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[Depressive disturbances during antiviral therapy in patients with type C hepatitis]
Insights
Hepatitis C patients undergoing antiviral therapy (AVT) frequently develop depression. Antidepressants effectively treated interferon-alpha (IFN-alpha)-induced depression, enabling completion of AVT.
Area of Science:
- Psychiatry
- Hepatology
- Pharmacology
Context:
- Chronic C hepatitis requires combined antiviral therapy (AVT) using interferon-alpha (IFN-alpha) and ribavirin.
- Patients with chronic hepatitis C often have no prior psychiatric conditions.
- Investigating the psychological impact of AVT is crucial for patient management.
Purpose:
- To study the clinico-psychopathological features of depressive disorder (DD) in patients with chronic hepatitis C during AVT.
- To identify clinical differences between interferon-alpha-induced depression and endogenous DD.
- To evaluate the efficacy of antidepressants in treating AVT-induced depression.
Summary:
- Depression developed in 43% of 91 patients with chronic hepatitis C during AVT.
- Moderate to severe depression was prevalent, with distinct clinical features compared to endogenous depression.
- Depression severity did not correlate with hepatitis C severity or AVT duration/type.
Impact:
- Antidepressants, including remeron, were effective in treating interferon-alpha-induced depression.
- Successful management of depression allowed for the completion of AVT in all patients.
- Findings highlight the importance of monitoring and treating depression during hepatitis C treatment.
Abstract:
The article presents the results of a clinico-psychopathological study of depressive disorder (DD) in 91 patients with chronic C hepatitis and no psychiatric background during combined antiviral therapy (AVT) with interferon-alpha (IFN-alpha) and ribavirin. Depression developed in 39 or 43% of the patients. Moderate or severe depressions (46% and 31%, respectively) prevailed. Clinical features that were different in cases of IFNa-induced depression and endogenous DD were revealed. The severity of depression did not correlate with the severity of the underlying disease, the duration of AVT, and the type of used. The antidepressants and remeron proved to be effective in treatment of IFN-alpha-induced depressions. In all cases, treatment with antidepressants made it possible to carry out complete AVT.
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