Psychological implications of hepatitis C virus diagnosis
Identifieur interne : 002676 ( Main/Exploration ); précédent : 002675; suivant : 002677Psychological implications of hepatitis C virus diagnosis
Auteurs : Muzaffar L. Gill [Pakistan] ; Muslim Atiq [Pakistan] ; Syma Sattar [Pakistan] ; Nasir Khokhar [Pakistan]Source :
- Journal of gastroenterology and hepatology [ 0815-9319 ] ; 2005.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background and Aims: Hepatitis C virus (HCV) diagnosis causes significant psychological stress and anxiety. We thought it would be important to illustrate the anxiety caused by HCV diagnosis in patients from the developing world. Methods: This study was conducted at the Shifa International Hospital, Islamabad, between February 2004 and April 2004. All patients who were recently diagnosed with HCV (those who tested positive to anti-HCV and HCV polymerase chain reaction) were given a questionnaire that compared stress due to HCV infection with four other variables, including death of a close family member, divorce, loss of source of income and move to another city. We also analyzed the anxiety level among these patients using the Beck Anxiety Inventory (BAI). Results: We studied 98 patients and 100 healthy controls. Thirty-one (31.63%) patients who were diagnosed with HCV presented only with fatigue. Sixty-three (64.28%) patients admitted that diagnosis of HCV interfered with their daily life in some way. Among the newly diagnosed cases, 48 (48.97%) patients had moderate to severe anxiety (BAI Class B and C). Multi-logistic regression analysis showed that anxiety was related to HCV-related stress (P< 0.002) and self-perceived severity of disease (P< 0.001). HCV diagnosis was significantly more stressful than divorce (59.87 vs 70.95; P< 0.013), loss of source of income (50.52 vs 70.80; P< 0.001), and a move to another city (28.32 vs 70.80; P< 0.001). Conclusions: Diagnosis with HCV is reported to be more stressful than divorce, loss of source of income and a move to another city.
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Background and Aims: Hepatitis C virus (HCV) diagnosis causes significant psychological stress and anxiety. We thought it would be important to illustrate the anxiety caused by HCV diagnosis in patients from the developing world. Methods: This study was conducted at the Shifa International Hospital, Islamabad, between February 2004 and April 2004. All patients who were recently diagnosed with HCV (those who tested positive to anti-HCV and HCV polymerase chain reaction) were given a questionnaire that compared stress due to HCV infection with four other variables, including death of a close family member, divorce, loss of source of income and move to another city. We also analyzed the anxiety level among these patients using the Beck Anxiety Inventory (BAI). Results: We studied 98 patients and 100 healthy controls. Thirty-one (31.63%) patients who were diagnosed with HCV presented only with fatigue. Sixty-three (64.28%) patients admitted that diagnosis of HCV interfered with their daily life in some way. Among the newly diagnosed cases, 48 (48.97%) patients had moderate to severe anxiety (BAI Class B and C). Multi-logistic regression analysis showed that anxiety was related to HCV-related stress (P< 0.002) and self-perceived severity of disease (P< 0.001). HCV diagnosis was significantly more stressful than divorce (59.87 vs 70.95; P< 0.013), loss of source of income (50.52 vs 70.80; P< 0.001), and a move to another city (28.32 vs 70.80; P< 0.001). Conclusions: Diagnosis with HCV is reported to be more stressful than divorce, loss of source of income and a move to another city.</div>
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