a School of Psychology , University of Minho , Braga , Portugal.
J Psychosom Obstet Gynaecol. 2019 Sep;40(3):232-238. doi: 10.1080/0167482X.2018.1470164. Epub 2018 Jul 3.
This study assessed how psychological, socio-demographic and clinical variables were associated and moderated the relationship between sexual dissatisfaction and the psychosocial impact of the human papillomavirus (HPV) on the quality of life (QOL) of infected women. A cross-sectional design was used with a sample of 194 women. Participants completed a sociodemographic and clinical questionnaire, and were assessed on the psychosocial impact of HPV on quality of life (HPV Impact Profile), sexual dissatisfaction (Index of Sexual Satisfaction), psychological morbidity (Hospital Anxiety and Depression Scale), emotional suppression (Courtauld Emotional Control Scale) and spirituality (Spiritual and Religious Attitudes in Dealing with Illness). Women with greater psychological morbidity and emotional suppression showed greater psychosocial impact of HPV on QOL. Greater psychological morbidity and emotional suppression, being older, having less education and not using condoms were associated with greater sexual dissatisfaction. Sexual dissatisfaction, psychological morbidity and age were associated with the impact of HPV on QOL. The variables that contributed to sexual dissatisfaction were age, emotional suppression and condom use. The use of condoms moderated the relationship between emotional suppression and sexual dissatisfaction. Interventions should focus on psychological morbidity and condom use, particularly in older and less educated women.
本研究评估了心理、社会人口学和临床变量如何相互关联,并调节了性不满与 HPV(人乳头瘤病毒)对感染女性生活质量(QOL)的心理社会影响之间的关系。采用横断面设计,样本为 194 名女性。参与者完成了一份社会人口学和临床问卷,并接受了 HPV 对生活质量的心理社会影响(HPV 影响量表)、性不满(性满意度指数)、心理困扰(医院焦虑抑郁量表)、情绪抑制(Courtauld 情绪控制量表)和精神信仰(应对疾病的精神和宗教态度)的评估。心理困扰和情绪抑制程度较大的女性,HPV 对 QOL 的心理社会影响更大。心理困扰和情绪抑制程度较大、年龄较大、教育程度较低且不使用安全套与性不满程度较高相关。性不满、心理困扰和年龄与 HPV 对 QOL 的影响有关。导致性不满的因素包括年龄、情绪抑制和安全套使用。安全套的使用调节了情绪抑制和性不满之间的关系。干预措施应侧重于心理困扰和安全套使用,特别是在年龄较大和教育程度较低的女性中。