Abstract:
People with chronic hepatitis C virus (HCV) infection commonly experience neuropsychological symptoms, including fatigue, depression, difficulty concentrating, and forgetfulness despite early liver disease. Although there has been limited evaluation of the relationship between symptoms and health-related quality of life (HRQOL), chronic HCV infection seems to impair cognitive function and HRQOL even in earlier stages in the absence of severe liver disease. The likelihood of impairment increases with greater severity of liver disease and advanced human immunodeficiency virus (HIV). There is evidence that successful antiviral therapy is associated with improvement in both cognitive function and HRQOL. However, the etiology of cognitive and HRQOL impairment in chronic HCV infection remains unclear. Potential explanations for the impairment include direct and indirect viral effects, inability to disentangle the effects of concomitant comorbid conditions including the effects of coinfection with HIV, drug dependency, psychiatric disease, the psychological impact of HCV diagnosis, or poor health. Further research is required to understand the relationship between HCV-related symptoms and HRQOL and to explore causality of cognitive and HRQOL impairment in chronic HCV infection.
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Abbreviations
- HCV:
-
hepatitis C virus
- HRQOL:
-
health-related quality of life
- HIV:
-
human immunodeficiency virus
- MHE:
-
minimal hepatic encephalopathy
- 1H MRS:
-
proton magnetic resonance spectroscopy
- EEG:
-
electroencephalogram
- IFN:
-
interferon
- HBV:
-
hepatitis B
- IVDU:
-
intravenous drug use
- ETOH:
-
alcohol
- CHO:
-
choline
- QOL:
-
quality of life
- ALT:
-
alanine aminotransfers
- METH:
-
methamphetamine
- NAA:
-
N-acetylaspartate
- QEEG:
-
quantitative electroencephalogram
- PET:
-
positron emission tomography
- R:
-
right
- L:
-
left
- fMRI:
-
functional magnetic resonance imaging
- PEGASYS:
-
peginterferon alfa-2a
- peg intron:
-
recombinant interferon alpha, subtype 2b, and polyethylene glycol
- IDUs:
-
injecting drug users
- CNS:
-
central nervous system
- PBMCs:
-
peripheral blood mononuclear cells
- CSF:
-
cerebrospinal fluid
- TNF-α:
-
tumor necrosis factor-alpha
- ART:
-
antiretroviral therapy
- AIDS:
-
acquired immune deficiency syndrome
- 5-HT:
-
5-hydroxytryptamine
- SF-36:
-
short form-36 health survey
- MCS:
-
mental component score
- PCS:
-
physical component score
- SVR:
-
sustained virological response
- CLDQ:
-
chronic liver disease questionnaire
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Thein, HH., Dore, G.J. (2010). Cognitive Function, Mood and Health-Related Quality of Life in Hepatitis C Virus-Infected Individuals. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_191
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