Psychosocial impact of human papillomavirus on women’s sexual dissatisfaction and quality of life

Leite, Vânia; Santos, Borja; Pereira, M. Graça

doi:10.1080/0167482x.2018.1470164

Cited by 11 publications

(14 citation statements)

References 29 publications

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“…Overall, these results are consistent with the literature, as there is a decrease in sexual satisfaction associated with age among the general population (Shahhosseini et al, 2014). Also, according to a recent study with Portuguese women infected with HPV (Leite, Santos, & Pereira, 2019), older women presented higher sexual dissatisfaction. Women with high-risk HPV reported better dyadic adjustment six months after the diagnosis, which is in line with previous studies that stressed significant improvements in HPV-diagnosed women at the end of the first semester.…”

Section: Discussionsupporting

confidence: 91%

Dyadic Adjustment and Sexual Satisfaction in HPV Diagnosed Portuguese Women: A Longitudinal Study

Santos

Moreira

Vilaça

et al. 2020

Journal of Sex & Marital Therapy

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This study examined the relationship between dyadic adjustment and sexual satisfaction, in Portuguese women diagnosed with human papillomavirus (HPV), using a 1-year longitudinal design. Women were assessed at the beginning of the study (N ¼ 209), six months after (N ¼ 178) and twelve months later (N ¼ 105). A better dyadic adjustment predicted more sexual satisfaction but the inverse was not observed. Younger women (< 40 years) showed greater difficulties in dyadic adjustment, while older women (> 40 years) reported lower sexual satisfaction. Findings highlight the importance of intervening with couples, using different intervention programs according to women's age.

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Section: Discussionsupporting

confidence: 91%

Dyadic Adjustment and Sexual Satisfaction in HPV Diagnosed Portuguese Women: A Longitudinal Study

Santos

Moreira

Vilaça

et al. 2020

Journal of Sex & Marital Therapy

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“…En líneas generales, los resultados presentados indican que las mujeres no comprenden el resultado recibido y que esta falta de comprensión tiene un efecto negativo en sus vidas, que va desde una percepción internalizada del estigma, discusiones y separaciones de sus parejas, hasta la vivencia de una ruptura biográfica. Estos hallazgos coinciden con investigaciones que indican que la recepción de un resultado positivo de test de VPH y/o de citología anormal es un acontecimiento que irrumpe en la vida de las mujeres, generándoles un estado de gran ambigüedad, impacta en sus subjetividades y produce cambios en sus vidas cotidianas (3,8,9,17,18,21) .…”

Section: Discussionunclassified

“…Las características descriptas hacen que la recepción de un resultado positivo de test de VPH (Pap normal o anormal) pueda tener un impacto psicosocial negativo que moviliza sentimientos de estrés, ansiedad y angustia en las mujeres (7,8,9) . Los sentimientos se relacionan con percepciones sociales que asocian el VPH a un cáncer (con ideas fatalistas sobre su prevención) y dependen de la información y de su comprensión (3,10,11) .…”

Section: Introductionunclassified

“Me sentí enfermar”: percepciones y comprensión de las mujeres del resultado positivo de un test de virus del papiloma humano en Jujuy, Argentina

Szwarc

Antelo

Paolino

et al. 2021

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Con el objetivo de analizar las percepciones y clasificar las modalidades de comprensión sobre un resultado positivo del test de virus del papiloma humano (VPH+), en 2016 realizamos 38 entrevistas en profundidad a mujeres con diagnóstico de VPH+ (prueba de Papanicolaou normal y anormal), realizado en el sistema público de salud de Jujuy. Se elaboró una tipología que delimita perfiles de mujeres en función del tipo de comprensión del resultado: 1) comprensión; 2) no-comprensión, a) subestimación, b) sobreestimación, y c) confusión. Entre aquellas que no comprendían, las entrevistadas que confundían el resultado relataron percepciones contradictorias con relación al VPH y su gravedad; quienes lo subestimaban tendían a mencionar ausencia de síntomas y a expresar escasa preocupación; mientras que aquellas que lo sobreestimaban se consideraban enfermas y expresaban preocupación, relato de una ruptura biográfica y dolores físicos. Los hallazgos confirman la necesidad de mejorar los mecanismos de entrega e información sobre los resultados para disminuir el impacto psicosocial en las mujeres y aumentar la adherencia al seguimiento sugerido.

