Prevalence and Rapid Screen Method of Diagnostic Criteria for Psychosomatic Research Syndromes in Human Papillomavirus-Infected Patients.

IF 16.3 1区 医学 Q1 PSYCHIATRY
Psychotherapy and Psychosomatics Pub Date : 2024-01-01 Epub Date: 2024-06-26 DOI:10.1159/000539471
Xuelian Cui, Lixin Ding, Yongjuan Xu, Xiaosong Yuan, Qiaoli Zhang, Chiara Rafanelli, Sara Gostoli, Zhiwei Liu, Jianxin Cao
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引用次数: 0

Abstract

Introduction: The early and rapid identification of psychosomatic symptoms is crucial to prevent harmful outcomes in patients with human papillomavirus (HPV) infection in busy comprehensive clinics. This study aimed to explore the prevalence and rapid screening method of the Diagnostic Criteria for Psychosomatic Research-revised (DCPR) syndromes in patients with HPV infection.

Methods: A total of 504 participants underwent a clinical assessment that included DCPR, Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), the Social Support Rating Scale (SSRS), the Simplified Coping Style Questionnaire (SCSQ), fear of disease, sociodemographic and clinical characteristics. The prevalence of DCPR syndromes and DSM-5 diagnoses were compared between the HPV-positive and negative patients using χ2 tests. We explored the rapid screen indicator through multiple logistic regression analyses of the participants' psychosocial factors, sociodemographic and clinical characteristics.

Results: The incidence of DCPR syndromes in HPV-positive patients (56.6%) was significantly greater than that in HPV-negative patients (17.3%) and DSM-5 diagnoses (8.5%) in the HPV-positive group. Health anxiety, irritable mood, type A behavior, and demoralization were the most common psychosomatic syndromes in HPV-positive patients. As the degree of fear increased from 0 to 5 to 10, the risk of DCPR increased from 1.27 (95% CI: 0.21-7.63) to 3.24 (score range: 1-5, 95% CI: 1.01-10.39) to 9.91 (score range: 6-10, 95% CI: 3.21-30.62) in the HPV-positive group.

Conclusion: The degree of fear, as an independent risk factor, could be used to quickly screen outpatients with a high risk of DCPR syndrome among women with HPV infection.

人类乳头瘤病毒感染患者心身研究综合征诊断标准的流行率和快速筛查方法。
导言:在繁忙的综合门诊中,早期快速识别心身症状对于防止人类乳头瘤病毒(HPV)感染患者出现有害后果至关重要。本研究旨在探讨心身医学研究诊断标准修订版(DCPR)综合征在人乳头瘤病毒感染患者中的患病率和快速筛查方法:共有 504 名参与者接受了临床评估,评估内容包括 DCPR、《精神疾病诊断与统计手册》第五版(DSM-5)、社会支持评定量表(SSRS)、简化应对方式问卷(SCSQ)、疾病恐惧、社会人口学和临床特征。我们使用χ2检验比较了HPV阳性和阴性患者之间DCPR综合征和DSM-5诊断的患病率。我们通过对参与者的社会心理因素、社会人口学和临床特征进行多元逻辑回归分析,探讨了快速筛查指标:HPV阳性患者中DCPR综合征的发生率(56.6%)明显高于HPV阴性患者(17.3%),HPV阳性组中DSM-5诊断的发生率(8.5%)也明显高于HPV阴性组。健康焦虑、烦躁情绪、A 型行为和士气低落是 HPV 阳性患者最常见的心身综合征。随着恐惧程度从 0 到 5 到 10 的增加,HPV 阳性组的 DCPR 风险从 1.27(95% CI:0.21-7.63)增加到 3.24(评分范围:1-5,95% CI:1.01-10.39)到 9.91(评分范围:6-10,95% CI:3.21-30.62):恐惧程度作为一个独立的风险因素,可用于在感染 HPV 的妇女中快速筛查出 DCPR 综合征的高风险门诊患者。
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来源期刊
Psychotherapy and Psychosomatics
Psychotherapy and Psychosomatics 医学-精神病学
CiteScore
29.40
自引率
6.10%
发文量
46
期刊介绍: Psychotherapy and Psychosomatics is a reputable journal that has been published since 1953. Over the years, it has gained recognition for its independence, originality, and methodological rigor. The journal has been at the forefront of research in psychosomatic medicine, psychotherapy research, and psychopharmacology, and has contributed to the development of new lines of research in these areas. It is now ranked among the world's most cited journals in the field. As the official journal of the International College of Psychosomatic Medicine and the World Federation for Psychotherapy, Psychotherapy and Psychosomatics serves as a platform for discussing current and controversial issues and showcasing innovations in assessment and treatment. It offers a unique forum for cutting-edge thinking at the intersection of medical and behavioral sciences, catering to both practicing clinicians and researchers. The journal is indexed in various databases and platforms such as PubMed, MEDLINE, Web of Science, Science Citation Index, Social Sciences Citation Index, Science Citation Index Expanded, BIOSIS Previews, Google Scholar, Academic Search, and Health Research Premium Collection, among others.
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