Prevalence of anxiety, depression and quality of life in HTLV-1 infected patients
Braz. j. infect. dis
;
15(6): 578-582, Nov.-Dec. 2011. tab
Artigo
em Inglês
| LILACS, SES-SP
| ID: lil-610530
ABSTRACT
The HAM/TSP caused by HTLV-1 infection usually affects patients to disabling states, and sometimes can lead them to paraplegia presenting symptoms of depression and anxiety, impacting on quality of life. Objective:
The purpose of this study was to evaluate the frequency of depression and anxiety and its impact on quality of life in HTLV-1-infected TSP/HAM patients. Material andMethods:
This was a cross-sectional study including 67 asymptomatic (control group) and 63 with TSP/HAM subjects. The instruments used were a demographic questionnaire, scales for anxiety and depression diagnosis (BDI and BAI), questionnaire for the assessment of Quality of Life of the World Health Organization (WHOQOL-Brief) and neurological scale to measure the disability level (Osame's Disability Status Scale). All patients had HTLV-I diagnosis by serological and molecular approaches, monitored at Instituto de Infectologia Emílio Ribas from May 2008 to July 2009. Data were analyzed statistically by frequencies, the Mann-Whitney test and the Spearman correlation test. Data among groups were analyzed and correlated with functional and severity aspects.Results:
The results showed that patients with HAM/TSP compared to asymptomatic carriers had higher rates of depression (p < 0.001) and anxiety (p < 0.001), and impairment on quality of life in the areas of dissatisfaction with health (p < 0.001), physical (p < 0.001) and the environment (p = 0.003). The main factors that correlated with levels of depression and anxiety and the domains of the WHOQOL-brief were education, family income and social class.Conclusion:
A well conducted evaluation and counseling may help in treatment, for a better quality of life of these patients.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ansiedade
/
Qualidade de Vida
/
Paraparesia Espástica Tropical
/
Depressão
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Ano de publicação:
2011
Tipo de documento:
Artigo
Instituição/País de afiliação:
USP/BR
/
Universidade de São Paulo/BR
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