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Hepatitis C and poor quality of life: is it the virus or the patient?
1Division of Gastroenterology, Department of Medicine, King Saud University, Riyadh, Saudi Arabia. aabdo@ksu.edu.sa
Insights
Hepatitis C virus (HCV) infection causes systemic issues, notably fatigue and psychological distress, significantly reducing patients' quality of life. This review examines the link between HCV, fatigue, and psychological factors impacting health-related quality of life.
Area of Science:
- Hepatology
- Infectious Diseases
- Psychosomatic Medicine
Background:
- Hepatitis C is a systemic viral infection impacting liver health and causing extrahepatic manifestations.
- Chronic Hepatitis C Virus (HCV) infection frequently leads to significant impairments in health-related quality of life (HRQOL).
- Fatigue is a prevalent and debilitating extrahepatic symptom in nearly half of individuals with chronic HCV.
Purpose of the Study:
- To review the association between Hepatitis C Virus (HCV) infection and impaired HRQOL.
- To explore the impact of fatigue as a key extrahepatic manifestation on patient well-being.
- To examine the role of psychological disturbances in conjunction with fatigue in diminishing HRQOL for HCV patients.
Main Methods:
- Literature review of studies investigating Hepatitis C Virus (HCV) and health-related quality of life (HRQOL).
- Analysis of research focusing on extrahepatic symptoms, particularly fatigue.
- Examination of studies correlating psychological factors with HRQOL in HCV-infected individuals.
Main Results:
- Hepatitis C Virus (HCV) infection is linked to a spectrum of extrahepatic manifestations.
- Fatigue is a primary contributor to poor health-related quality of life (HRQOL) in chronically infected individuals.
- Psychological factors, alongside physical symptoms like fatigue, significantly worsen HRQOL in Hepatitis C patients.
Conclusions:
- Hepatitis C Virus (HCV) is a systemic disease with profound effects on quality of life beyond liver damage.
- Addressing fatigue and psychological disturbances is crucial for improving the overall well-being of patients with Hepatitis C.
- Interventions targeting extrahepatic symptoms are essential for enhancing health-related quality of life (HRQOL) in Hepatitis C management.
Abstract:
Hepatitis C is a systemic disease that has many extrahepatic manifestations in addition to hepatic inflammation and fibrosis, some of which may result in a poor health-related quality of life (HRQOL). Fatigue is perhaps the most frequent and disabling extrahepatic symptom of hepatitis C virus (HCV), reported in almost one-half of all chronically infected individuals. Many other factors are associated with a poor quality of life in patients with HCV, including a number of physical and psychological factors. The objective of this article is to review the association between HCV and impaired HRQOL due to fatigue and psychological disturbances.
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