Prevalence and Incidence of Depression during Interferon-Based Antiviral Therapy in Chronic Hepatitis C Patients in the Republic of Korea.
- Author:
Joo Yeong BAEG
1
;
In Hee KIM
;
Seung Young SEO
;
Young Seok KIM
;
Eun Uk JUNG
;
Junhyeon CHO
;
Jung Wha CHUNG
;
Eun Sun JANG
;
Jin Wook KIM
;
Sook Hyang JEONG
Author Information
- Publication Type:Multicenter Study ; Original Article
- Keywords: Hepacivirus; Depression; Interferons; Beck Depression Inventory-I; Hospital Anxiety and Depression scale
- MeSH: Anxiety; Depression*; Hepacivirus; Hepatitis C, Chronic*; Hepatitis, Chronic*; Humans; Incidence*; Interferons; Korea; Mass Screening; Prevalence*; Prospective Studies; Republic of Korea*; Ribavirin; Single Person; Weights and Measures
- From:Gut and Liver 2017;11(3):426-433
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: The association between depression and chronic hepatitis C virus (HCV) infection or pegylated interferon α and ribavirin therapy (PR therapy) has not been extensively studied in Korea. We aimed to clarify the prevalence of depression and its incidence during PR therapy in chronic hepatitis C (CHC) patients. METHODS: In this prospective, multicenter study, 114 CHC patients were screened for depression using two self-reported scales, the Beck Depression Inventory-I (BDI-I) and the Hospital Anxiety and Depression scale (HADS). The incidence of depression during PR therapy was evaluated in 62 patients who underwent PR therapy during the study period. RESULTS: The prevalence of baseline depression was 17.5% according to the BDI-I score ≥10 criterion and 4.4% according to the HADS-D score ≥8 criterion in the 114 CHC patients, and it was significantly associated with an unmarried state. During PR therapy, depression developed in 34.6% according to the BDI-I scale and 29.5% according to the HADS-D, which negatively affected sustained virologic response (SVR). CONCLUSIONS: The prevalence of depression in Korean CHC patients appears to be low compared to that in Western patients; however, its incidence during PR therapy (approximately 30%) was similar to that of other populations, which led to a lower SVR rate. Active screening and multidisciplinary management of depression during PR therapy is warranted.
