Evaluation of Psychopathology and Quality of Life in Patients with Anogenital Wart Compared to Control Group (original) (raw)
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Evaluation of Sexual Life and Marital Satisfaction in Patients with Anogenital Wart
Actas Dermo-Sifiliográficas (English Edition), 2019
Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexually transmitted diseases worldwide. Herein, we aimed to evaluate the effects of AGW on patients'marital satisfaction and sexual function. This cross-sectional study was consisted of 74 consecutive patients including 37 patients with AGW and 37 healthy controls. ENRICH Marital Satisfaction Scale and Arizona Sexual Experience Scale were completed and analyzed for all patients. ENRICH scale items were not significantly different between the two groups. Sexual function was found to be lower in female than male patients (P < .001). According to our findings marital satisfaction was not affected by AGW. However, a history of previous treatment for HPV decreased the marital satisfaction. In addition, AGW had more adverse effects on females' sexual function compared to males. Our findings suggest that the psychiatric treatments should be considered when managing an AGW patient.
Patients With Genital Warts Have a Decreased Quality of Life
Sexually Transmitted Diseases, 2009
H uman papilloma virus (hpv) is one of the most common sexually transmitted infections. It is estimated that 75% of sexually active individuals will have HPV-related infection in their lifetime. 1 Of the numerous HPV subtypes, 15 are considered high-risk and lead to the development of cervical cancer. 2 The subtypes 6 and 11 are considered low-risk and do not cause cervical cancer but do cause condyloma acuminatum or anogenital warts (AGWs). 3 The 2004 National Health and Nutrition Examination Survey of US women between the ages of 14 and 59 years of age showed an overall HPV prevalence of 26.8% (95% CI, 23.3%-30.9%). HPV vaccine type 6 was detected in 1.3% (95% CI, 0.8%-2.3%), HPV-11 in 0.1% (95% CI, 0.03%-0.3%), HPV-16 in 1.5% (95% CI, 0.9%-2.6%), and HPV-18 in 0.8% (95% CI, 0.4%-1.5%) of female participants. AGWs appear in the genital area within weeks or months after infection. 4 They are normally flesh-coloured and appear in clusters, resembling a cauliflower and are either raised or flat. 4 These are present in women on the vulva, cervix, vagina, and anus whereas in men, they appear on the penis, scrotum, or anus. 4 In the majority of cases, these lesions resolve untreated. However, in some cases, AGWs can cause both physical discomfort and psychological distress resulting in the need for physician consultation and treatment. Clinic visits and treatment often occur repeatedly and as such, affects the patient's quality of life. Although surveys 5-7 have been conducted to evaluate the impact of AGWs on patients, standardized questionnaires and the impact of this disease on health-related quality of life (HRQoL) has not been well characterized in the literature. Therefore, we conducted a study to measure HRQoL decrements associated with genital warts using the Short-Form 6D (SF-6D) and the EuroQol-5D (EQ-5D).
Loss of quality of life associated with genital warts: baseline analyses from a prospective study
Sexually Transmitted Infections, 2011
Objective The quadrivalent human papillomavirus (HPV) vaccine is effective against HPV types responsible for 90% of anogenital warts. This study estimated the quality of life lost to genital warts using the EQ-5D, a generic instrument widely used for applications in economic analyses. The findings are described in terms that are more specific to individuals with genital warts using psychosocial questions adapted from the HPV impact profile, a measure developed for HPV-related conditions. Methods Between September 2006 and February 2008, 42 physicians across Canada recruited 330 consenting patients 18 years and older with genital warts, either at the first or follow-up visit for an initial or recurrent episode. The quality of life lost associated with genital warts was estimated by the difference between participants' EQ-5D scores and age and gender-specific population norms. Results The study questionnaire was self-completed by 270 participants who were aged 31.5 years (SD 10.4) on average. The majority of participants were women (53.3%), heterosexual (93.5%) and in a stable relationship (66.0%). Genital warts were associated with detriments in the EQ-5D domains of anxiety/depression, pain/discomfort and usual activities. The absolute difference in the EQ-5D utility score and the EQ-VAS health status between genital warts patients and population norms was 9.9 (95% CI 7.3 to 12.5) and 6.0 (95% CI 4.1 to 7.9) percentage points, respectively. These results did not vary significantly according to patient age, gender, time since first episode or number of episodes. Conclusion The results suggest that genital warts negatively affect the wellbeing of men and women as reflected by poorer quality of life scores compared with population norms.
The Effect of Genital Warts on Men’s Depression and Sexual Functions
Endouroloji Bulteni
Objective: This study was designed to observe how the depressive state due to human papilloma virus infection affects sexual functions in sexually active men. Material and Methods: Between 2020-2022, 77 primary male patients who applied to the XXX Hospital and diagnosed with genital warts (GW) by physical examination were included in the study. The patients were divided into two groups according to the number and the size of the warts (small size vs. larger size). The patients were asked to fill out the Hospital Anxiety Depression (HAD) scale and International Index of Erectile Function (IIEF-5) forms. The data of the two groups were compared and analyzed. Results: The mean age was 39.7±10.3, BMI kg/m2 27.0±7.2. Patients divided into 2 groups in terms of wart sizes showed normal distribution. The HAD scale part was found to be abnormal in 13% of patients in small wart size group and 52.5% of 21 patients in larger wart size group (p<0.0001). According to the evaluation of the IIEF...
