Assessment of Depressionn, Anxiety and Stresss among a Samplee of patients with Chronic HepatitissB in Gastroenterology and Hepatology Center/ AL-Najaf Province

Objective: Hepatitis B has recently been identified as the primary cause of cirrhosis, chronic hepatitis, and hepatocellularr cancer (HCC) (1). stress, depression, anxiety, and other psychological problems accompanied with decay in social and work functionality along may occur in patients with CHB (2). The study's objective was to assess the prevalence and severity of depression, anxiety, and stress in a sampling of chronic hepatitis B patients at the gastroenterology and hepatology center in the Iraqi province of Al-Najaf.Subjects and methodd: ̏ The Gastroenterology and Hepatology Center/Al-Sader Medical City/Najaf treated 104 patients with chronic viral hepatitis B who had already been diagnosed with the disease between November 2018 and May 2019. 100 people who appeared to be in good health were also added as a control group. To evaluate mental health, the Depression, Anxiety, Stress scale (DASS-21) in Arabic was employed.Results: Depression, anxiety and stress which associated in patients with hepatitis B were significantly affected on quality of life of those patients where the prevalence rate of depression, anxiety and stress was significantly high in compared with healthy control group and within extremely severe stage.Conclusion: In conclusion, chronic hepatitis B patients have a higher significantly prevalence rate and level of severity of depression, anxiety and stress which consequently greatly affected on quality of life in comparison to healthy control individuals at the province of AL-gastroenterology Najaf's and hepatology center .