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Large-scale single-center investigation of the prevalence and patterns of depression and anxiety in outpatients of andrology clinic
Author(s): YUAN Yiming, FANG Dong, ZHANG Zhichao, GAO Bing, SONG Weidong, PENG Jing, CUI Wanshou, TANG Yuan, ZHENG Wei, XIN Zhongcheng, ZHOU Liqun, GUO Yinglu, Andrology Center of Peking University First Hospital Department of Urology, Peking University First Hospital Peking University Urology Institute
Pages: 303-
307
Year: 2016
Issue:
4
Journal: Journal of Clinical Urology
Keyword: andrological diseases; late-onset hypogonadism; erectile dysfunction; depression; anxiety;
Abstract: Objective:To illustrate the prevalence and patterns of depression and anxiety in outpatients of andrology clinic.Method:From March 2014 to March 2015,1489 patients treated at andrology clinic of our hospital were investigated.The presence and severity of depression and anxiety were evaluated by PHQ-9and GAD-7.The data of primary disease,age,height,weight,educational background and occupation were also reviewed.Result:For all 1 489 patients the most common symptom for depression was "feeling tired",while for anxiety was "easily irritated".Depression was diagnosed in 57% patients,and the ratio of mild depression was 31%,while severe depression was only 3%.Anxiety was diagnosed in 42% patients including mild anxiety 27% and severe anxiety1%.Patients who received higher education and who participated in mental labor were less likely to suffer from depression.Patients with late-onset hypogonadism(LOH),erectile dysfunction(ED)and chronic prostatitis(CP)exhibited higher risk of depression and anxiety,while less prevalence was found in patients with BPH and infertility.Both two diseases were diagnosed in 535patients(35.9%)with a percentage of 56.4%in the cohort of patients who had at least one of the disease.Conclusion:The prevalence of depression and anxiety in outpatients of andrology clinic was high.Patients with LOH,ED,CP and those who have poor educational background or participate in physical work have higher risk of depression and anxiety.Most patients were diagnosed with mild to moderate stage,and it’s important to evaluate the primary disease and the combined psychogenic problems objectively.
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