Psychological Disorders and Quality of Life Among Patients With Chronic Viral Hepatitis: A Single-Center Cross-Sectional Study With Pair-Matched Healthy Controls

Gastroenterol Nurs. 2018 May/Jun;41(3):206-218. doi: 10.1097/SGA.0000000000000339.

Abstract

Recent research evidence has shown that patients with chronic viral hepatitis develop symptoms of anxiety and/or depression, which has a strong impact on their health-related quality of life. This study aimed to assess the levels of anxiety, depression, and health-related quality of life among patients with chronic hepatitis B or C in Greece. It was a cross-sectional study among 111 patients with chronic viral hepatitis, evaluated at a tertiary General Hospital of Athens from March to September of 2014. Anxiety, depression, and health-related quality of life were assessed by the use of specially designed questionnaires. For the comparison between patients' population and general population, a pair-matched population of 111 healthy participants was recruited. Mean age of patients was 44.85 years (SD = 14.4). Fifty-nine patients were infected by hepatitis B virus and 52 by hepatitis C virus. Levels of anxiety and depression were higher among patients than among controls and the overall health-related quality of life was poorer (p < .001). Female gender and liver parenchyma damage were associated with higher levels of anxiety (p < .05). Certain demographic, socioeconomic, and clinical-serological factors were related with higher levels of depression. Poorer health-related quality of life was reported by patients with liver cirrhosis and alanine aminotransferase of 40 IU/L or more. Patients with chronic viral hepatitis demonstrate psychological and physical impairment, especially those with advance liver disease and/or active viral activity.

MeSH terms

  • Adult
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / etiology
  • Anxiety Disorders / physiopathology
  • Cross-Sectional Studies
  • Depressive Disorder / epidemiology
  • Depressive Disorder / etiology
  • Depressive Disorder / physiopathology
  • Female
  • Greece / epidemiology
  • Hepatitis B, Chronic / complications
  • Hepatitis B, Chronic / diagnosis
  • Hepatitis B, Chronic / psychology*
  • Hepatitis C, Chronic / complications
  • Hepatitis C, Chronic / diagnosis
  • Hepatitis C, Chronic / psychology*
  • Hospitals, University
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / etiology*
  • Mental Disorders / physiopathology
  • Middle Aged
  • Prevalence
  • Quality of Life*
  • Reference Values
  • Risk Assessment
  • Severity of Illness Index
  • Sex Factors
  • Sickness Impact Profile
  • Surveys and Questionnaires*