As a special population, viral hepatitis in life to face various kinds of pressure, depression and anxiety so prevalent negative moods tend to. Doctors in the treatment of physical disease, it should also pay attention to improving the patient's negative emotions, timely and targeted psychological intervention, which will help patients to return to the body.
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In recent years, people gradually realized there was a high proportion of patients with liver disease of depression or anxiety symptoms. Patients usually presented depression, fatigue, sleep disorders, depression, anxiety, lack of concentration, pessimistic, or multiple body parts do not locate a particular time to time to pain (liver area pain common), constipation, loss of appetite accompanied by Fu Teng and diarrhea. The major causes of these symptoms occur:
1. Disease pressure. Especially in patients with chronic hepatitis B, liver delayed healing, long-term injections and medicine, very low mood.
2. Fear of the disease. After that he was hepatitis patients, fearing cancer, liver cirrhosis. Panic fear, then into a long depression.
3. Hepatitis B discrimination due to social pressure.
4. Interferon side effects. On the one hand, physical disease greatly affects the mental health status, on the other hand, serious emotional disturbances of patients with hepatitis, block improvement.
Serious mental illness of hepatitis B virus carriers
"Do you often feel depressed? Do you often feel fatigue, anorexia, liver does not it? You may feel these are symptoms caused by hepatitis B, but I have to tell you that, according to the treatment of liver disease nearly 40 years of lessons learned and Clinical study results showed that although some of your symptoms and liver disease can not be said absolutely nothing to do, but these symptoms may not cause liver disease, and mental problems may be due to depression. "
Recently, Cheng Department of Gastroenterology, Affiliated Hospital of Professor Chen Yulong freshman in the "coexistence" website to "depression, fatigue, anorexia, liver discomfort Come" was published in this post led to depression of liver cirrhosis with the discussion In less than two months, more than 3,000 patients with hepatitis B automatic thread, tell heart distress.
I then use the self-rated depression scale (SDS) and self-rated anxiety scale (SAS) of 72 outpatients and hospitalized patients with hepatitis psychological measurement, found that 1 / 3 of liver disease patients with mild to moderate depression (24 case), half of which combined with anxiety, and carriers of hepatitis B virus symptoms of depression and anxiety than non carriers.
In this regard, Professor Chen Yulong together with the author's analysis and interpretation of the following: From the clinical point of view, the symptoms caused by liver disease is very limited, so there were many patients until the development of cirrhosis, liver cancer have been no notice. The depression caused by depression, fatigue, anorexia, pain or discomfort is a common phenomenon even world-weary. In real life, most hepatitis B virus carriers felt depressed, 80% of the hepatitis B virus carriers with depressive tendencies. Network will undoubtedly allow them to find a good outlet port, similar experiences are also easily allow them to resonate. Strong sense of belonging Gengrang comrade-like feelings that the consolidation, only in the network that they will boldly speak their mind, exposing their emotional disorders. Network on their psychological therapy has played a positive role in the regulation.
Depression as common as a cold
Many patients with liver diseases in general lack of awareness of depression and, in fact, depression is the highest incidence of human diseases. Along with social development, accelerate the pace of life, employment pressure in recent years, hepatitis B virus carriers in China quite frequently reported suicides. The suicide of disease and the pressure of academic work, particularly in patients with hepatitis B is a major stress factor can not be free, so for hepatitis B patients, especially in hepatitis B virus carriers have to do mental and physical illness resynchronization therapy to reduce the tragedy occurred.
In general, for mild depression or anxiety disorder, primary disease in the active treatment, while appropriate psychological treatment can reduce the psychological stress of patients, improve symptoms, reduce or even without antidepressant medication. For example:
1. On the initial onset of the disease to supportive psychotherapy in order to eliminate stress factors: advise patients to take as they come on the disease of the approach is safe, do not worry too much for fear of not only the disease's recovery useless, but harmful.
2. On the old patient hospitalized again and again in the implementation of cognitive therapy: to enable patients to correctly understand the law and hepatitis can be cured of the disease, explain in detail the process of disease and precautions to restore, to correct some misconceptions of patients to help them establish the beat disease, confidence and courage.
3. To the knowledge of higher-level cadres and professionals with Professor Yang Desen, Pioneer's "Taoist cognitive therapy" for psychological treatment: a way to chat, timely import "benefits without harm, to not fight, less personal desires, contented to know only, knowledge and Office, the dealt with gently, passive inaction, comes naturally, "the Taoist Philosophy, and guide to lower the patient's desire for fame, not arrange too much work, contentment, not rash, for the most good treatment.
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