Emotional distress patients with several types of tuberculosis. A pilot study with patients from the Sanatorium Hospital of Huambo

Paulo, Benvinda Xavier; Peixoto, Bruno

doi:10.1016/j.ijmyco.2016.11.002

Cited by 17 publications

(14 citation statements)

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“…The finding was comparable with other studies carried out in southern Ethiopia such as 43.4% in Wolayta zone [23], and 54% Gurage and Silte zone [24]. It is also similar with other studies conducted sub-Saharan Africa 49.4% in Angola [25] and 61.1% findings of the Southwest Region of Cameroon [26]. The prevalence of depression among TB patients in this study is slightly higher than other similar studies elsewhere like 35% in India [27], 19% in Turkey [28].…”

Section: Discussionsupporting

confidence: 91%

Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia

et al. 2019

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Background Depression among tuberculosis patients, especially in settings with low economic status is common. Screening for depression in all levels of health facilities can identify patients who need support and treatment for depression. Objective The aim of this study was to assess the prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia. Methods An institutional based cross-sectional study was conducted among 403 tuberculosis patients attending in eleven tuberculosis treatment centers in eastern Ethiopia from February to July 2017. Depression was measured using the Patient Health Questionnaire. Data was collected consecutively until the required sample size was obtained. Tuberclusis patients who were under anti tuberculosis treatments for more than one month were included. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 20. Bivariate and multivariate logistic regression models were applied to identify independent factors for dependent variable depression and P -values < 0.05 considered statistically significant. Results A total of 403 tuberculosis patients were included in the study. The prevalence of depression among tuberculosis patients was 51.9% (95%CI = 42.7, 62.2%) with 34.2% were mild cases. In our logistic regression analysis, odds of developing depression among tuberculosis patients with age less than 25 years were 0.5(50% protective effect) [AOR = 0.5, 95% CI 0.26–0.99] where as patients with a monthly income within the 25 th percentile were four times higher odds to have depression [AOR = 3.98, 95% CI: 2.15–7.39]. Conclusion The prevalence of depression was high in this study. Age, low monthly income, the category of patients as “new tuberculosis treatment” and the first 3 months of treatment was associated with depression among tuberculosis patients. Health facilities should integrating mental health services with tuberculosis clinics, especially assessing and treating TB patients for depression, is vital.

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Section: Discussionsupporting

confidence: 91%

Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia

et al. 2019

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“…Approximately 26 % of enrolled TB patients had PHQ-9 scores indicative of moderate to severe depression and 15 % indicative of suicidal ideation. Our estimate was comparable to recent studies in several countries that examined depression (moderate to severe) among TB patients, including Ethiopia (17•6-54•0 %) (32)(33)(34) , South Africa (32•9 %) (13) , Angola (49•4 %) (35) and China (18•1 %) (36) . They were, however, considerably lower than those found in Ethiopia using PHQ-9 by Ambaw et al (32) ; these differences may have arisen from variations in study location and population.…”

Section: Discussionsupporting

confidence: 87%

The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

Wang

Dima

Ho-Foster

et al. 2020

Public Health Nutr.

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Objective: To determine the association between food insecurity and HIV-infection with depression and anxiety among new tuberculosis patients. Design: Our cross-sectional study assessed depression, anxiety, and food insecurity with Patient Health Questionnaire (PHQ9), Zung Anxiety Self-Assessment Scale (ZUNG), and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with tuberculosis. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55.0%) were HIV-positive, 47 (26.1%), 85 (47.2%), and 69 (38.5%) indicated depression, anxiety, and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio [aPR] = 2.30; 95% confidence interval [CI] = 1.40, 3.78) and anxiety (aPR = 1.41; 95% CI = 1.05, 1.91). Prevalence of depression and anxiety were similar between HIV-infected and -uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new tuberculosis patients, regardless of HIV status.

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“…The literature identified several important factors that influence relationships between TB and different dimensions of mental illness. Gender is an especially pronounced factor: during diagnostic and treatment phases of TB treatment, women have consistently shown to have significantly poorer mental health outcomes, including general mental health [39], anxiety [47], depression [4,49,52,59,84], psychological distress [40,41,83,114], suicidality [59] and mental health-related quality of life. However in one exception, men scored higher than women in an outpatient hospital setting in Uttar Pradesh, India [46].…”

Section: Factors Influencing Relationships Between Tb and Mental Illnmentioning

confidence: 99%

Comorbidities between tuberculosis and common mental disorders: a scoping review of epidemiological patterns and person-centred care interventions from low-to-middle income and BRICS countries

et al. 2020

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Background: There is increasing evidence that the substantial global burden of disease for tuberculosis unfolds in concert with dimensions of common mental disorders. Person-centred care holds much promise to ameliorate these comorbidities in low-to-middle income countries (LMICs) and emerging economies. Towards this end, this paper aims to review 1) the nature and extent of tuberculosis and common mental disorder comorbidity and 2) person-centred tuberculosis care in low-to-middle income countries and emerging economies. Main text: A scoping review of 100 articles was conducted of English-language studies published from 2000 to 2019 in peer-reviewed and grey literature, using established guidelines, for each of the study objectives. Four broad tuberculosis/ mental disorder comorbidities were described in the literature, namely alcohol use and tuberculosis, depression and tuberculosis, anxiety and tuberculosis, and general mental health and tuberculosis. Rates of comorbidity varied widely across countries for depression, anxiety, alcohol use and general mental health. Alcohol use and tuberculosis were significantly related, especially in the context of poverty. The initial tuberculosis diagnostic episode had substantial sociopsychological effects on service users. While men tended to report higher rates of alcohol use and treatment default, women in general had worse mental health outcomes. Older age and a history of mental illness were also associated with pronounced tuberculosis and mental disorder comorbidity. Person-centred tuberculosis care interventions were almost absent, with only one study from Nepal identified. Conclusions: There is an emerging body of evidence describing the nature and extent of tuberculosis and mental disorders comorbidity in low-to-middle income countries. Despite the potential of person-centred interventions, evidence is limited. This review highlights a pronounced need to address psychosocial comorbidities with tuberculosis in LMICs, where models of person-centred tuberculosis care in routine care platforms may yield promising outcomes.

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Emotional distress patients with several types of tuberculosis. A pilot study with patients from the Sanatorium Hospital of Huambo

Abstract: Our study found high rates of anxiety, depression and emotional distress among TB patients. Marital status, gender, type and treatment of TB were related to higher levels of emotional disorder. Mental health services should be an integral part of programs against tuberculosis.

Cited by 17 publications

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Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia

Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia

The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

Comorbidities between tuberculosis and common mental disorders: a scoping review of epidemiological patterns and person-centred care interventions from low-to-middle income and BRICS countries

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