[Cognitive-behavioral model of psychosocial counseling. Preliminary outcomes of efficacy research in hepatitis C patients during antiviral treatment].
OBJECTIVE
To examine impact of psychological variables, including cognitive-behavioral therapy, on quality of life and depression during treatment.


METHODS
The following research instruments were used: WHOQOL-Bref (modified), Multidimensional Health Locus of Control Scale (MHLC-B), The Beck Depression Inventory, Hepatitis C Symptoms Questionnaire and Interferon Side Effects Questionnaire. A group of 45 patients participated in group cognitive-behavioral psychotherapy at the beginning of treatment, 63 were the control group. 22 patients attended individual psychotherapy, 8 of them received records of the session for further work on their own.


METHODS
Short-term group psychotherapy does not increase the quality of life, but the individual therapy does. Long-term unprofessional support is the most efficient.


RESULTS
Increased number of support sources correlates with better quality of life in the 3rd (R = 0,23, p = 0,03), 6th (R = 0,32, p = 0,01) and 12th (R = 0,54, p = 0,00) month of treatment Participation in individual psychotherapy correlates with better quality of life in the 6th month of treatment (R = 0,35, p = 0,001).


CONCLUSIONS
Quality of life in hepatitis C patients during antiviral treatment is increased more effectively by the long term social support than by short-term cognitive-behavioral psychotherapy.
Katedra i Klinika Chorób Zakaźnych UM w Poznaniu. maciejskib@tlen.pl
Maciej
M
Skibiński
D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003376:Counseling / Q000379:methods*; D003863:Depression / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D005260:Female; D006304:Health Status; D019698:Hepatitis C, Chronic / Q000150:complications / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life; D012944:Social Support; D011795:Surveys and Questionnaires; D016896:Treatment Outcome