Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C
- PMID: 19377022
- PMCID: PMC3525322
- DOI: 10.1176/appi.psy.50.2.138
Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C
Abstract
Background: Chronic hepatitis C (CHC) is the most common blood-borne infection in the United States, but little is known about illness uncertainty in these patients.
Objective: The authors examined the constructs of illness uncertainty.
Method: In this cross-sectional study, Mishel's Uncertainty in Illness Scale was used to examine these constructs (ambiguity, complexity, inconsistency, unpredictability) and their relationships with fatigue, pain, depressive symptoms, comorbidity, and quality of life (QOL) in 126 CHC patients undergoing a watchful-waiting protocol.
Results: The Ambiguity subscale had the strongest relationships with depressive symptoms, QOL, and fatigue, and three of the four subscales were significantly correlated with pain.
Conclusion: The results suggest targets for patient self-management interventions.
References
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- Mishel MH. Living with chronic illness: living with uncertainty. In: Funk SG, Tornquist EM, Champagne MT, Weise RA, editors. Key Aspects of Caring for the Chronically Ill, Hospital and Home. New York: Springer; 1993. pp. 46–58.
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- Foster GR. Management of chronic hepatitis C--time for a change? J Viral Hepat. 2002;9:82–83. - PubMed
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- National Institutes of Health (NIH) NIH Consensus Statement on Management of Hepatitis C. 2002. NIH Consensus and State-of-the-Science Statements. 2002 Jun 10–12;19:1–46. - PubMed
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