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

Overview

Journal Psychiatry Investig

Specialty Psychiatry

Date 2015 Apr 14

PMID 25866530

Citations 11

Authors

Jun Sung Koh

Hyo Jung Ko

Sheng-Min Wang

Kang Joon Cho

Joon Chul Kim

Soo-Jung Lee

Chi-Un Pae

Affiliations

Soon will be listed here.

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.

Citing Articles

Long-term outcomes of erectile function in adult orchidopexy patients.

Ghanem M, Adawi E, Ghanem A, Ghanem A Asian J Urol. 2024; 11(4):642-650.

PMID: 39533990 PMC: 11551369. DOI: 10.1016/j.ajur.2024.02.001.

Prevalence of Psychiatric Disorders among Patients with Granulomatosis with Polyangiitis (Wegener's) and the Predictive Role of Personality Traits.

Mousavi N, Molaei A, Alesaeidi S, Eftekhari Seas N, Effatpanah M Clin Pract Epidemiol Ment Health. 2024; 20:e17450179276345.

PMID: 38715951 PMC: 11075095. DOI: 10.2174/0117450179276345240117043037.

Association between chronic prostatitis and the subsequent benign prostatic hyperplasia: a population-based national cohort study.

Lin T, Chen I, Weng H, Lin Y, Ou C, Li C World J Urol. 2024; 42(1):126.

PMID: 38460003 DOI: 10.1007/s00345-024-04820-w.

Comparing the Strength of Associations Between Male Genital Problems and Mental Illnesses and Sleep Disorders.

Merrill R, Song D, Ashton M Am J Mens Health. 2024; 18(1):15579883241228243.

PMID: 38279822 PMC: 10822091. DOI: 10.1177/15579883241228243.

Factors associated with quality of life in patients with benign prostatic hyperplasia, 2009-2016.

Park S, Lee K, Choi M, Lee M Medicine (Baltimore). 2022; 101(36):e30091.

PMID: 36086750 PMC: 9512327. DOI: 10.1097/MD.0000000000030091.

References

Kroenke K, Spitzer R, Williams J . The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9):606-13. PMC: 1495268. DOI: 10.1046/j.1525-1497.2001.016009606.x. View

Irwin D, Milsom I, Kopp Z, Abrams P, Artibani W, Herschorn S . Prevalence, severity, and symptom bother of lower urinary tract symptoms among men in the EPIC study: impact of overactive bladder. Eur Urol. 2009; 56(1):14-20. DOI: 10.1016/j.eururo.2009.02.026. View

Seyfried L, Wallner L, Sarma A . Psychosocial predictors of lower urinary tract symptom bother in black men: the Flint Men's Health Study. J Urol. 2009; 182(3):1072-7. PMC: 4132836. DOI: 10.1016/j.juro.2009.05.033. View

Keltikangas-Jarvinen L, Mueller K, Lehtonen T . Illness behavior and personality changes in patients with chronic prostatitis during a two-year follow-up period. Eur Urol. 1989; 16(3):181-4. DOI: 10.1159/000471565. View

Kim S, Kim J, Stewart R, Kang H, Kim S, Shin I . Influences of personality traits on quality of life after stroke. Eur Neurol. 2013; 69(3):185-92. DOI: 10.1159/000345699. View

Parsons J . Benign Prostatic Hyperplasia and Male Lower Urinary Tract Symptoms: Epidemiology and Risk Factors. Curr Bladder Dysfunct Rep. 2011; 5(4):212-218. PMC: 3061630. DOI: 10.1007/s11884-010-0067-2. View

Engstrom G, Henningsohn L, Steineck G, Leppert J . Self-assessed health, sadness and happiness in relation to the total burden of symptoms from the lower urinary tract. BJU Int. 2005; 95(6):810-5. DOI: 10.1111/j.1464-410X.2005.05406.x. View

Irwin D, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S . Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006; 50(6):1306-14. DOI: 10.1016/j.eururo.2006.09.019. View

McAdams D . The five-factor model in personality: a critical appraisal. J Pers. 1992; 60(2):329-61. DOI: 10.1111/j.1467-6494.1992.tb00976.x. View

10.

Glover L, Gannon K, McLoughlin J, Emberton M . Men's experiences of having lower urinary tract symptoms: factors relating to bother. BJU Int. 2004; 94(4):563-7. DOI: 10.1111/j.1464-410X.2004.05001.x. View

11.

Kye S, Park K . Psychosocial factors and health behavior among Korean adults: a cross-sectional study. Asian Pac J Cancer Prev. 2012; 13(1):49-56. DOI: 10.7314/apjcp.2012.13.1.049. View

12.

Ullrich P, Lutgendorf S, Leserman J, Turesky D, Kreder K . Stress, hostility, and disease parameters of benign prostatic hyperplasia. Psychosom Med. 2005; 67(3):476-82. DOI: 10.1097/01.psy.0000161208.82242.f8. View

13.

Hoth K, Christensen A, Ehlers S, Raichle K, Lawton W . A longitudinal examination of social support, agreeableness and depressive symptoms in chronic kidney disease. J Behav Med. 2007; 30(1):69-76. DOI: 10.1007/s10865-006-9083-2. View

14.

Coyne K, Wein A, Tubaro A, Sexton C, Thompson C, Kopp Z . The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int. 2009; 103 Suppl 3:4-11. DOI: 10.1111/j.1464-410X.2009.08371.x. View

15.

Rom M, Schatzl G, Swietek N, Rucklinger E, Kratzik C . Lower urinary tract symptoms and depression. BJU Int. 2012; 110(11 Pt C):E918-21. DOI: 10.1111/j.1464-410X.2012.11552.x. View

16.

Kupelian V, Wei J, OLeary M, Kusek J, Litman H, Link C . Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH) Survey. Arch Intern Med. 2006; 166(21):2381-7. DOI: 10.1001/archinte.166.21.2381. View

17.

De Fazio P, Caroleo M, Rizza P, Cerminara G, De Serio D, Indolfi C . Specific personality traits and coping styles predict affective symptoms in early post acute coronary syndrome inpatients. Int J Psychiatry Med. 2013; 44(2):119-32. DOI: 10.2190/PM.44.2.c. View

18.

Madersbacher S, Alivizatos G, Nordling J, Rioja Sanz C, Emberton M, de la Rosette J . EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines). Eur Urol. 2004; 46(5):547-54. DOI: 10.1016/j.eururo.2004.07.016. View

19.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

20.

Kroenke K, Spitzer R, Williams J . The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002; 64(2):258-66. DOI: 10.1097/00006842-200203000-00008. View