Treatment-emergent depression and anxiety between peginterferon alpha-2a versus alpha-2b plus ribavirin for chronic hepatitis C

Background: This study investigates differences in depression and anxiety between patients with chronic hepatitis C who are treated with peginterferon alpha-2a (PegIFN-α-2a) plus ribavirin and those who are treated with peginterferon alpha-2b (PegIFN-α-2b) plus ribavirin. Methods: In this 24week, non-randomized, observational, prospective study, 55 patients with chronic hepatitis C were treated with PegIFN-α-2a plus ribavirin (Group 1), and 26 patients were treated with PegIFN-α-2b plus ribavirin (Group 2). All patients underwent assessment using the Hospital Anxiety and Depression Scale (HADS) at the baseline and at weeks 4, 12 and 24. Patients with depression scores (HADS-D)≥8 and anxiety scores (HADS-A)≥8 were defined as having depression and anxiety, respectively. The factors that were associated with depression and anxiety during the 24week antiviral treatment were determined. Results: During the 24week antiviral treatment, the proportion of patients with depression significantly increased over time in both groups (Group 1: p=0.048; Group 2: p=0.044). The proportion of patients with anxiety did not significantly change during the follow-up period in either group. Incidences of depression or anxiety did not differ significantly between Group 1 and Group 2. A history of alcohol use disorder was an independent predictor of depression at week 12 (p<0.001) and week 24 (p<0.001), and a poor virological response to treatment was associated with depression at week 24 (p=0.029). Patients who had more physical comorbidities were more likely to suffer from anxiety at week 12 (p=0.038). Conclusions: This study did not identify significant differences in depression or anxiety between in patients with chronic hepatitis C who underwent a 24week antiviral treatment regimen with PegIFN-α-2a plus ribavirin and those who underwent a regiment with PegIFN-α-2b plus ribavirin. Future research with larger samples and a randomized, controlled design are required to verify the findings in this study. Trial registration: This clinical study has been registered at ClinicalTrials.gov. (Trial registration: NCT02943330 ).