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女性在感染人乳头瘤病毒相关疾病或接受筛查干预时所经历的疾病对心理的影响。

The psychological impact of illness among women experiencing human papillomavirus-related illness or screening interventions.

机构信息

Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.

出版信息

J Psychosom Obstet Gynaecol. 2010 Mar;31(1):16-23. doi: 10.3109/01674820903564440.

DOI:10.3109/01674820903564440
PMID:20121461
Abstract

The present study describes the psychological impact of human papillomavirus (HPV)-related conditions or preventive interventions on Taiwanese women. Women with an HPV-related diagnosis or intervention within the past 3 months were invited to participate in a cross-sectional survey before the receipt of HPV-related diagnostic results. Participants completed a 29-item HPV impact profile (HIP), which was a questionnaire designed to represent the full spectrum of potential HPV-related impacts. The HIP assesses worries and concerns; emotional impact; sexual impact; self-image; partner issues and transmission; interactions with doctors; and control/life impact. The final sample size was 249 women from three hospitals. The mean HIP score (0-100) was normal Pap: 28.2; abnormal Pap: 44.3; CIN: 47.5; genital warts: 62.5; abnormal Pap with high-risk HPV positive: 48.8. This study indicates that significant psychological impact is found in women diagnosed with abnormal Pap, CIN, high-risk HPV test positive and genital wart compared to women with a normal Pap. Women with genital warts had the highest psychological impact scores. This is the first quantitative data that can lay the ground work for future studies that enable the comparison of the effectiveness of different interventions in alleviating the psychological burden of HPV-associated infection and preventive interventions in Taiwan.

摘要

本研究描述了人乳头瘤病毒(HPV)相关状况或预防干预对台湾女性的心理影响。在收到 HPV 相关诊断结果之前,邀请过去 3 个月内有 HPV 相关诊断或干预的女性参加横断面调查。参与者完成了 29 项 HPV 影响量表(HIP),这是一个旨在代表 HPV 相关影响全貌的问卷。HIP 评估了担忧和关注、情绪影响、性影响、自我形象、伴侣问题和传播、与医生的互动以及控制/生活影响。最终的样本量为来自三家医院的 249 名女性。HIP 得分(0-100)平均值为正常巴氏涂片:28.2;异常巴氏涂片:44.3;CIN:47.5;生殖器疣:62.5;异常巴氏涂片高危 HPV 阳性:48.8。本研究表明,与正常巴氏涂片相比,诊断为异常巴氏涂片、CIN、高危 HPV 检测阳性和生殖器疣的女性会产生明显的心理影响。患有生殖器疣的女性心理影响得分最高。这是第一个定量数据,可以为未来的研究奠定基础,这些研究能够比较不同干预措施在减轻 HPV 相关感染和预防干预的心理负担方面的有效性。

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