10.1080/13685538.2022.2040981

Liliana Vartolomei, Andrei Cotruș, Sabin Octavian Tătaru, Mihai Dorin Vartolomei, Adrian Man, Matteo Ferro, Camelia Stanciu, Anca Ileana Sin, Shahrokh F Shariat

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引用次数: 6

Abstract

Objectives: To investigate the correlation between lower urinary tract symptoms (LUTS), erectile dysfunction (ED), and testosterone deficiency (TD) with depressive, stress, and anxiety symptoms.

Material and methods: From October 2019 to March 2020, 113 males were included. Inclusion criteria: age 40-75, no clinical suspicion of prostate cancer, no serious cardiovascular comorbidities. All patients completed a set of questionnaires: International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF-5), and Depression Anxiety Stress Scales (DASS-21).

Results: Median age was 62 years (range 40-74), mean IPSS score was 10.94 (SD 7.75), mean IIEF-5 score 13.12 (SD 7.08), and mean DASS-21 score 11.35 (SD 8.24). According to DASS-21 subscales, 28 (24.8%) patients had depressive symptoms, 25 (22.1%) anxiety symptoms, and 25 (22.1%) stress symptoms. Depression was associated with LUTS (14.5 vs. 8 score, p = .002). Similarly, stress symptoms were associated with LUTS (IPSS 15 vs. 7 score, p = .0001) and with ED (IIEF-5 5 vs. 15 score, p = .01). Positive Spearman's rho correlations between LUTS and all three, depression, anxiety, and stress symptoms were found (p values <.001).

Conclusions: LUTS is associated with depression, anxiety, and stress symptoms. Screening for these symptoms could help with individual counseling and management.

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下尿路症状与临床相关的抑郁、焦虑和压力症状有关。

目的:探讨下尿路症状(LUTS)、勃起功能障碍(ED)和睾酮缺乏(TD)与抑郁、压力和焦虑症状的相关性。材料与方法:2019年10月至2020年3月，纳入113名男性。纳入标准:年龄40-75岁，无前列腺癌临床怀疑，无严重心血管合并症。所有患者完成一套问卷调查:国际前列腺症状评分(IPSS)，国际勃起功能指数(IIEF-5)和抑郁焦虑压力量表(DASS-21)。结果:中位年龄为62岁(40-74岁)，IPSS平均评分为10.94 (SD 7.75)， IIEF-5平均评分为13.12 (SD 7.08)， DASS-21平均评分为11.35 (SD 8.24)。根据DASS-21量表，28例(24.8%)患者有抑郁症状，25例(22.1%)患者有焦虑症状，25例(22.1%)患者有应激症状。抑郁与LUTS相关(14.5分对8分，p = 0.002)。同样，应激症状与LUTS (IPSS评分15比7,p = 0.0001)和ED (iief - 55评分5比15,p = 0.01)相关。发现LUTS与抑郁、焦虑和压力症状三者之间的Spearman rho正相关(p值)。结论:LUTS与抑郁、焦虑和压力症状相关。筛查这些症状有助于进行个人咨询和管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.