High frequency of unrecognized mental disorders in HCV-infected patients

Batista-Neves, Susana; Almeida, Amanda Galvão de; Bressan, Rodrigo A.; Lacerda, Acioly L.T.; de-Oliveira, Irismar Reis; Paraná, Raymundo; Miranda‐Scippa, Ângela

doi:10.1016/j.genhosppsych.2007.08.014

Cited by 34 publications

(35 citation statements)

References 9 publications

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“…The demographic and clinical characteristics of the sample were similar to those in other Brazilian studies [15][16][27][28] ; this similarity increases the external validity of our fi ndings. OR: odds ratio; 95%CI: 95% confi dence interval.…”

Section: Prevalence Of Depressive Symptoms and Harmful Alcohol Usesupporting

confidence: 83%

“…Brazilian studies on this subject remain scarce 9,10,[15][16][17][18] and have focused on the prevalence of impulsive behaviors 10 and psychiatric disorders 9,15,17 in CHC sufferers and the impact of the disease on their quality of life 16,18 . The aim of this investigation was to estimate the prevalence of depressive symptoms and harmful alcohol use in patients with CHC at the onset of antiviral treatment and to evaluate the possible demographic, clinical and psychosocial correlates.…”

Section: Methodsmentioning

confidence: 99%

“…The prevalence of depressive symptoms and harmful alcohol use and their associated factors were estimated. To our knowledge, very few Brazilian studies have systematically investigated the sociodemographic and lifestyle characteristics (e.g., tobacco and illicit drug use, social support) of CHC patients at the beginning of antiviral treatment or examined the association of these characteristic with psychiatric conditions 10,[15][16][17] . Moreover, in the present study depressive symptoms and harmful alcohol use were evaluated using standardized instruments.…”

Section: Prevalence Of Depressive Symptoms and Harmful Alcohol Usementioning

confidence: 99%

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Depressive symptoms and harmful alcohol use in hepatitis C patients: prevalence and correlates

Machado

Silva

Torres

et al. 2014

Rev. Soc. Bras. Med. Trop.

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Introduction:It is important to understand the characteristics and vulnerabilities of people who have hepatitis C because this disease is currently an important public health problem. The objective of this study was to estimate the prevalence of depressive symptoms and harmful alcohol use in patients with hepatitis C and to study the association between these outcomes and demographic, psychosocial and clinical variables. Methods: This cross-sectional, descriptive and analytical study involved 82 hepatitis C patients who were being treated with pegylated interferon and ribavirin at a public university hospital. The primary assessments used in the study were the Alcohol Use Disorders Identifi cation Test and the Beck Depression Inventory. Bivariate analyses were followed by logistic regression. Results: The prevalence of depressive symptoms was 30.5% (n=25), and that of harmful alcohol use was 34.2% (n=28). Logistic regression analysis showed that individuals who were dissatisfi ed with their social support (OR=4.41; CI=1.00-19.33) and were unemployed (OR=6.31; CI=1.44-27.70) were at a higher risk for depressive symptoms, whereas harmful alcohol use was associated with the male sex (OR=6.78; CI=1. 38-33.19) and the use of illicit substances (OR=7.42; CI=1.12-49.00). Conclusions: High prevalence rates of depressive symptoms and harmful alcohol use were verifi ed, indicating vulnerabilities that must be properly monitored and treated to reduce emotional suffering in this population.

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Section: Prevalence Of Depressive Symptoms and Harmful Alcohol Usesupporting

confidence: 83%

Section: Methodsmentioning

confidence: 99%

Section: Prevalence Of Depressive Symptoms and Harmful Alcohol Usementioning

confidence: 99%

See 1 more Smart Citation

Depressive symptoms and harmful alcohol use in hepatitis C patients: prevalence and correlates

Machado

Silva

Torres

et al. 2014

Rev. Soc. Bras. Med. Trop.

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“…3,4 Despite having a psychiatric disorder, many individuals never meet a mental health care professional. 5 In a study by Batista-Neves et al the diagnostic criteria for at least one psychiatric diagnosis had been met by as much as 49% of subjects and 37% of subjects would have had at least 2 diagnoses. Among them, 85% were unaware of having a psychiatric condition.…”

mentioning

confidence: 98%

“…Among them, 85% were unaware of having a psychiatric condition. 5 It is common for anxiety disorders or depression to be a consequence of a chronic disease. In accordance with literature data, the frequency of psychiatric disorders concomitant with HCV has increased dramatically.…”

mentioning

confidence: 99%

The neuropsychiatric aspect of the HCV infection

Więdłocha¹,

Marcinowicz²,

Sokalla³

et al. 2017

Adv Clin Exp Med

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HCV infection is significantly more prevalent in the population of psychiatric patients, drug addicts and people tending to undertake risky sexual behaviors than in the general population. This article presents a spectrum of psychopathological symptoms and psychological dysfunctions, an outline of current theories on the neuropathology and psychiatric aspects of HCV infection treatment. The unspecific character of the psychopathological symptoms in the HCV infection makes the process of thorough diagnostics and adequate treatment difficult, thus the specific and characteristic features have been emphasized. The aim of this review is to shed light not only on the basic information concerning CNS pathology but also on the conclusions emerging from the studies of different authors, of various methodology, in diverse study groups and also to investigate current topics of research. The results of neuroimaging studies have been presented as well. Attention has also been dedicated separately to specific issues, like psychiatric aspects of co-infection with HCV and HIV viruses, the chronic fatigue in the course of HCV infection, the influence of substance use disorders and difficulties encountered during treatment with interferon. Undiagnosed psychiatric disorders, not only inevitably decrease the already rather low quality of life but also cause non-adherence with recommendations and medications regimes, contributing to a worse treatment outcome. Finally, the above disorders, when left untreated, result in higher rates of risk-taking behaviors among the infected, thus imposing a danger not only to patients themselves but also to the healthy population.

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A neuropsychological study comparing patients infected with HCV and HBV without psychiatric comorbidities

Quarantini

Miranda‐Scippa

Batista-Neves

et al. 2009

Journal of Medical Virology

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Hepatitis C is one of the most common chronic infectious diseases worldwide, with well-documented extra-hepatic manifestations, such as a broad number of cognitive deficits. These impairments may be explained by psychiatric comorbidities, which have not been investigated properly in the literature. In order to elucidate a specific hepatitis C virus (HCV) induced cognitive impairment not related to mental disorders, neuropsychological performance of patients infected with HCV was compared with that of patients infected with hepatitis B virus cognitive impairment, especially psychiatric comorbidities. A total of 33 patients infected with HCV and 22 patients infected with HBV were included in the study. There were no significant differences between the two groups with regard to age or years of education. The group of patients infected with HCV performed significantly worse on visuo-spatial memory tasks after adjusting for years of education and age. There were no significant differences between patients infected with HCV and patients infected with HBV with regards to other neuropsychological functions. The data indicate that patients infected with HCV patients have poorer visuo-spatial memory performance than patients infected with HBV, suggesting that the cognitive deficit may be specific to HCV infection and not to secondary comorbid psychiatric disorders.

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High frequency of unrecognized mental disorders in HCV-infected patients

Cited by 34 publications

References 9 publications

Depressive symptoms and harmful alcohol use in hepatitis C patients: prevalence and correlates

Depressive symptoms and harmful alcohol use in hepatitis C patients: prevalence and correlates

The neuropsychiatric aspect of the HCV infection

A neuropsychological study comparing patients infected with HCV and HBV without psychiatric comorbidities

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