StressCovidV1, Main, Exploration, bibRecord, 002C68

Psychiatric disorders among veterans with hepatitis C infection

Identifieur interne : 002C68 ( Main/Exploration ); précédent : 002C67; suivant : 002C69

Psychiatric disorders among veterans with hepatitis C infection

Auteurs : Hashem B. El-Serag [États-Unis] ; Mark Kunik [États-Unis] ; Peter Richardson [États-Unis] ; Linda Rabeneck [États-Unis]

Source :

Gastroenterology : (New York, NY. 1943) [ 0016-5085 ] ; 2002.

RBID : Pascal:02-0472184

Descripteurs français

Pascal (Inist)
- Hépatite virale C, Complication, Trouble psychiatrique, Prévalence, Facteur risque, Ancien combattant, Epidémiologie, Homme.
Wicri :
- topic : Ancien combattant, Homme.

English descriptors

KwdEn :
- Complication, Epidemiology, Human, Mental disorder, Prevalence, Risk factor, Veteran, Viral hepatitis C.

Abstract

Background & Aims: The presence of psychiatric, drug-, and alcohol-use disorders in hepatitis C virus (HCV)-infected patients may influence their management and prognosis. The frequency and the risk for these disorders among HCV-infected patients are unknown. Methods: We identified all HCV-infected veteran patients who were hospitalized during 1992-1999 and searched the inpatient and outpatient computerized files for predefined psychiatric, drug-, and/or alcohol-use disorders. We then performed a case-control study among Vietnam veterans; controls without HCV were randomly chosen from hospitalized patients. Results: We identified 33,824 HCV-infected patients, in whom 86.4% had at least one past or present psychiatric, drug-, or alcohol-use disorder recorded. However, only 31% had active disorders as defined by hospitalization to psychiatric or drug-detoxification bed sections. There were 22,341 HCV-infected patients from the Vietnam period of service (cases) who were compared with 43,267 patients without HCV (controls). Cases were more likely to have depressive disorders (49.5% vs. 39.1%), posttraumatic stress disorder (PTSD) (33.5% vs. 24.5%), psychosis (23.7% vs. 20.9%), bipolar disorder (16.0% vs. 12.6%), anxiety disorders (40.8% vs. 32.9%), alcohol (77.6% vs. 45.0%), and drug-use disorders (69.4% vs. 31.1%). In multivariable regression analyses that adjust for age, sex, and ethnicity, drug use, alcohol-use, depression, PTSD, and anxiety remained strongly associated with HCV. Conclusions: Several psychiatric, drug-, and alcohol-use disorders are commonly found among HCV-infected veterans compared with those who are not infected. At least one third of these patients have active disorders. A multidisciplinary approach to the management of HCV-infected patients is needed.

Affiliations:

