Validation of the Human Papillomavirus Impact Profile in Lebanese Women With Human Papillomavirus or Associated Lesions

Abstract

Objectives: Human papillomavirus (HPV) is responsible for a multitude of lesions with high psychosocial burden. The "HPV Impact Profile" (HIP) questionnaire is one of the first and most specific tools evaluating the emotional impact of HPV. This study aimed to translate this questionnaire into Arabic and to validate it, in a sample of Lebanese female patients. Materials and Methods:The HIP questionnaire was translated to Arabic. It was then administered to 118 Lebanese women infected with HPV or screened for HPV-associated lesions, in parallel with the Hospital Anxiety and Depression Scale questionnaire. The psychometric properties of the questionnaire were studied in our sample population. Results:The internal consistency of the HIP questionnaire was weak as Cronbach α coefficients of most of the domains were low. The study of the composite matrix resulted in the improvement of the internal consistency after the elimination of some items. Moreover, the "adapted domains" were created by reverse-scoring items with positive implications. The composite reliability and the average variance extracted of all the domains were analyzed. Analysis of discriminate validity through heterotrait-monotrait ratio of correlation ratio analyses of corresponding Hospital Anxiety and Depression Scale domains was also performed along with reliability analysis. There results were satisfying for the adapted domains. Conclusions:The adapted domains of the 27 items questionnaire with reverse scoring of 8 items presented with good psychometric properties, allowing their use in clinical trials and in clinical practice.

The Impact of HPV Diagnosis and the Electrosurgical Excision Procedure (LEEP) on Mental Health and Sexual Functioning: A Systematic Review

“…The participants involved in the research had an abnormal cytology result or had received an HPV-positive test result. In order to understand the impact of an abnormal cytology result, HPV infection, and subsequent medical interventions on women’s mental health and sexual life, participants were screened and examined according to Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria, using the Hospital Anxiety and Depression Scale (HADS) [ 15 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ], Beck Depression Inventory (BDI) [ 29 , 30 ], Beck Anxiety Inventory (BAI) [ 29 , 30 , 31 ], Symptom Checklist-Revised (SCL-90) [ 32 ], Psychosocial Effects of Abnormal Pap Smears Questionnaire short-form (PEAPS-Q) [ 11 , 24 , 33 , 34 , 35 ], State-Trait Anxiety Inventory (STAI) [ 6 , 7 , 8 , 9 , 10 , 11 , 16 , 33 , 35 , 36 , 37 , 38 , 39 , 40 ], Female Sexual Function Index (FSFI) [ 15 , 17 , 31 , 39 , 41 , 42 ], HPV Impact Profile (HIP) [ 7 , 9 , 21 , 25 <...…”

“…The observational studies were classified using the ROBINS-E tool. Fourteen of the fifty-six included studies were rated as ‘low risk of bias’ [ 10 , 13 , 15 , 22 , 24 , 25 , 26 , 29 , 30 , 34 , 36 , 40 , 47 , 48 ], sixteen as ‘some concerns’ [ 8 , 9 , 11 , 14 , 17 , 19 , 32 , 39 , 44 , 49 , 52 , 53 , 54 , 55 , 56 , 67 ], twenty as ‘high risk’ [ 6 , 7 , 16 , 27 , 31 , 33 , 35 , 38 , 41 , 42 , 43 , 45 , 46 , 50 , 51 , 57 , 58 , 59 , 60 , 61 ], and five as ‘very high risk’ [ 62 , 63 , 64 ...…”

“…Ferenidou et al described difficulties in sexual life that can occur after a diagnosis of HPV, such as impaired sexual desire and pain during intercourse [ 50 ]. Feelings of concern and worries were mostly strongly felt in the study population of women with genital warts, who were more concerned with the risk of transmission and the impact on their partners [ 25 , 48 , 65 ]. An important issue raised in the study of Santos et al [ 23 , 73 ] was the correlation of age and satisfaction with sexual functionality.…”

Does Social and Religious Background Matter? A Study of the Psychosocial Impact of Human Papillomavirus on Lebanese Women

“…The scoring scale used was the Discan scale. 6,8 Thus, the responses to each item ranged from 0 ("not at all") to 10 ("strongly"). For most items, the higher the marked value, the more serious was the impact.…”

“…Thus, our team has translated the "HPV impact profile" (HIP) questionnaire to Arabic and validated it. 6 This tool, created by Merck and Co. (Mast et al 7 ) is one of the most used questionnaires worldwide in the evaluation of the psychosocial impact of HPVand its associated lesions. This study aims to determine the particularities of HPV-related psychological effects on women in this particular region by administering the HIP questionnaire as well as the Hospital Anxiety and Depression Scale (HADS) questionnaire to a sample of Lebanese women.…”