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“…Relating an abnormal screening test with cancer and inevitable death can result in women being hesitant to continue follow-up procedures [ 17 , 19 , 20 ]. Women with high distress after abnormal screening tests are more likely to exhibit avoidant rather than adaptive coping strategies [ 10 , 21 , 22 ], making it more likely for nonadherence to occur [ 23 ]. Moreover, stigma related to the screening test result with an STI can also lead to the abandonment of follow-up and treatment [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina

Antelo¹,

Szwarc²,

Paolino³

et al. 2022

JMIR Form Res

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Background Human papillomavirus (HPV) testing detects sexually transmitted infections with oncogenic types of HPV. For many HPV-positive women, this result has negative connotations. It produces anxiety, fear of cancer or death, and disease denial. Face-to-face counseling could present many difficulties in its implementation, but a counseling mobile app could be practical and may help HPV-positive women reduce the psychosocial impact of the result, improve their knowledge of HPV and cervical cancer, and increase adherence to follow-up. Objective This study aims to understand HPV-tested women’s perceptions about an app as a tool to receive information and support to reduce the emotional impact of HPV-positive results. We investigated their preferences regarding app design, content, and framing. Methods We conducted formative research based on a user-centered design approach. We carried out 29 individual online interviews with HPV-positive women aged 30 years and over and 4 focus groups (FGs) with women through a virtual platform (n=19). We shared a draft of the app's potential screens with a provisional label of the possible content, options menus, draft illustrations, and wording. This allowed us to give women understandable triggers to debate the concepts involved on each screen. The draft content and labels were developed drawing from the health belief model (HBM) and integrative behavioral model (IBM) variables and findings of mobile health literature. We used an FG guide to generate data for the information architecture (ie, how to organize contents into features). We carried out thematic analysis using constructs from the HBM and IBM to identify content preferences and turn them into app features. We used the RQDA package of R software for data processing. Results We found that participants required more information regarding the procedures they had received, what HPV-positive means, what the causes of HPV are, and its consequences on their sexuality. The women mentioned fear of the disease and stated they had concerns and misconceptions, such as believing that an HPV-positive result is a synonym for cancer. They accepted the app as a tool to obtain information and to reduce fears related to HPV-positive results. They would use a mobile app under doctor or health authority recommendation. The women did not agree with the draft organization of screens and contents. They believed the app should first offer information about HPV and then provide customized content according to the users’ needs. The app should provide information via videos with experts and testimonies of other HPV-positive women, and they suggested a medical appointment reminder feature. The app should also offer information through illustrations, or infographics, but not pictures or solely text. Conclusions Providing information that meets women’s needs and counseling could be a method to reduce fears. A mobile app seems to be an acceptable and suitable tool to help HPV-positive women.

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Psychosocial impact of human papillomavirus on women’s sexual dissatisfaction and quality of life

Abstract: Interventions should focus on psychological morbidity and condom use, particularly in older and less educated women.

Cited by 11 publications

References 29 publications

Dyadic Adjustment and Sexual Satisfaction in HPV Diagnosed Portuguese Women: A Longitudinal Study

Dyadic Adjustment and Sexual Satisfaction in HPV Diagnosed Portuguese Women: A Longitudinal Study

“Me sentí enfermar”: percepciones y comprensión de las mujeres del resultado positivo de un test de virus del papiloma humano en Jujuy, Argentina

A Counseling Mobile App to Reduce the Psychosocial Impact of Human Papillomavirus Testing: Formative Research Using a User-Centered Design Approach in a Low-Middle-Income Setting in Argentina

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