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.

Related Concept Videos

Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
149
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
156
Hypothalamic-Pituitary Axis01:37

Hypothalamic-Pituitary Axis

The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
62.0K