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.

中文翻译：

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人乳头瘤病毒感染患者心身研究综合征的患病率和诊断标准的快速筛查方法。


简介 在繁忙的综合诊所中，早期、快速识别心身症状对于预防人乳头瘤病毒 (HPV) 感染患者出现有害后果至关重要。本研究旨在探讨HPV感染患者心身研究修订诊断标准（DCPR）综合征的患病率和快速筛查方法。方法 共有 504 名参与者接受了临床评估，包括 DCPR、精神障碍诊断和统计手册第五版 (DSM-5)、社会支持评定量表 (SSRS)、简化应对方式问卷 (SCSQ)、恐惧疾病、社会人口学和临床特征。使用 χ2 检验比较 HPV 阳性和阴性患者之间 DCPR 综合征的患病率和 DSM-5 诊断。我们通过对参与者的心理社会因素、社会人口统计学和临床​​特征的多重逻辑回归分析来探索快速筛选指标。结果 HPV阳性患者中DCPR综合征的发生率(56.6%)显着高于HPV阴性患者(17.3%)和HPV阳性组的DSM-5诊断率(8.5%)。健康焦虑、情绪烦躁、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增加到5再到10，DCPR的风险从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（ HPV 阳性组评分范围：6-10，95% CI：3.21-30.62）。结论 恐惧程度作为独立危险因素，可用于门诊HPV感染女性中DCPR综合征高危人群的快速筛查。