Anxiety and Depressive Disorders in Patients with Cirrhosis in Two Tertiary Hospitals and One Secondary Hospital in Ouagadougou City
- 1 Hepato-Gastroenterology Department of the Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso
- 2 Health Sciences Training and Research Unit, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso
- 3 Hepato-Gastroenterology Department of the Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso
- 4 Hepato-Gastroenterology Department of the Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso
- 5 Health Sciences Training and Research Unit, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso
- 6 Hepato-gastroenterology Department, Fada N’Gourma Regional University Hospital, Fada N’Gourma, Burkina Faso
- 7 Faculty of Medicine and Odontostomatology of the University of Science and Technology of Bamako, Bamako, Mali
- 8 Health Sciences Training and Research Unit, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso
- 9 Hepato-Gastroenterology Department of the Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso
- 10 Psychiatry Department of the Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso
- 11 Hepato-Gastroenterology Department of the Tengandogo University Hospital, Ouagadougou, Burkina Faso
- 12 Higher Institute of Health Sciences, Yembila Abdoulaye Toguyeni University, Fada N’Gourma, Burkina Faso
- 13 Hepato-Gastroenterology Department of the Gabriel Toure University Hospital, Bamako, Mali
- 14 Hepato-gastroenterology Department of the Sourô Sanou University Hospital, Bobo Dioulasso, Burkina Faso
Abstract
Introduction: To assess anxiety and depressive disorders in patients with cirrhosis in the hepato-gastroenterology departments of two tertiary hospitals and one secondary hospital in the city of Ouagadougou. Patients and Methods : This was a descriptive and analytical cross-sectional study with prospective data collection. This study lasted five months and involved patients with cirrhosis. The diagnosis of cirrhosis was made on the basis of clinical and paraclinical criteria. Anxiety and depression were assessed using the HADS (Hospital Anxiety and Depression Scale) score. Results: A total of 90 patients were included. There were 70 men (77.8%). The mean age was 51.5 ± 26.5 years. Anxiety was observed in 48 patients (53.3%). Anxiety symptoms were evident in 35.5% of patients. Forty-two patients (46.7%) had depression. Depressive symptoms were evident in 30% of cases. Low socioeconomic status and family healthcare were the risk factors for anxiety. Factors associated with depression were family healthcare and denial of the disease after diagnosis. There was a correlation between anxiety and depression in patients with cirrhosis. Conclusion: Anxiety-depressive disorders are common in patients with cirrhosis. The care of patients with cirrhosis must be multidisciplinary. Indeed, these disorders must be detected and prevented in order to allow a better prognosis for these patients.
- Sepanlou, S.G., Safiri, S., Bisignano, C., Ikuta, K.S., Merat, S., Saberifiroozi, M., et al. (2020) The Global, Regional, and National Burden of Cirrhosis by Cause in 195 Countries and Territories, 1990-2017: A Systematic Analysis for the Global Burden of Disease Study 2017. The Lancet Gastroenterology & Hepatology , 5, 245-266.
- Albayrak, B., Ozcan, H., Aksungur, N. and Cankaya, E. (2023) Depression and Anxiety Symptoms in Patients with Cirrhosis: A Prospective Study before and after Liver Transplantation. Transplantation Proceedings , 55, 1644-1648. https://doi.org/10.1016/j.transproceed.2023.04.040
- de Martel, C., Maucort‐Boulch, D., Plummer, M. and Franceschi, S. (2015) World‐wide Relative Contribution of Hepatitis B and C Viruses in Hepatocellular Carcinoma. Hepatology , 62, 1190-1200. https://doi.org/10.1002/hep.27969
- Viral_Hepatatis_Scorecard (2019) Towards Eliminating Hepatitis in the WHO African Region. Brazzaville: WHO Regional Office for Africa; 2019. https://www.afro.who.int/sites/default/files/2019-07/Viral_Hepatatis_Scorecard_2019_v3_Print_Single_SC_A4%20%282%29.pdf
- Somé, E.N., Guingané, N.A., Lompo, I.T. and Sombié, R. (2021) Cirrhose du foie: Aspects épidémi-ologiques et diagnostiques au centre hospitalier universitaire Yalgado Ouédraogo. Revue RASP , 3, 53-64.
- Ky, L.J.E., Djibo, B.M.A., Paré, S.L.E., Zongo, A.R., Sessouma, A., Ouédraogo, F., et al. (2024) Peptic Ulcer Disease in Patients with Cirrhosis in the Hepato-Gastroenterology Department of the Yalgado Ouedraogo University Hospital in Ouagadougou. Open Journal of Gastroenterology , 14, 458-466. https://doi.org/10.4236/ojgas.2024.1412047
- (2020) The Global, Regional, and National Burden of Cirrhosis by Cause in 195 Countries and Territories, 1990-2017: A Systematic Analysis for the Global Burden of Disease Study 2017. The Lancet Gastroenterology and Hepatology , 5, 245-266.
- Rajpurohit, S., Musunuri, B., Mohan, P.B., Bhat, G. and Shetty, S. (2024) Factors Affecting and Promoting Health-Related Quality of Life in Patients with Liver Cirrhosis: An Underestimated Domain in Patient Care. Journal of Clinical and Experimental Hepatology , 14, Article ID: 101264. https://doi.org/10.1016/j.jceh.2023.07.417
- Al Ta’ani, O., Aleyadeh, W., Al-Ajlouni, Y., Alnimer, L., Ismail, A., Natour, B., et al. (2024) The Burden of Cirrhosis and Other Chronic Liver Disease in the Middle East and North Africa (MENA) Region over Three Decades. BMC Public Health , 24, Article No. 2979. https://doi.org/10.1186/s12889-024-20445-5