Can successful treatment by direct-acting antivirals improve depression in chronic HCV patients?

Amal Tohamy Abdel Moez1, Yomna Ahmed El Hawary2, Amira Mahmoud Al Balakosy1

  • 1Tropical Medicine Department, Faculty of Medicine.

Insights

Direct-acting antivirals (DAAs) significantly improve depression in chronic hepatitis C (CHCV) patients by clearing the virus. However, persistent depression may occur in older females with significant fibrosis and low hemoglobin.

Area of Science:

  • Hepatology
  • Neuropsychiatry
  • Virology

Background:

  • Depression is a common neuropsychiatric issue in chronic hepatitis C (CHCV) patients.
  • Neuropathogenic mechanisms are believed to cause depression in CHCV.
  • Direct-acting antivirals (DAAs) offer a potential treatment for viral clearance and associated symptoms.

Purpose of the Study:

  • To assess the impact of viral clearance achieved through DAAs on depression levels in CHCV patients.
  • To evaluate the efficacy of DAAs in mitigating depression in the context of hepatitis C treatment.

Main Methods:

  • 150 CHCV patients eligible for DAAs were enrolled.
  • The Beck Depression Inventory (BDI) scale was used to assess depression at baseline, 1 month, and 3 months post-treatment.
  • Sustained virological response (SVR) was confirmed for all patients.

Main Results:

  • A significant decrease in BDI scores was observed post-treatment (from 10 ± 5 at baseline to 5.3 ± 5 at 1 month and 3.5 ± 4.5 at 3 months).
  • 13.3% of patients maintained a BDI score >10 post-treatment.
  • Persistent high depression scores were associated with older age, female gender, higher baseline FIB4 scores, significant fibrosis, and lower baseline hemoglobin.

Conclusions:

  • Successful DAA treatment leads to significant improvement in depression associated with CHCV.
  • Depression may persist in specific subgroups, including elderly females with significant fibrosis and low hemoglobin.
  • Further research may be needed to address persistent depression in these patient populations.
Abstract

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