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Perceived Stress in Hepatitis C Virus Infected Patients under the DAA-Based Therapy
Claudia Monica Danilescu1, Mihaela Ionescu2, Daniela Larisa Sandulescu3
1Doctoral School, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.
Insights
Direct-Acting Antiviral (DAA) treatment significantly reduced stress in Hepatitis C Virus (HCV) patients. This stress reduction correlated with factors like gender, urban living, age, fibrosis severity, and obesity.
Area of Science:
- Hepatology
- Virology
- Psychosomatic Medicine
Background:
- Hepatitis C Virus (HCV) infection is frequently linked with co-occurring medical and mental health issues, exacerbating patient distress.
- Elevated stress levels can negatively impact treatment adherence and outcomes in patients with chronic infections.
Purpose of the Study:
- To assess perceived stress levels in HCV patients undergoing Direct-Acting Antiviral (DAA) therapy.
- To investigate correlations between stress reduction and clinical/demographic factors during and after DAA treatment.
Main Methods:
- A cohort of 90 HCV-infected patients treated with DAAs for 12 weeks was evaluated.
- Perceived stress was measured using the Perceived Stress Scale (PSS) at baseline (BSL), end of treatment (EOT), and sustained viral response (SVR) phase (24 weeks post-BSL).
Main Results:
- DAA treatment led to a significant reduction in perceived stress, decreasing from 98.99% (moderate/high stress at BSL) to 70.00% at SVR.
- Stress reduction was significantly associated with gender, urban environment, age, F4 fibrosis, and overweight/obesity class II.
Conclusions:
- Perceived stress is directly linked to HCV infection severity.
- Effective therapeutic strategies, such as DAAs, can substantially alleviate stress in HCV patients.
Abstract:
The Hepatitis C Virus (HCV) infection often associates medical and mental health conditions which lead to increased levels of distress. Our study aimed at assessing the level of perceived stress on a sample of 90 HCV infected patients treated with Direct-Acting Antiviral (DAA) agents for 12 weeks, and its possible correlations with clinical and evolutionary elements. The evaluation was conducted in three phases: before administration of the DAAs (BSL), at the End of the Treatment (EOT), and 24 weeks after the BSL (Sustained Viral Response—SVR). The perceived stress was measured using the Perceived Stress Scale (PSS). The efficiency of the DAA treatment reduced the levels of stress (98.99% moderate and high stress at BSL to 70.00% at SVR). It was observed, for the entire study period (BSL to SVR), that the decrease in the perceived stress severity was significantly associated with demographic items such as gender (p < 0.01), urban environment (p < 0.001), the age of the subjects (p < 0.05), and clinical data such as F4 degree of fibrosis (p = 0.001) and overweight or obesity class II (p < 0.01). The perceived stress is directly associated with the severity of the HCV infection, and it could be significantly lowered by an efficient therapeutic approach, as DAAs are nowadays.
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