<p>Prevalence and Associated Factors of Depression and Anxiety Among Patients with Pulmonary Tuberculosis Attending Treatment at Public Health Facilities in Southwest Ethiopia</p>

Abstract

Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/_jigxUi-oQQBackground: Depression and anxiety are the most commonly occurring psychiatric comorbidities among patients with pulmonary tuberculosis (PTB). Co-occurring anxiety and depression in PTB patients result in poor adherence to anti-tuberculosis medication. This in turn results in lower success rate of treatment and an upsurge in morbidity and mortality. Despite this problem existing globally, little has been explored in southwest Ethiopia. Objective: The aim of this study was to assess the prevalence and associated factors of depression and anxiety among patients with pulmonary tuberculosis receiving treatment at public health facilities in southwest Ethiopia. Materials and Methods: A facility-based cross-sectional study was conducted from April to May 2019. Data were collected from 410 PTB patients using hospital anxiety and depression scale (HADS). Epi data version 3.1 and SPSS version 23 were used to enter and analyze data respectively. Multiple logistic regressions were fitted to identify the strength of association between outcome and explanatory variables. P <0.05 was considered statistically significant. Results: Prevalence of depression and anxiety among PTB patients were 229 (55.9 %) and 224 (54.6%), respectively. High perceived stress [AOR=3.61 (1.99, 6.53)], perceived stigma [AOR=10.13 (5.52, 18.63)], being in an intensive phase of treatment [AOR= 3.33 (1.83, 6.07)], and low body mass index [AOR=2.07 (1.13, 3.80)] were significantly associated with depression. Being female [AOR=2.42 (1.39, 4.22)], perceived stigma [AOR=3.58 (1.99, 6.42)], high perceived stress [AOR=4.40 (2.52, 7.69)], and family history of mental illness [AOR=2.66 (1.19, 5.94)] had significant association with anxiety. Conclusion: More than half of the study participants were found to have probable depression and anxiety. This indicates the need to pay attention to the mental health condition of patients with PTB, particularly to those with identified risk factors.

A systematic review and psychometric appraisal of instruments measuring tuberculosis stigma in Sub-Saharan Africa.

“…Among these 13 studies which used a validated instrument, most were conducted in Ethiopia (Duko et al, 2015(Duko et al, , 2019Mohammedhussein, Alenko, et al, 2020;Mohammedhussein, Hajure, et al, 2020;Molla, Mengesha, et al, 2019;Molla, Mekuriaw, Kerebih, 2019). Two studies were conducted in Lesotho (Hayes-Larson et al, 2017a, 2017b, two in South Africa (Bresenham et al, 2020;Naidu et al, 2020), one was conducted in Kenya (Mbuthia et al, 2020), one in Swaziland (Nkambule et al, 2019), and one was conducted in Botswana (Zetola et al, 2012).…”

“…Two additional studies used an instrument developed by Soma and colleagues to measure perceived TB stigma in Ethiopia (Mohammedhussein, Alenko, et al, 2020; This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

Mood Symptoms, Suicide, and Associated Factors Among Jimma Community. A Cross-Sectional Study

“…Most the studies conducted on depression, anxiety, mania, and suicide behavior in Ethiopia were among prisoners ( 91 ), substance users ( 92 ), university staffs and students ( 93 , 94 ), women ( 95 ), pregnant women ( 96 , 97 ), postpartum mothers ( 98 ), children ( 99 ), medically ill patients ( 100 – 103 ), epileptic patients ( 104 ), disorder threshold level ( 39 , 105 , 106 ), and in the context of common mental disorders ( 13 , 107 ). Our study finding has a unique contribution as it has revealed the rural community mental health problems characteristics.…”

Correlations Between Inflammatory Biomarkers in Tuberculosis-Associated Obstructive Pulmonary Disease Patients With Anxiety and Depression

“…Signs and symptoms of depression and anxiety are often overlooked in TOPD patients, making them difficult to identify and treat. There are numerous studies reporting that psychiatric morbidities such as anxiety and depression are common among patients with TB and COPD [11][12][13].…”