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Related Experiment Videos

Psychological problems in chronic prostatitis patients with pain

K J Egan1, J N Krieger

  • 1Department of Anesthesiology, University of Washington Medical Center, Seattle 98195.

The Clinical Journal of Pain
|September 1, 1994
PubMed
Summary

Chronic prostatitis pain in men significantly impacts relationships and sexual function, often linked to depression. A psychological approach, not just antimicrobials, may be key for treatment.

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Area of Science:

  • Urology
  • Psychology
  • Pain Management

Background:

  • Chronic prostatitis is a common urological condition.
  • Standard antimicrobial treatments are often ineffective for chronic prostatitis pain.
  • A psychological approach may offer new insights into managing chronic prostatitis pain.

Purpose of the Study:

  • To assess chronic prostatitis patients with pain using a standard chronic pain clinic psychological approach.
  • To compare the psychological profiles of men with chronic prostatitis pain to those with chronic low back pain.

Main Methods:

  • Twenty men with chronic prostatitis and pain completed the MMPI and a structured psychological interview.
  • Findings were compared to age- and education-matched men with chronic low back pain.

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  • Data were collected at the Pain Clinic, University of Washington Medical Center.

    • Main Results:

    • Chronic prostatitis patients reported greater interference with sexual/romantic relationships compared to back pain patients.
    • Half of prostatitis patients met criteria for major depression; back pain patients were more somatically focused.
    • Prostatitis patients experienced relationship problems, sexual dysfunction, and depression, unlike back pain patients.

    Conclusions:

    • Antimicrobial therapy alone is unlikely to cure chronic prostatitis.
    • A comprehensive approach including psychological evaluation, counseling, and depression medication is recommended.
    • Further studies with less self-selected samples are needed to validate these preliminary findings.