不同年龄段勃起功能障碍患者的心理状况与人格特征分析  

Psychological condition and personality characteristics of patients with erectile dysfunction in various age groups

作　　者：高松占 杨险峰[1] 刘杨青 冯浩[1] Gao Songzhan;Yang Xianfeng;Liu Yangqing;Feng Hao(Department of Andrology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院男性科,郑州450052

出　　处：《中华泌尿外科杂志》2021年第1期48-53,共6页Chinese Journal of Urology

摘　　要：目的探讨不同年龄段勃起功能障碍(ED)患者心理状况的差异。方法回顾性分析郑州大学第三附属医院2018年7月至2019年7月收治的401例ED患者的临床资料。年龄20~60岁。将所有患者按年龄段分为4组:A组158例,年龄20~29岁;B组182例,年龄30~39岁;C组38例,年龄40~49岁;D组23例,年龄50~60岁。基于国际勃起功能评分表(IIEF-5)评估患者的勃起功能情况。采用症状自评量表(SCL-90)评估患者的敌对、焦虑、精神病性、恐怖、偏执、强迫、躯体化、人际关系、抑郁等9项心理状况。采用状态-特质焦虑量表(STAI)区分患者是否存在状态性或特质性的焦虑情绪。采用艾森克人格问卷(EPQ)分析患者的人格类型。分析患者组与文献报道的全国常模组SCL-90、STAI和EPQ量表的差异。分析不同年龄组患者各项指标的差异。结果患者组SCL-90量表的敌对(1.64±0.67,t=4.81,P<0.001)、焦虑(1.58±0.66,t=6.83,P<0.001)、精神病性(1.62±0.68,t=11.87,P<0.001)、偏执(1.55±0.66,t=3.58,P<0.001)、强迫(1.95±0.70,t=9.56,P<0.001)、躯体化(1.43±0.58,t=2.10,P=0.036)、人际关系/敏感(1.74±0.74,t=2.79,P=0.005)、抑郁(1.66±0.74,t=4.50,P<0.001)等因子分,以及总分(1.53±0.63,t=3.07,P=0.002)均显著高于全国常模组。A、B、C、D组的人际关系/敏感得分差异有统计学意义(1.72±0.78、1.65±0.69、1.58±0.92、1.43±0.59,F=2.84,P=0.038)。患者组STAI量表的状态焦虑(t=7.35,P<0.001)、特质焦虑(t=6.31,P<0.001)等因子分和总分(t=8.41,P<0.001)均显著高于全国常模组,不同年龄组的状态焦虑(F=5.29,P=0.001)、特质焦虑(F=5.54,P<0.001)因子分和总分(F=5.66,P<0.001)差异有统计学意义。患者组的精神质(t=30.56,P<0.001)、情绪(t=45.94,P<0.001)、外倾-内倾(t=11.72,P<0.001)、掩饰性(t=29.16,P<0.001)等因子分和总分(t=30.56,P<0.001)均显著高于全国常模组。401例的人格类型分别为抑郁质183例(45.64%),胆汁质94例(23.44%),黏液质66例(16.46%),多血质58�Objective To investigate the differences of psychological condition of erectile dysfunction(ED)patients in different age groups.Methods The emotion,personality and interpersonal relationship outpatients with ED were evaluated by the method of Symptom Checklist-90(SCL-90),State Trait Anxiety Inventory(STAI)and Eysenck Personality Questionnaire(EPQ).A retrospective analysis was conducted and a total of 401 ED patients(aged 20-60)were divided into 4 groups[20-29(n=158),30-39(n=182),40-49(n=38),50-60(n=23)years old]from July 2018 to July 2019.The erectile function of the patients was evaluated by the international erectile function scale(IIEF-5).The symptoms of hostility,anxiety,psychotic,horrible,paranoid,obsession,somatization,interpersonal relationship and depression were evaluated by SCL-90.Furthermore,STAI was used to distinguish whether the patients had state or trait anxiety.Then EPQ was used to analyze the personality types of patients.The differences of SCL-90,STAI and EPQ between the patients and the national norm group were analyzed by the two sample t-test.The variance analysis was conducted to compare the score differences of scales among different age groups of ED patients.The chi square test was conducted to compare the distribution differences of personality types among different age groups.Results The scores of hostility(1.64±0.67,t=4.81,P<0.001),anxiety(1.58±0.66,t=6.83,P<0.001),psychotic(1.62±0.68,t=11.87,P<0.001),paranoid(1.55±0.66,t=3.58,P=0.0004),obsession(1.95±0.70,t=9.56,P<0.001),somatization(1.43±0.58,t=2.10,P=0.036),interpersonal relationship(1.74±0.74,t=2.79,P=0.005),depression(1.66±0.74,t=4.50,P<0.001)and the total scores(1.53±0.63,t=3.07,P=0.002)of SCL-90 in the patient group were significantly higher than those of the national norm group,and there were significant differences in the scores of interpersonal relationship among different age groups(1.72±0.78,1.65±0.69,1.58±0.92,1.43±0.59,F=2.84,P=0.038).The scores of state anxiety(t=7.35,P<0.001),trait anxiety(t=6.31,P<0.001)an

关 键 词：勃起功能障碍 年龄 症状自评量表 状态-特质焦虑量表 艾森克人格问卷 

分 类 号：R698[医药卫生—泌尿科学]