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Published on: December 15, 2023
Depression among Patients with Chronic Hepatitis B: A Cross-sectional Study in a Tertiary Hospital of Bangladesh
Merina Rahman1, Sheikh Mohammad Noor-E-Alam2, Md Abdur Rahim2
1Department of Hepatology, Khulna Medical College and Hospital, Khulna, Dhaka, Bangladesh.
Insights
Patients with chronic hepatitis B (CHB) experience higher rates of depression compared to healthy individuals. This study found moderate and severe depression significantly more prevalent in CHB patients, particularly among females.
Area of Science:
- Hepatology
- Psychiatry
- Public Health
Background:
- Chronic hepatitis B (CHB) presents significant mental health challenges beyond physical symptoms.
- Depression is a common comorbidity in patients managing chronic liver disease.
Purpose of the Study:
- To evaluate depression levels in CHB patients.
- To compare depression prevalence between CHB patients and healthy controls.
- To identify factors associated with depression in CHB.
Main Methods:
- A comparative cross-sectional study was conducted.
- 90 CHB patients and 90 HBsAg-negative healthy controls participated.
- Depression incidence and severity were assessed and compared.
Main Results:
- 57.8% of CHB patients exhibited depression versus 35.6% of controls (p<0.05).
- Moderate and severe depression were significantly higher in CHB patients.
- Depression in CHB patients was more prevalent in females.
Conclusions:
- CHB patients demonstrate a significantly higher prevalence of depression.
- Mental health screening and support are crucial for CHB management.
- Further research into gender-specific mental health impacts in CHB is warranted.
Background:
Patients with chronic hepatitis B suffer not only from physical illness. Rather, they often present with the mental health consequences of this chronic disease.
Objective:
The major objective was to assess the level of depression among patients having chronic hepatitis B.
Method:
The Department of Hepatology of Bangabandhu Sheikh Mujib Medical University directed this study which was a comparative cross-sectional study during time duration from September 2021 to September 2022. Incidence and grading of depression between patients with chronic hepatitis B and HBsAg negative healthy volunteers were assessed and compared through this study. The association of different variables with depression among chronic hepatitis B (CHB) patients was also measured.
Results:
Out of 90 patients having chronic hepatitis B, 52 (57.8%) were found to have some degree of depression; whereas among 90 HBsAg-negative healthy controls, 32 (35.6%) were found to have various degrees of depression. The dissimilarity between the two groups was significantly determined (p-value < 0.05). The majority of the depressed population from both groups had mild degrees of depression, however, the variance was not top the notch (p-value > 0.05). But the prevalence of moderate depression and moderately severe depression was statistically significant among CHB patients compared to their counterpart controls. Depression among CHB patients was found to be female-predominant.
Conclusion:
The study has shown a higher prevalence of depression among patients with chronic hepatitis B compared to HBsAg-negative healthy controls.
How To Cite This Article:
Rahman M, Noor-E-Alam SM, Rahim MA, et al. Depression among Patients with Chronic Hepatitis B: A Cross-sectional Study in a Tertiary Hospital of Bangladesh. Euroasian J Hepato-Gastroenterol 2023;13(2):79-83.
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