Resilience and Health-Related Quality of Life among Hepatitis C Patients in Pahang, Malaysia

Abstract

Background: Hepatitis C is one of the most common causes of liver disease worldwide. Health impacts of hepatitis C are not limited to physical morbidity but include psychosocial dimensions such as quality of life (QOL), depression, anxiety, and stigmatization. In Malaysia, modifiable factors that can improve QOL among hepatitis C patients have not been adequately studied. Resilience – defined as the capacity to endure hardships and rebound from life adversities – is associated with mental health and well-being. Our study aims to test the association between resilience and QOL among hepatitis C patients. Methods: Employing a cross-sectional design, 195 hepatitis C patients who attended Hospital Tengku Ampuan Afzan (HTAA) – the main public tertiary hospital in Pahang – were recruited through convenience sampling. Resilience was assessed using the Connor-Davidson resilience scale while Health-Related Quality of Life (HRQOL) was measured by 36-item short-form survey (SF-36v2). Multiple linear regression was run to determine the association between resilience and HRQOL. Results: We found significant associations between resilience and the physical (b=0.35; 95% CI: 0.11, 0.30; p<0.001) and mental dimension of HRQOL (b=0.47; 95% CI: 0.21, 0.42; p<0.001). Patients with higher resilience scores were more likely to have better HRQOL compared to those less resilient. Conclusion: Resilience may be a protective factor in the disease trajectory of hepatitis C in terms of QOL. Health care providers should incorporate resilience into the management of hepatitis patients, through a multidisciplinary approach. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 165-170

Procedure for Identifying Negative Emotional States in Military Personnel

“…The correlation between physical and mental state was confirmed in the studies of Zainulabid. 57 The results showed that patients with hepatitis C, but with higher rates of mental stability, were more likely to have a better quality of life compared to those who were less mentally stable. 57 Moreover, the research by Alan and Kurt 58 revealed the correlation between the level of anxiety and patients' perceptions of pain.…”

“…57 The results showed that patients with hepatitis C, but with higher rates of mental stability, were more likely to have a better quality of life compared to those who were less mentally stable. 57 Moreover, the research by Alan and Kurt 58 revealed the correlation between the level of anxiety and patients' perceptions of pain. Therefore, further study of this issue in different samples will contribute to the reduction of patients' anxiety.…”