Prevalence of anxiety, depression and quality of life in HTLV-1 infected patients

Brazilian Journal of Infectious Diseases

Claudio Garcia Capitão¹  Augusto César Penalva de Oliveira¹  Maria Cezira Fantini Nogueira-Martins²  Maria Rita Polo Gascón³  Jerusa Smid³  Jorge Casseb³ 

[1] Instituto de Infectologia Emílio Ribas;Instituto de Saúde;Universidade de São Paulo;

关键词: anxiety;    depression;    quality of life;    human T-lymphotropic virus 1;   

DOI  :  10.1590/S1413-86702011000600013

来源: DOAJ

【 摘 要 】

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 and Methods: 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.

【 授权许可】

Unknown