范围审查:识别日晒成瘾的筛查问卷

John Meisenheimer, Michelle Sobotka, Ronald Yang, Robert P. Dellavalle
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引用次数: 0

摘要

导言:越来越多的证据表明,无论是在室内日光浴沙龙还是在户外阳光下进行的紫外线(UV)晒黑,不仅与有害健康的结果有关,而且还会通过心理和生理机制使人上瘾。在临床实践中,要确定哪些患者在有罹患皮肤癌高风险的情况下仍会继续晒黑是一项挑战。我们的研究旨在找出所有可用于临床实践的日晒成瘾筛查问卷,并报告已发表的每份筛查问卷的有效性测量结果。 方法 对 EMBASE、PubMed、PsycINFO 和 Scopus 进行了详尽的文献检索,检索标准包括 "紫外线 "和 "成瘾 "两个概念。最近一次检索是在 2024 年 3 月进行的,包括从数据库建立到检索期间的所有文章。如果研究报告对紫外线成瘾的筛查问卷进行了报告,则将其纳入研究。未报告原始数据或未报告问卷有效性测量方法的文章将被排除在研究之外。研究方法采用了范围界定综述的最佳实践。 结果 在确定了 171 篇文章后,对 106 篇文章进行了全文审阅,其中 26 篇文章被纳入数据提取范围。我们确定了九种关于日晒成瘾的问卷,其中改良的 "沮丧、恼怒、内疚、睁眼"(mCAGE)和改良的《精神障碍诊断与统计手册》(mDSM)最常被报道,而 "行为成瘾室内日晒筛选器"(BAITS)最有希望在未来使用。 结论 应利用这些信息来选择问卷,并根据心理学家小组的 "黄金标准 "进行研究。在确定诊断测试的准确性后,就可以设计研究来检查治疗日光浴成瘾的干预措施,这样高危患者就可以接受专门的治疗,从而减轻皮肤癌的总体负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A scoping review: Screening questionnaires for identifying tanning addiction

A scoping review: Screening questionnaires for identifying tanning addiction

Introduction

There is a growing body of evidence that ultraviolet (UV) tanning, whether practiced in indoor tanning salons or outdoors in the sun, is not only linked to detrimental health outcomes but is also addictive through both psychological and physiological mechanisms. In clinical practice, it can be challenging to determine which patients will continue tanning despite being at high risk for developing skin cancer. Our study seeks to identify all available screening questionnaires for tanning addiction that could be used in clinical practice and report on published measures of validity for each screening questionnaire.

Methods

An exhaustive literature search of EMBASE, PubMed, PsycINFO, and Scopus was performed using search criteria including the concepts “UV” and “Addiction.” The most recent search was performed in March 2024 and included all articles from database inception to the time of the search. Studies were included if they reported on screening questionnaires for UV addiction. Articles were excluded from the study if they did not report primary data or did not report on measures of questionnaire validity. Methodology was created using best practices for scoping reviews.

Results

After identifying 171 articles, 106 articles underwent full-text review, and 26 were included in data extraction. We identified nine questionnaires for tanning addiction, with the modified Cut-down, Annoyed, Guilty, Eye-opener (mCAGE), and modified Diagnostic and Statistical Manual of Mental Disorders (mDSM) being most frequently reported on, and the Behavioral Addiction Indoor Tanning Screener (BAITS) being the most promising for future use.

Conclusions

This information should be used to choose questionnaires to be studied against a “gold-standard” of a panel of psychologists. After defining accuracy of diagnostic tests, studies can be designed to examine interventions for treating tanning addiction, so at-risk patients can receive specialized therapy, reducing the overall burden of skin cancers.

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