Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study.
Background Alveolar echinococcosis (AE) is a parasitic zoonosis resembling malignancy due to its clinically silent infiltrative growth, predominately in the liver. The comorbid psychological burden and fear of disease progression in AE patients have hardly been examined to date. The aim of this stud...
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ftdoajarticles:oai:doaj.org/article:cba8b585d9744fd28aa00a9ed70e74cd 2023-05-15T15:11:36+02:00 Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. Christoph Nikendei Anja Greinacher Anastasiya Berkunova Thomas Junghanss Marija Stojkovic 2019-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0007082 https://doaj.org/article/cba8b585d9744fd28aa00a9ed70e74cd EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0007082 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007082 https://doaj.org/article/cba8b585d9744fd28aa00a9ed70e74cd PLoS Neglected Tropical Diseases, Vol 13, Iss 1, p e0007082 (2019) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.1371/journal.pntd.0007082 2022-12-31T11:50:06Z Background Alveolar echinococcosis (AE) is a parasitic zoonosis resembling malignancy due to its clinically silent infiltrative growth, predominately in the liver. The comorbid psychological burden and fear of disease progression in AE patients have hardly been examined to date. The aim of this study was to evaluate depression, anxiety, quality of life, and fear of disease progression in AE patients. Methodology/principal findings In a cross-sectional study, n = 57 AE patients were invited to report on depression (PHQ-9), anxiety (GAD-7), somatic symptom load (SSS 8), trauma symptoms (PTSS-10), quality of life (SF-12) and on fear of disease progression (FoP-Q-SF) using validated psychometric instruments. Furthermore, attachment style was assessed (RQ-2). N = 47 patients completed the questionnaires (response rate 82.5%). Depression, anxiety, and somatic symptom load were above norm sample means, while physical quality of life was below norm sample means. Existing traumatic symptoms were comparable to those in cancer patients, while fear of disease progression even exceeded cancer patient scores. Patients with a secure attachment style showed less pronounced psychological burden than patients with other attachment styles. Adequate, guideline-based depression and anxiety treatment was very rarely installed. Conclusion/significance The present study revealed remarkable levels of psychological burden in AE patients. In our study sample, we discovered high depression and anxiety levels, a significant reduction of physical quality of life, and fear of disease progression. These results show how important it is for AE patients to be thoroughly assessed with regard to psychological symptoms and mental disorders so that those in need can receive sufficient psychosocial support and treatment according to official guidelines. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 13 1 e0007082 |
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Directory of Open Access Journals: DOAJ Articles |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Christoph Nikendei Anja Greinacher Anastasiya Berkunova Thomas Junghanss Marija Stojkovic Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Alveolar echinococcosis (AE) is a parasitic zoonosis resembling malignancy due to its clinically silent infiltrative growth, predominately in the liver. The comorbid psychological burden and fear of disease progression in AE patients have hardly been examined to date. The aim of this study was to evaluate depression, anxiety, quality of life, and fear of disease progression in AE patients. Methodology/principal findings In a cross-sectional study, n = 57 AE patients were invited to report on depression (PHQ-9), anxiety (GAD-7), somatic symptom load (SSS 8), trauma symptoms (PTSS-10), quality of life (SF-12) and on fear of disease progression (FoP-Q-SF) using validated psychometric instruments. Furthermore, attachment style was assessed (RQ-2). N = 47 patients completed the questionnaires (response rate 82.5%). Depression, anxiety, and somatic symptom load were above norm sample means, while physical quality of life was below norm sample means. Existing traumatic symptoms were comparable to those in cancer patients, while fear of disease progression even exceeded cancer patient scores. Patients with a secure attachment style showed less pronounced psychological burden than patients with other attachment styles. Adequate, guideline-based depression and anxiety treatment was very rarely installed. Conclusion/significance The present study revealed remarkable levels of psychological burden in AE patients. In our study sample, we discovered high depression and anxiety levels, a significant reduction of physical quality of life, and fear of disease progression. These results show how important it is for AE patients to be thoroughly assessed with regard to psychological symptoms and mental disorders so that those in need can receive sufficient psychosocial support and treatment according to official guidelines. |
format |
Article in Journal/Newspaper |
author |
Christoph Nikendei Anja Greinacher Anastasiya Berkunova Thomas Junghanss Marija Stojkovic |
author_facet |
Christoph Nikendei Anja Greinacher Anastasiya Berkunova Thomas Junghanss Marija Stojkovic |
author_sort |
Christoph Nikendei |
title |
Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. |
title_short |
Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. |
title_full |
Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. |
title_fullStr |
Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. |
title_full_unstemmed |
Psychological burden and resilience factors in patients with Alveolar Echinococcosis - A cross-sectional study. |
title_sort |
psychological burden and resilience factors in patients with alveolar echinococcosis - a cross-sectional study. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2019 |
url |
https://doi.org/10.1371/journal.pntd.0007082 https://doaj.org/article/cba8b585d9744fd28aa00a9ed70e74cd |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 13, Iss 1, p e0007082 (2019) |
op_relation |
https://doi.org/10.1371/journal.pntd.0007082 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007082 https://doaj.org/article/cba8b585d9744fd28aa00a9ed70e74cd |
op_doi |
https://doi.org/10.1371/journal.pntd.0007082 |
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PLOS Neglected Tropical Diseases |
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13 |
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e0007082 |
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