More bad science (from the same journal!).
Mental status in patients with chronic bacterial prostatitis
Here we have CPPS patients categorised as CBP patients:
The diagnosis of CBP was confirmed if prostatic fluid contained more than 10 leucocytes per high–power microscopic field and a pathogen was concomitantly identified
How many times have CPPS patients been told that they have "bacterial prostatitis" because of contamination of cultures with skin flora from the end of the urethra? Or because cultures magnify one bacterium into an "infection"? Answer: many times.
Very often in daily practice, urologists encounter the situation in which the application of long–term antibacterial therapy in patients with chronic prostatitis does not yield adequate results. Some patients still complain of a variety of disorders despite the use of all standard treatment options, some of them even lose faith in the ability to remedy after years of futile treatment. Such disappointment hurts the patient's mentality and even confuses urologists to the point of perplexity, which is why a deeper insight into the essence of the problem is required for a more complete understanding of psychological state of patients with CBP, as well as the mechanisms that influence it.
The chronic pain syndrome, caused by antibiotic–resistant prostatic inflammation, reduces the working capacity of patients and worsens their quality of life and their ability to interact socially.
In true CBP,
pain is not a stand-out feature. So wrong patient group, wrong conclusions. No wonder uros are confused!
This is one of the worst studies I've seen in terms of blurring definitions and getting basic assumptions wrong. It should never have been published!
(Note to self: treat anything published in the Polish "Central European Journal of Urology (CEJU)" with great caution)