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STUDY PROTOCOL article

Front. Psychiatry

Sec. Mood Disorders

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1632159

The Efficacy of Chinese Herbal Medicine on Anxiety and Depression in Patients with Chronic Prostatitis Complicated by Sexual Dysfunction: A Systematic Review and Meta-Analysis Protocol

Provisionally accepted
Zhaozhan  XieZhaozhan Xie1Xuecheng  ZhangXuecheng Zhang2Bai  LiBai Li1Qi  WangQi Wang3Zhihui  HouZhihui Hou3Hongling  JiaHongling Jia3*Yongchen  ZhangYongchen Zhang1*
  • 1Shandong University of Traditional Chinese Medicine, Jinan, China
  • 2China-Japan Friendship Hospital, Beijing, Beijing Municipality, China
  • 3Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China

The final, formatted version of the article will be published soon.

Background: Chronic Prostatitis (CP) is often accompanied by urinary symptoms such as dysuria and frequency, as well as sexual dysfunction including erectile dysfunction and reduced libido.Men with CP are at a significantly greater risk of developing anxiety and depression compared to healthy controls. Chinese Herbal Medicine (CHM) provides a holistic approach by simultaneously targeting inflammation, pelvic microcirculation, and neuropsychiatric pathways, which aligns with the multifactorial nature of CP. Therefore, this study will conduct a systematic review and meta-analysis to evaluate and summarize the efficacy of CHM for managing anxiety and depression in patients with CP complicated by sexual dysfunction. Methods: This research will conduct a systematic search of four Chinese databases (China National Knowledge Infrastructure, Wanfang Database, China Biomedical Database, and VIP Database) as well as four international databases (PubMed, Web of Science, EMBASE, and Cochrane Library). It will focus on identifying randomized controlled trials (RCTs) that examine the effects of CHM interventions for CP complicated by sexual dysfunction and co-occurring anxiety and depression. The selected studies will then be subject to thorough screening and quality evaluation using standardized instruments. Results: The results of this study will provide a reliable basis for the efficacy of CHM for managing anxiety and depression in patients with CP complicated by sexual dysfunction. Conclusions: This study will compare the clinical efficacy of CHM in managing anxiety and depression in patients with CP complicated by sexual dysfunction, thereby assisting clinicians and patients in selecting more effective intervention regimens during the clinical decision-making process.The research protocol has been registered with PROSPERO under registration number CRD420251002787.

Keywords: Chinese herbal medicine, Anxiety, Depression, Chronic Prostatitis, Sexual dysfunction, Systematic review

Received: 20 May 2025; Accepted: 21 Jul 2025.

Copyright: © 2025 Xie, Zhang, Li, Wang, Hou, Jia and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Hongling Jia, Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250001, Shandong Province, China
Yongchen Zhang, Shandong University of Traditional Chinese Medicine, Jinan, China

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