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Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease

The mental health of patients with liver diseases is often overlooked when assessing their overall health and planning care and treatment. The aim of this study was to assess anxiety, depression, hopelessness, quality of life, and the perception of stigmatization in a large cohort of patients with c...

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Autores principales: Østberg, Nadja, Jacobsen, Birgitte Gade, Lauridsen, Mette Munk, Ladegaard Grønkjær, Lea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139198/
https://www.ncbi.nlm.nih.gov/pubmed/37107779
http://dx.doi.org/10.3390/ijerph20085497
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author Østberg, Nadja
Jacobsen, Birgitte Gade
Lauridsen, Mette Munk
Ladegaard Grønkjær, Lea
author_facet Østberg, Nadja
Jacobsen, Birgitte Gade
Lauridsen, Mette Munk
Ladegaard Grønkjær, Lea
author_sort Østberg, Nadja
collection PubMed
description The mental health of patients with liver diseases is often overlooked when assessing their overall health and planning care and treatment. The aim of this study was to assess anxiety, depression, hopelessness, quality of life, and the perception of stigmatization in a large cohort of patients with chronic liver disease of different aetiology and severity, as well as to identify predictors associated with mental health disorders. A total of 340 patients completed a survey assessing mental health using the Beck Anxiety Inventory, the Beck Hopelessness Scale, and the Major Depression Inventory. Quality of life was measured with the Chronic Liver Disease Questionnaire and the European Quality-of-Life visual analogue scale. To assess stigmatization, validated questions from the Danish Nationwide Survey of Patient Experiences were used. Predictors associated with anxiety, hopelessness, and depression were analysed using univariable and multivariable logistic regression analyses. Overall, 15% of the patients had moderate or severe anxiety, 3% had moderate or pronounced hopelessness, and 8% had moderate or severe depression. The prevalence of all three was highest in patients with cirrhosis and was associated with a low quality of life. More patients with cirrhosis had perceived stigmatization compared to patients with liver disease without cirrhosis, which affected their self-perception, and more than one-third of the patients refrained from telling others about their liver disease. The results emphasize the need for increased focus on mental health problems and awareness on preventing the discrimination of patients with liver disease.
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spelling pubmed-101391982023-04-28 Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease Østberg, Nadja Jacobsen, Birgitte Gade Lauridsen, Mette Munk Ladegaard Grønkjær, Lea Int J Environ Res Public Health Article The mental health of patients with liver diseases is often overlooked when assessing their overall health and planning care and treatment. The aim of this study was to assess anxiety, depression, hopelessness, quality of life, and the perception of stigmatization in a large cohort of patients with chronic liver disease of different aetiology and severity, as well as to identify predictors associated with mental health disorders. A total of 340 patients completed a survey assessing mental health using the Beck Anxiety Inventory, the Beck Hopelessness Scale, and the Major Depression Inventory. Quality of life was measured with the Chronic Liver Disease Questionnaire and the European Quality-of-Life visual analogue scale. To assess stigmatization, validated questions from the Danish Nationwide Survey of Patient Experiences were used. Predictors associated with anxiety, hopelessness, and depression were analysed using univariable and multivariable logistic regression analyses. Overall, 15% of the patients had moderate or severe anxiety, 3% had moderate or pronounced hopelessness, and 8% had moderate or severe depression. The prevalence of all three was highest in patients with cirrhosis and was associated with a low quality of life. More patients with cirrhosis had perceived stigmatization compared to patients with liver disease without cirrhosis, which affected their self-perception, and more than one-third of the patients refrained from telling others about their liver disease. The results emphasize the need for increased focus on mental health problems and awareness on preventing the discrimination of patients with liver disease. MDPI 2023-04-13 /pmc/articles/PMC10139198/ /pubmed/37107779 http://dx.doi.org/10.3390/ijerph20085497 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Østberg, Nadja
Jacobsen, Birgitte Gade
Lauridsen, Mette Munk
Ladegaard Grønkjær, Lea
Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease
title Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease
title_full Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease
title_fullStr Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease
title_full_unstemmed Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease
title_short Mental Health, Quality of Life, and Stigmatization in Danish Patients with Liver Disease
title_sort mental health, quality of life, and stigmatization in danish patients with liver disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139198/
https://www.ncbi.nlm.nih.gov/pubmed/37107779
http://dx.doi.org/10.3390/ijerph20085497
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