丙型肝炎中的社会心理问题：一项定性分析。
Psychosocial issues in hepatitis C: a qualitative analysis.
作者信息
Janke E Amy, McGraw Sarah, Garcia-Tsao Guadalupe, Fraenkel Liana
机构信息
Center for Management of Complex Chronic Care (151H), Hines VA Hospital, P.O. Box 5000, Hines, IL 60141, USA.
出版信息
Psychosomatics. 2008 Nov-Dec;49(6):494-501. doi: 10.1176/appi.psy.49.6.494.
Abstract
BACKGROUND
Despite demonstrated prevalence of psychosocial problems among hepatitis C (HCV) patients, little is known about how these problems develop, why they are sustained, and how clinical providers can effectively intervene.
OBJECTIVE
The authors used a qualitative approach to investigate the nature of psychosocial issues in HCV.
METHOD
Focus groups were conducted with HCV patients.
RESULTS
Participants discussed significant feelings of anger, depression, and stigma associated with the diagnosis and noted that these feelings/experiences isolated them from potential sources of social support.
CONCLUSION
Results have important implications for clinical providers and suggest pathways by which HCV-related psychosocial factors may interact with and affect quality of life.
摘要
背景
尽管已证实丙型肝炎（HCV）患者中存在心理社会问题，但对于这些问题如何产生、为何持续存在以及临床医护人员如何有效干预却知之甚少。
目的
作者采用定性研究方法来调查HCV患者心理社会问题的本质。
方法
对HCV患者进行了焦点小组访谈。
结果
参与者讨论了与诊断相关的愤怒、抑郁和耻辱等强烈感受，并指出这些感受/经历使他们与潜在的社会支持来源相隔离。
结论
研究结果对临床医护人员具有重要意义，并提示了HCV相关心理社会因素可能相互作用并影响生活质量的途径。
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本文引用的文献
1
What do patients consider when making decisions about treatment for hepatitis C?
Am J Med. 2005 Dec;118(12):1387-91. doi: 10.1016/j.amjmed.2005.05.029.
2
Patients' experiences related to anti-viral treatment for hepatitis C.
Patient Educ Couns. 2006 Jul;62(1):148-55. doi: 10.1016/j.pec.2005.06.019. Epub 2005 Aug 10.
3
Mood alterations during interferon-alfa therapy in patients with chronic hepatitis C: evidence for an overlap between manic/hypomanic and depressive symptoms.
J Clin Psychiatry. 2005 Aug;66(8):1050-7. doi: 10.4088/jcp.v66n0814.
4
Addressing tri-morbidity (hepatitis C, psychiatric disorders, and substance use): the importance of routine mental health screening as a component of a comanagement model of care.
Clin Infect Dis. 2005 Apr 15;40 Suppl 5:S286-91. doi: 10.1086/427442.
5
Literature on integrated HIV care: a review.
AIDS Care. 2004;16 Suppl 1:S43-55. doi: 10.1080/09540120412331315295.
6
Hepatitis C infection in transplantation.
Clin Liver Dis. 1997 Nov;1(3):663-90. doi: 10.1016/s1089-3261(05)70328-7.
7
Hepatitis C virus-infected patients report communication problems with physicians.
Hepatology. 2004 Apr;39(4):999-1007. doi: 10.1002/hep.20132.
8
NIH Consensus Statement on Management of Hepatitis C: 2002.
NIH Consens State Sci Statements. 2002;19(3):1-46.
9
Safety of the treatment of interferon-alpha-induced depression.
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10
"They treated me like a leper". Stigmatization and the quality of life of patients with hepatitis C.
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