Acceptability of Psychotherapy, Pharmacotherapy, and Self-Directed Therapies in Australians Living with Chronic Hepatitis C

Benjamin Stewart, Deborah Turnbull, Antonina Mikocka-Walus, Hugh Harley, Jane Andrews

    Research output: Contribution to journalArticle

    2 Citations (Scopus)

    Abstract

    Despite the prevalence of psychiatric co-morbidity in chronic hepatitis C (CHC), treatment is under-researched. Patient preferences are likely to affect treatment uptake, adherence, and success. Thus, the acceptability of psychological supports was explored. A postal survey of Australian CHC outpatients of the Royal Adelaide Hospital and online survey of Australians living with CHC was conducted, assessing demographic and disease-related variables, psychosocial characteristics, past experience with psychological support, and psychological support acceptability. The final sample of 156 patients (58 % male) had significantly worse depression, anxiety, stress, and social support than norms. The most acceptable support type was individual psychotherapy (83 %), followed by bibliotherapy (61 %), pharmacotherapy (56 %), online therapy (45 %), and group psychotherapy (37 %). The most prominent predictor of support acceptability was satisfaction with past use. While individual psychotherapy acceptability was encouragingly high, potentially less costly modalities including group psychotherapy or online therapy may be hampered by low acceptability, the reasons for which need to be further explored.

    Original languageEnglish
    Pages (from-to)427-439
    Number of pages13
    JournalJOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
    Volume20
    Issue number4
    DOIs
    Publication statusPublished - 2013

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