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Le document en format XML

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<author><name sortKey="Rabeneck, Linda" sort="Rabeneck, Linda" uniqKey="Rabeneck L" first="Linda" last="Rabeneck">Linda Rabeneck</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Section of Gastroenterology, The Houston Center for Quality Care and Utilization Studies</s1>
<s3>USA</s3>
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<wicri:noRegion>The Houston Veterans Affairs Medical Center</wicri:noRegion>
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<series><title level="j" type="main">Gastroenterology : (New York, NY. 1943)</title>
<title level="j" type="abbreviated">Gastroenterology : (N.Y. NY, 1943)</title>
<idno type="ISSN">0016-5085</idno>
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<seriesStmt><title level="j" type="main">Gastroenterology : (New York, NY. 1943)</title>
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<idno type="ISSN">0016-5085</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Complication</term>
<term>Epidemiology</term>
<term>Human</term>
<term>Mental disorder</term>
<term>Prevalence</term>
<term>Risk factor</term>
<term>Veteran</term>
<term>Viral hepatitis C</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Hépatite virale C</term>
<term>Complication</term>
<term>Trouble psychiatrique</term>
<term>Prévalence</term>
<term>Facteur risque</term>
<term>Ancien combattant</term>
<term>Epidémiologie</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">Background & Aims: The presence of psychiatric, drug-, and alcohol-use disorders in hepatitis C virus (HCV)-infected patients may influence their management and prognosis. The frequency and the risk for these disorders among HCV-infected patients are unknown. Methods: We identified all HCV-infected veteran patients who were hospitalized during 1992-1999 and searched the inpatient and outpatient computerized files for predefined psychiatric, drug-, and/or alcohol-use disorders. We then performed a case-control study among Vietnam veterans; controls without HCV were randomly chosen from hospitalized patients. Results: We identified 33,824 HCV-infected patients, in whom 86.4% had at least one past or present psychiatric, drug-, or alcohol-use disorder recorded. However, only 31% had active disorders as defined by hospitalization to psychiatric or drug-detoxification bed sections. There were 22,341 HCV-infected patients from the Vietnam period of service (cases) who were compared with 43,267 patients without HCV (controls). Cases were more likely to have depressive disorders (49.5% vs. 39.1%), posttraumatic stress disorder (PTSD) (33.5% vs. 24.5%), psychosis (23.7% vs. 20.9%), bipolar disorder (16.0% vs. 12.6%), anxiety disorders (40.8% vs. 32.9%), alcohol (77.6% vs. 45.0%), and drug-use disorders (69.4% vs. 31.1%). In multivariable regression analyses that adjust for age, sex, and ethnicity, drug use, alcohol-use, depression, PTSD, and anxiety remained strongly associated with HCV. Conclusions: Several psychiatric, drug-, and alcohol-use disorders are commonly found among HCV-infected veterans compared with those who are not infected. At least one third of these patients have active disorders. A multidisciplinary approach to the management of HCV-infected patients is needed.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Texas</li>
</region>
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<tree><country name="États-Unis"><noRegion><name sortKey="El Serag, Hashem B" sort="El Serag, Hashem B" uniqKey="El Serag H" first="Hashem B." last="El-Serag">Hashem B. El-Serag</name>
</noRegion>
<name sortKey="El Serag, Hashem B" sort="El Serag, Hashem B" uniqKey="El Serag H" first="Hashem B." last="El-Serag">Hashem B. El-Serag</name>
<name sortKey="El Serag, Hashem B" sort="El Serag, Hashem B" uniqKey="El Serag H" first="Hashem B." last="El-Serag">Hashem B. El-Serag</name>
<name sortKey="El Serag, Hashem B" sort="El Serag, Hashem B" uniqKey="El Serag H" first="Hashem B." last="El-Serag">Hashem B. El-Serag</name>
<name sortKey="Kunik, Mark" sort="Kunik, Mark" uniqKey="Kunik M" first="Mark" last="Kunik">Mark Kunik</name>
<name sortKey="Kunik, Mark" sort="Kunik, Mark" uniqKey="Kunik M" first="Mark" last="Kunik">Mark Kunik</name>
<name sortKey="Kunik, Mark" sort="Kunik, Mark" uniqKey="Kunik M" first="Mark" last="Kunik">Mark Kunik</name>
<name sortKey="Rabeneck, Linda" sort="Rabeneck, Linda" uniqKey="Rabeneck L" first="Linda" last="Rabeneck">Linda Rabeneck</name>
<name sortKey="Rabeneck, Linda" sort="Rabeneck, Linda" uniqKey="Rabeneck L" first="Linda" last="Rabeneck">Linda Rabeneck</name>
<name sortKey="Rabeneck, Linda" sort="Rabeneck, Linda" uniqKey="Rabeneck L" first="Linda" last="Rabeneck">Linda Rabeneck</name>
<name sortKey="Richardson, Peter" sort="Richardson, Peter" uniqKey="Richardson P" first="Peter" last="Richardson">Peter Richardson</name>
</country>
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Psychiatric disorders among veterans with hepatitis C infection

Psychiatric disorders among veterans with hepatitis C infection

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri