1 Citation
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. Objective: 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 (DSM)-5, the Social Support Rating scale (SSRS), the Simplified Coping Style Questionnaire (SCSQ), fear of disease, sociodemographic, and clinical characteristics. We compared the prevalence of DCPR syndromes and DSM-5 diagnoses between the HPV-positive and negative patients using Kruskal‒Wallis tests. We explored the rapid screen indicator through multiple logistic regression analyses of the participants’ psychosocial fators, 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. 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.
Conclusions: Health anxiety, irritable mood, type A behavior and demoralization were the most common psychosomatic syndromes in HPV-positive patients. 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.