Anxiety and Depressive Disorders in Patients with Cirrhosis in Two Tertiary Hospitals and One Secondary Hospital in Ouagadougou City

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Résumé

Introduction: To assess anxiety and depressive disorders in patients with cir
rhosis in the hepato-gastroenterology departments of two tertiary hospitals
and one secondary hospital in the city of Ouagadougou. Patients and Meth
ods: This was a descriptive and analytical cross-sectional study with prospec
tive data collection. This study lasted five months and involved patients with
cirrhosis. The diagnosis of cirrhosis was made on the basis of clinical and par
aclinical criteria. Anxiety and depression were assessed using the HADS (Hos
pital Anxiety and Depression Scale) score. Results: A total of 90 patients were
included. There were 70 men (77.8%). The mean age was 51.5 ± 26.5 years.
Anxiety was observed in 48 patients (53.3%). Anxiety symptoms were evident
in 35.5% of patients. Forty-two patients (46.7%) had depression. Depressive
symptoms were evident in 30% of cases. Low socioeconomic status and family
healthcare were the risk factors for anxiety. Factors associated with depression
were family healthcare and denial of the disease after diagnosis. There was a
correlation between anxiety and depression in patients with cirrhosis. Con
clusion: Anxiety-depressive disorders are common in patients with cirrhosis.
The care of patients with cirrhosis must be multidisciplinary. Indeed, these
disorders must be detected and prevented in order to allow a better prognosis for these patients.

Mots-clés

Anxiety, Depression, Cirrhosis, Africa