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Published on: December 15, 2023
Psychosocial issues in patients with chronic hepatitis B and C
Aurelia Enescu1, P Mitrut2, Maria Balasoiu3
1Emergency Medicine Discipline, University of Medicine and Pharmacy of Craiova, Romania.
Insights
Psychosocial factors significantly impact the quality of life for patients with chronic hepatitis B and C. Improved psychosocial education and support are crucial for managing mental health and reducing stigmatization in these individuals.
Area of Science:
- Hepatology
- Psychiatry
- Public Health
Background:
- Psychosocial issues and quality of life are critical for patients with chronic hepatitis B and C.
- Chronic hepatitis B patients show increased psychosocial disorders, influenced by alcohol abuse and low social support.
- Chronic hepatitis C prevalence is significantly higher in individuals with severe mental illness.
Purpose of the Study:
- To explore the interplay between psychosocial factors, quality of life, and mental health in chronic hepatitis B and C patients.
- To highlight the need for enhanced psychosocial education and treatment strategies.
- To investigate the higher risk of hepatitis B infection among psychiatric patients.
Main Methods:
- Comparative analysis of quality of life and mental health in chronic hepatitis B versus C patients.
- Review of factors impacting mental health, including alcohol abuse and social support.
- Examination of hepatitis C prevalence in mentally ill populations and hepatitis B risk in psychiatric patients.
- Assessment of societal stigmatization associated with viral hepatitis.
Main Results:
- Patients with chronic hepatitis B generally report better quality of life and mental health than those with chronic hepatitis C.
- Alcohol abuse and limited social support negatively affect the mental well-being of hepatitis B patients.
- Psychiatric patients, particularly institutionalized individuals, face a heightened risk of hepatitis B infection.
- Both hepatitis B and C patients experience significant social stigmatization.
Conclusions:
- Chronic viral hepatitis significantly impacts patients' psychosocial well-being and quality of life.
- Tailored psychosocial interventions and education are essential for managing these conditions effectively.
- Despite challenges, interferon treatment is feasible and safe for patients with viral hepatitis and psychiatric comorbidities.
Abstract:
Psychosocial issues and the quality of life are important components at the patients diagnosed with chronic hepatitis B and C. In function of the severity of the infection with virus B or the patients who already have cirrhosis, the treatment and psychosocial education should be improved because they have bigger problems. The frequency of psychosocial disorders seems to be raised at the patients diagnosed with chronic hepatitis B. Factors as alcohol abuse and a low social support have a negatively impact above mental health of these patients. The prevalence rate of chronic hepatitis C infection at patients with severe mental illness can be nine times higher than in healthy population. Usually patients with chronic hepatitis B have a quality of life and a mental health better than patients with chronic hepatitis C. Patients with psychiatric affections (especially institutionalized people) have generally a higher risk of being infected with virus B in comparison with general population. Patients with chronic hepatitis B and C suggest a higher grade of stigmatization from society. Despite clinical challenges which treatment with interferon at patients with chronic hepatitis and comorbidities represents, recent studies indicate the fact that treatment can be administrated in safe conditions at patients with viral chronic hepatitis and psychiatric disorders.
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