Emotional State, Coping Styles, and Somatic Variables in Patients With Chronic Hepatitis C

The authors in a cross-sectional study examined 113 patients with chronic hepatitis C (CHC) without widely progressed or decompensated liver disease. The patients were investigated for emotional state (depression, anxiety, coping styles) and somatic/sociodemographic variables. A high percentage of p...

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Veröffentlicht in:Psychosomatics (Washington, D.C.) D.C.), 2000-09, Vol.41 (5), p.377-384
Hauptverfasser: Kraus, Michael R., Schäfer, Arne, Csef, Herbert, Scheurlen, Michael, Faller, Hermann
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container_end_page 384
container_issue 5
container_start_page 377
container_title Psychosomatics (Washington, D.C.)
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creator Kraus, Michael R.
Schäfer, Arne
Csef, Herbert
Scheurlen, Michael
Faller, Hermann
description The authors in a cross-sectional study examined 113 patients with chronic hepatitis C (CHC) without widely progressed or decompensated liver disease. The patients were investigated for emotional state (depression, anxiety, coping styles) and somatic/sociodemographic variables. A high percentage of patients had positive scores for depression (22.4%) and anxiety (15.2%). Mode of acquisition (e.g., former drug abuse) and histological grade of liver damage had no significant influence on emotional state or coping strategies. Older patients (≥ 50 years) were significantly more depressed ( P = 0.024). Patients with a recently diagnosed CHC (> 4 weeks, < 6 months) had significantly lower scores for depression ( P = 0.003) and anxiety ( P = 0.001) than the subgroup with a time interval since initial diagnosis of more than 5 years. Recently diagnosed CHC patients also showed the highest levels of problem-solving behavior. Patients who were advised not to undergo an interferon therapy were significantly more depressed ( P = 0.001) and anxious ( P = 0.028). Older patients with CHC and patients with a long period since CHC diagnosis or who were advised not to undergo interferon therapy should be carefully and regularly assessed for depression, anxiety, and inappropriate coping styles.
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Older patients with CHC and patients with a long period since CHC diagnosis or who were advised not to undergo interferon therapy should be carefully and regularly assessed for depression, anxiety, and inappropriate coping styles.</abstract><cop>Washington, DC</cop><pub>Elsevier Inc</pub><pmid>11015623</pmid><doi>10.1176/appi.psy.41.5.377</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adaptation, Psychological
Adolescent
Adult
Affective Symptoms - diagnosis
Affective Symptoms - psychology
Aged
Biological and medical sciences
Cross-Sectional Studies
Female
Fundamental and applied biological sciences. Psychology
Hepatitis C, Chronic - psychology
Human viral diseases
Humans
Illness and personality
Illness, stress and coping
Infectious diseases
Male
Medical sciences
Middle Aged
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Sick Role
Somatoform Disorders - diagnosis
Somatoform Disorders - psychology
Viral diseases
Viral hepatitis
title Emotional State, Coping Styles, and Somatic Variables in Patients With Chronic Hepatitis C
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