Chronic hepatitis from a psychiatric point of view

Ozdemir, S. (2008) Chronic hepatitis from a psychiatric point of view. Anatolian Journal of Psychiatry (Anadolu Psikiyatri Dergisi), 9 (4). pp. 253-260. ISSN 1302-6631

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Abstract

Psychiatric symptoms are commonly seen in the course of chronic hepatitis B and C virus infections. Because of the higher comorbidity of alcohol and substance use disorders, active participation of psychiatrists are required with crucial importance in the management chronic hepatitis patients. The management of such patients requires a multidisciplinary approach and consultation-liaison psychiatrists play an important role in this teamwork. Nowadays, there has been no consensus regarding the therapy of chronic hepatitis patients with psychiatric disorders. In the recent guidelines, the presence of depression and alcohol use disorders prior to antiviral therapy causes up to 6 months delay of the therapies; therefore, detailed psychosocial evaluation is offered before the treatment of chronic hepatitis. If a psychiatric disorder of a patient with chronic hepatitis is missed and not treated, patients compliance to antiviral therapy will be affected negatively, and may worsen the progress and prognosis of the disease. In this review, we aimed to evaluate the prevalence, physiopathology, relationship with interferon and treatment of psychiatric symptoms seen in patients with chronic hepatitis, based on the recent studies.

EPrint Type:Article
Uncontrolled Keywords:Chronic hepatitis, Interferon, Depression, Anxiety, Hepatitis, Patients, Psychiatrist, Comorbidity, Alcohol, Substance Disorder, Patient Compliance, Hepatitis B, Hepatitis C
Subjects:Behavior and Behavior Mechanisms > Behavior > Behavioral Symptoms > Depression
-Journal Repositories > Anatolian Journal of Psychiatry
Behavioral Disciplines and Activities > Behavioral Sciences > Psychiatry
Virus Diseases > Hepatitis, Viral, Human > Hepatitis B
Persons > Patients
Behavior and Behavior Mechanisms > Attitude
Mental Disorders > Anxiety Disorders
Health Care Quality, Access, and Evaluation > Delivery of Health Care
Digestive System Diseases > Liver Diseases > Hepatitis
Disorders of Environmental Origin > Substance-Related Disorders > Alcohol-Related Disorders
Environment and Public Health > Public Health
Health Care Quality, Access, and Evaluation > Quality of Health Care
Health Services Administration > Quality of Health Care
Virus Diseases > Hepatitis, Viral, Human > Hepatitis C
Behavior and Behavior Mechanisms > Behavior
Disorders of Environmental Origin > Substance-Related Disorders
Mental Disorders > Substance-Related Disorders
ID Code:3217
Deposited By:Dr. Lut Tamam
Deposited On:27 January 2009

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