BMC public health, 2014
Genital warts (GW) are the most common sexually transmitted infections. To date, few studies using a human papillomavirus (HPV)-specific questionnaire have focused on the impact of quality of life (QoL) among patients with GW in developing countries. The origins of GW related psychosocial burdens and variations between genders were poorly characterized as well. A hospital-based survey was conducted in Beijing and Nanjing of China in 2008. Eligible patients aged 18-65 who had a diagnosis of GW within 3 months were recruited. Demographic information, HPV knowledge, and assessment of psychosocial burden were collected by the HPV Impact Profile (HIP). The HIP examined 7 specific psychosocial domains by 29 items: (1) worries and concerns, (2) emotional impact, (3) sexual impact, (4) self-image, (5) partner and transmission, (6) interactions with physicians, and (7) control/life impact. HIP scores are reversely relates to the subjects' QoL, by which a higher score indicating a heavier...
Health and quality of life outcomes, 2005
Anogenital warts are the most easily recognized sign of genital Human Papilloma Virus infection. The objective was to develop a short, valid and reliable questionnaire to measure Health Related Quality of Life (HRQL) in patients with anogenital warts. First a literature review was performed to identify relevant papers describing the impact of anogenital warts in HRQL; second the main domains were identified by some experts in a focus group, and third in-depth-semi-structured interviews were conducted in patients with anogenital warts to identify the initial set of items. A qualitative reduction of the initial set of items was performed based on the mean scoring of the experts for the three scales: clarity, frequency and importance. The initial questionnaire was pilot tested in 135 patients. Rasch analysis was performed with the results of the questionnaire in order to refine the instrument. Spearman's correlation was calculated between the initial questionnaire and the reduced v...
BMC Public Health, 2013
Background: Data on the psychosocial burden of human papillomavirus (HPV)-related diseases other than cervical cancer are scarce. The objectives of this study were to measure and compare the psychosocial burden and the impact on health-related quality of life (HRQoL) of HPV-related lower genital tract diseases and genital warts (GW) using several generic and disease-specific instruments. Methods: Overall, 842 individuals with normal cervical cytology (n = 241), borderline nuclear abnormalities and/or mild dyskaryosis (n = 23), cervical intraepithelial neoplasia (CIN)1 (n = 84), CIN2/3 (n = 203), vulval intraepithelial neoplasia (VIN)2/3 (n = 43), GW (n = 186) and a history of GW (non-current) (n = 62) were included. The generic European Quality of Life Index Version 5D (EQ-5D) questionnaire was completed by patients with GW and VIN2/3. Sexual functioning was evaluated using the Change in Sexual Functioning Questionnaire (CSFQ). Psychosocial impact was measured in women using the HPV Impact Profile (HIP) questionnaire. HRQoL was assessed using a GW-specific questionnaire, the Cuestionario Especifico en Condilomas Acuminados (CECA) (completed by patients with GW and history of GW). For each instrument, scores were compared between groups using the Student's t-test. In addition, utility loss due to GW and VIN2/3 was evaluated by comparing mean EQ-5D scores weighted by age and sex with the UK general population normal values.
BMJ Open, 2019
ObjectivesTo estimate self-reported human papillomavirus (HPV) disease-related psychosocial impact among male and female patients in South Korea.DesignIn this multicentre cross-sectional study, psychosocial impacts were estimated using a one-time survey capturing HPV Impact Profile (HIP) results, CuestionarioEspecifico en Condilomas Acuminados (CECA; in Spanish)—‘Specific questionnaire for Condylomata Acuminata’ and the EuroQol-5 Dimension (EQ-5D) surveys. Student’s t-tests or Mann-Whitney U tests were used for continuous comparisons; χ2or Fisher’s exact tests were applied for categorical comparisons.Setting5098 clinics throughout Seoul, Busan, Daegu, Kwangju and Daejeon (South Korea).ParticipantsPatients with and without genital warts (GW) (males) and selected HPV diseases (females) visiting primary care physicians, obstetricians/gynaecologists, urologists and dermatologists with 2–30 years experience.ResultsOf 150 male and 250 female patients, HIP scores showed 85.3% of male patie...
The Open Dermatology Journal, 2009
A clear relationship between infection by Human Papillomavirus (HPV) and mental health problems does not seem to exist. Nonetheless, the presence of psychological symptoms-such as fear, guilt, shame and anxiety-are frequent in people who suffer the disease. A series of myths and false beliefs exist which may lead to great psychological discomfort. The diagnosis supposes putting into effect a process of adaptation. In this adaptation process to the disease, various defence mechanisms may appear. The importance of informing the patient-by the health professional-in a true and precise way, and allowing time for the patients to express their doubts about everything that is worrying them in order to face the emotional impact that giving the news to their partner and family may suppose should be highlighted. The disease leads to changes in lifestyle and quality of life. The aim is to help the patient in this process.