Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran

Background: Hepatitis C is one of the most challenging viral infections worldwide. Patients with hepatitis C may experience some disease-related stigma. Objectives: The aim of this study was to evaluate perceived stigma and its role in predicting anxiety, depression, and quality of life among patien...

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Main Authors: Masoumeh Movahedi, Shiva Moshirpanahi, Yaser Mokhayeri, Mohammad Almasian, Fatemeh Bastami
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2022-07-01
Series:Caspian Journal of Health Research
Subjects:
Online Access:http://cjhr.gums.ac.ir/article-1-231-en.html
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author Masoumeh Movahedi
Shiva Moshirpanahi
Yaser Mokhayeri
Mohammad Almasian
Fatemeh Bastami
author_facet Masoumeh Movahedi
Shiva Moshirpanahi
Yaser Mokhayeri
Mohammad Almasian
Fatemeh Bastami
author_sort Masoumeh Movahedi
collection DOAJ
description Background: Hepatitis C is one of the most challenging viral infections worldwide. Patients with hepatitis C may experience some disease-related stigma. Objectives: The aim of this study was to evaluate perceived stigma and its role in predicting anxiety, depression, and quality of life among patients with hepatitis C. Materials & Methods: This cross-sectional analytic study was conducted in behavioral counseling centers of three cities, i.e., Khorramabad, Boroujerd and Noorabad, located in the western part of Iran, from May to August 2019. Stratified multistage sampling was used to select 144 patients diagnosed with hepatitis C. The WHOQOL-BREF Scale, Stigma Impact Scale (SIS), Beck Depression Inventory, Second Edition (BDI-II), and Beck Anxiety Inventory, Second Edition (BAI) were used to collect the data. Univariate and multivariate linear regression models were used to estimate the association of covariates on stigma and quality of life. The Stata 16 software was used to analyze the data at the significance level of 0.05. Results: The mean perceived stigma was 66.805 ± 1.291 with social rejection and social isolation achieving the highest scores (23.409 ± 0.551, 20.208 ± 0.437). In the multivariate regression model, depression (B=0.7, 95%; CI: 0.5, 0.89) and anxiety (B=0.21, 95%; CI: 0.02, 0.41) had direct significant associations with stigma independent of age, sex, marital status, and occupation. Depression (B=-0.27, 95%; CI:-0.47, -0.07), anxiety (B=-0.33, 95%; CI: -0.5, -0.16), and stigma (B=-0.41, 95%; CI: -0.56, -0.26) were inversely associated with patients’ quality of life. Conclusion: This study found a high perceived stigma score among HCV patients. Depression and anxiety were significantly associated with stigma. The quality of life of HCV patients were inversely associated with depression, anxiety, and stigma scores.
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spelling doaj.art-9da0d77d5a46458389b1a56b72ff53232022-12-22T02:05:55ZengGuilan University of Medical SciencesCaspian Journal of Health Research2423-81712022-07-0173107118Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in IranMasoumeh Movahedi0Shiva Moshirpanahi1Yaser Mokhayeri2Mohammad Almasian3Fatemeh Bastami4 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran Department of Clinical psychology, School of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran. Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran Social Determinants of Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran. Background: Hepatitis C is one of the most challenging viral infections worldwide. Patients with hepatitis C may experience some disease-related stigma. Objectives: The aim of this study was to evaluate perceived stigma and its role in predicting anxiety, depression, and quality of life among patients with hepatitis C. Materials & Methods: This cross-sectional analytic study was conducted in behavioral counseling centers of three cities, i.e., Khorramabad, Boroujerd and Noorabad, located in the western part of Iran, from May to August 2019. Stratified multistage sampling was used to select 144 patients diagnosed with hepatitis C. The WHOQOL-BREF Scale, Stigma Impact Scale (SIS), Beck Depression Inventory, Second Edition (BDI-II), and Beck Anxiety Inventory, Second Edition (BAI) were used to collect the data. Univariate and multivariate linear regression models were used to estimate the association of covariates on stigma and quality of life. The Stata 16 software was used to analyze the data at the significance level of 0.05. Results: The mean perceived stigma was 66.805 ± 1.291 with social rejection and social isolation achieving the highest scores (23.409 ± 0.551, 20.208 ± 0.437). In the multivariate regression model, depression (B=0.7, 95%; CI: 0.5, 0.89) and anxiety (B=0.21, 95%; CI: 0.02, 0.41) had direct significant associations with stigma independent of age, sex, marital status, and occupation. Depression (B=-0.27, 95%; CI:-0.47, -0.07), anxiety (B=-0.33, 95%; CI: -0.5, -0.16), and stigma (B=-0.41, 95%; CI: -0.56, -0.26) were inversely associated with patients’ quality of life. Conclusion: This study found a high perceived stigma score among HCV patients. Depression and anxiety were significantly associated with stigma. The quality of life of HCV patients were inversely associated with depression, anxiety, and stigma scores.http://cjhr.gums.ac.ir/article-1-231-en.htmlstigmaanxietydepressionhepatitis cquality of life
spellingShingle Masoumeh Movahedi
Shiva Moshirpanahi
Yaser Mokhayeri
Mohammad Almasian
Fatemeh Bastami
Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran
Caspian Journal of Health Research
stigma
anxiety
depression
hepatitis c
quality of life
title Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran
title_full Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran
title_fullStr Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran
title_full_unstemmed Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran
title_short Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran
title_sort stigma anxiety depression and quality of life among patients with hepatitis c in iran
topic stigma
anxiety
depression
hepatitis c
quality of life
url http://cjhr.gums.ac.ir/article-1-231-en.html
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