Prevalence and Associated Factors of Major Depressive Disorder among Pulmonary Tuberculosis Patients
Introduction: The prevalence of psychiatric morbidity in patients with pulmonary Tuberculosis (TB) is significantly high. Major depressive disorder is the most common among them. The psychiatric morbidity is related to the duration of illness, the degree of incapacitation and the knowledge of (s...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2020-07-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/13817/44393_CE[Ra1]_F(SHU)_PF1(AG_SHU)_PFA(SL)_PB(AG_KM)_PFA2(OM)_PN(SL).pdf |
| Summary: | Introduction: The prevalence of psychiatric morbidity in
patients with pulmonary Tuberculosis (TB) is significantly high.
Major depressive disorder is the most common among them.
The psychiatric morbidity is related to the duration of illness, the
degree of incapacitation and the knowledge of (sputum) Acid
Fast Bacilli (AFB) positive status.
Aim: To assess the prevalence of depression in patients suffering
from pulmonary TB and to study the relationship between
depression and socio-demographic variables.
Materials and Methods: The study sample consisted of 120
patients suffering from pulmonary TB. The socio-demographic
data was individually collected from them. Mini International
Neuropsychiatric Interview (MINI) scale was used for screening
Psychiatric morbidity in pulmonary TB patients and International
Classification of Disease (ICD)-10 criteria were used to confirm
the diagnosis and to assess the severity of depression in the
study group. The data was analysed by using ‘descriptive’ and
‘inferential’ statistics. For categorical variables, the values were
represented as number and percentages. To test association
between the groups chi-square test was used. The p-value
<0.05 was considered as statistically significant.
Results: Total 43.3% of patients suffering from pulmonary TB
showed psychiatric morbidity. The mean age of the population was
38.41 years. No significant statistical correlation was found between
socio-demographic variables and depressive disorders except
socio-economic status. Class III socio-economic status (Sodhi and
Sharma scale) had significant influence on prevalence of depression.
The clinical variables, duration of illness, type of treatment, sputum
status and complications of pulmonary TB showed statistically
significant relationship on prevalence of depression.
Conclusion: As depression ominously influences the course
and outcome of the pulmonary TB with serious consequences,
an early identification and intervention will prove productive. |
|---|---|
| ISSN: | 2249-782X 0973-709X |