Type D Personality Is an Independent Predictor of Lower Urinary Tract Symptoms in Young Men

Frontiers in Psychology

Ying-Jay Liou¹  Wei-Ming Cheng⁵  Yu-Hua Fan⁸ 

[1] Department of Psychiatry, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan;Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan;Department of Urology, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan;Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan;Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch, Taipei, Taiwan;Institute of Biopharmaceutical Science, School of Life Science, National Yang Ming Chiao Tung University, Taipei, Taiwan;Program in Molecular Medicine, School of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan;Shu-Tien Urological Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan;

关键词: depression;    depression and somatic symptom scale;    lower urinary tract symptoms;    somatic symptoms;    type D personality;   

DOI  :  10.3389/fpsyg.2022.822490

来源: DOAJ

【 摘 要 】

This cross-sectional study, which included men aged 20–40 years, aimed to determine the relationships among type D personality, depressive symptoms and lower urinary tract symptoms in young men. An internet-based questionnaire was administered, and General demographics, International Prostate Symptom Scores, Type D Scale-14 scores, and Depression and Somatic Symptom Scale scores were analyzed. A total of 3,127 men were included; of these, 762 (24.4%) reported moderate/severe lower urinary tract symptoms, and 1,565 (50.05%) met the criteria for type D personality. Men with type D personality had significantly higher body mass index and total and sub-scores for the International Prostate Symptom Score and Depression and Somatic Symptom Scale. Furthermore, the type D personality group had a higher prevalence of lower urinary tract symptoms, particularly voiding symptoms. Univariate analysis revealed that all parameters, except for body mass index, were significant predictors of moderate/severe lower urinary tract symptoms. Multivariate analysis showed that age >30 years, type D personality, and depressive and somatic Depression and Somatic Symptom Scale sub-scores were independent predictors of moderate/severe lower urinary tract symptoms. Regarding Type D Scale-14 subscales, social inhibition, rather than negative affectivity, impacted moderate/severe lower urinary tract symptoms. Mediation analysis revealed that depressive symptoms mediated the relationship between type D personality and lower urinary tract symptoms. This study established correlations between type D personality, depressive symptoms, and lower urinary tract symptoms. As previous studies suggested that patients with type D personality are less likely to consult and adhere to treatment, and are at higher risk for depression, urologists should therefore actively recognize patients with TDP.

【 授权许可】

Unknown