Scrivener L, Green J, Hetherton J, Brook G
Child and Adolescent Mental Health Service, Priory Gardens, Church Street, Dunstable LU6 3SU, UK.
Sex Transm Infect. 2008 Jun;84(3):179-82. doi: 10.1136/sti.2007.029116. Epub 2008 Mar 28.
To investigate psychological functioning, relationship factors, stigma perception, disclosure outcomes and regret about the disclosure decision in people being treated for anogenital warts, comparing disclosers and non-disclosers and evaluating the possible predictors of disclosure.
A self-completion questionnaire was completed by 54 participants recruited from a London genitourinary medicine clinic. There were 36 disclosers and 18 non-disclosers.
Disclosers were significantly less anxious than non-disclosers (p<0.01). Compared with non-disclosers, disclosers also rated their relationships as longer lasting (p<0.001) and closer (p<0.01). Disclosers were less likely to express regret about their disclosure decision than were non-disclosers (p<0.001). There were no significant differences between groups with regard to depression, self-esteem, expected partner response to disclosure, or sexually transmitted infection (STI)-related stigma perception, although there was a trend towards higher stigma perception in disclosers (p = 0.15). The actual partner response to disclosure was significantly more supportive than had been expected (p<0.001). A binary logistic regression model used three variables to predict disclosure status with an accuracy of 83%. Disclosers were predicted by lower anxiety levels, longer relationship duration and higher stigma perception.
Relationship factors, in particular duration, were key predictors of partner disclosure of anogenital warts. In terms of individual characteristics, only anxiety was significantly different in disclosers and non-disclosers. Perceptions of stigma and expected outcome of disclosure were not significantly different in the two groups. Of particular relevance to those considering whether or not to disclose, partner response was significantly more supportive than disclosers expected and disclosers expressed significantly less regret about their disclosure decision than did non-disclosers.
调查接受肛门生殖器疣治疗的人群的心理功能、关系因素、耻辱感认知、披露结果以及对披露决定的后悔程度，比较披露者和未披露者，并评估披露的可能预测因素。
从伦敦一家性传播疾病诊所招募了54名参与者，他们完成了一份自填式问卷。其中有36名披露者和18名未披露者。
披露者的焦虑程度明显低于未披露者（p<0.01）。与未披露者相比，披露者还认为他们的关系更持久（p<0.001）且更亲密（p<0.01）。与未披露者相比，披露者对自己的披露决定表达后悔的可能性更小（p<0.001）。在抑郁、自尊、预期伴侣对披露的反应或与性传播感染（STI）相关的耻辱感认知方面，两组之间没有显著差异，尽管披露者有更高耻辱感认知的趋势（p = 0.15）。伴侣对披露的实际反应明显比预期更支持（p<0.001）。一个二元逻辑回归模型使用三个变量来预测披露状态，准确率为83%。焦虑水平较低、关系持续时间较长和耻辱感认知较高可预测为披露者。
关系因素，尤其是持续时间，是伴侣披露肛门生殖器疣的关键预测因素。就个体特征而言，只有焦虑在披露者和未披露者之间有显著差异。两组在耻辱感认知和披露的预期结果方面没有显著差异。对于那些考虑是否披露的人来说，特别相关的是，伴侣的反应明显比披露者预期的更支持，并且披露者对自己的披露决定表达的后悔明显少于未披露者。
