I didn't think having to create a PSN account was that bad to be honest. I'd have preferred them to back down about the NProtect GameGuard rootkit that comes with the game.
So if you already purchased the game and live in the other 190 countries, you are locked out of your purchase.
E: Actually some of the countries in the selector aren't supported for PSN either (at least PH), so I'm no longer sure if there is an offical list of supported PSN countries anywhere.