Assessment of Psychiatric Illness among Pulmonary Tuberculosis Patients at a Tertiary Care Center in India.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-13 DOI:10.4103/aam.aam_18_24

Prashant Yadav, Ashish Kumar Gupta, Aditya Kumar Gautam, Sumit Arya, Adesh Kumar, Arun Kumar Mishra, Sandeep Gupta

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Abstract

Introduction: Tuberculosis (TB) is a chronic infectious multisystemic disease caused by Mycobacterium tuberculosis and is one of the leading causes of mortality worldwide. Both common mental disorders (CMD) and TB are global public health problems that have a considerable impact on human health. Moreover, TB and CMDs share common risk factors including poverty, drug addiction, and homelessness and the coexistence of CMD and TB leads to difficult management of TB.

Materials and methods: This was a hospital-based longitudinal study, carried out between June 2021 and December 2022. In this study, 147 pulmonary TB patients were included as per inclusion and exclusion criteria, and psychiatric illness was evaluated by the Brief Psychiatric Rating Scale.

Results: The mean age of study participants was 37.59 ± 15.37 years, there were 99 (67.3%) were male and 48 (32.7%) were female. Psychiatric illness was found in 77 (52.38%) pulmonary TB patients. Among psychiatric illness, anxiety was found in 33 (22.4%) participants and 21 (14.3%) participants had depression. Mixed anxiety and depression were found in 20 (13.6%) patients and 03 (2%) participants had severe psychosis. The association of psychiatric illness with age group and gender was not significant ( P = 0.734, 0.203, respectively). There were 105 (71.40%) patients who had <12 standard education and 42 (28.60%) had >12 standard education and their association with psychiatric illness was statistically significant ( P = 0.044). Adverse drug reactions were found among 80 (54.42%) patients and the association between adverse drug reactions and psychiatric illness was significant ( P = 0.031).

Conclusion: Psychiatric illness is one of the important domains to be evaluated in timely manner in TB patients and early intervention is needed for better management of the TB because the severity, social factors, and chronicity of the disease make them susceptible to develop psychiatric illness.

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印度一家三级医疗中心肺结核患者的精神疾病评估。

导言：结核病（TB）是一种由结核分枝杆菌引起的多系统慢性传染病，也是导致全球死亡的主要原因之一。常见精神障碍（CMD）和结核病都是全球性的公共卫生问题，对人类健康有着重大影响。此外，结核病和常见精神障碍有着共同的风险因素，包括贫困、吸毒成瘾和无家可归，而常见精神障碍和结核病的并存导致了结核病的管理困难：这是一项基于医院的纵向研究，于 2021 年 6 月至 2022 年 12 月间进行。根据纳入和排除标准，本研究纳入了 147 名肺结核患者，并通过简易精神病评定量表对其精神疾病进行了评估：研究参与者的平均年龄为（37.59±15.37）岁，其中 99 人（67.3%）为男性，48 人（32.7%）为女性。77名肺结核患者（52.38%）患有精神疾病。在精神疾病中，33 人（22.4%）患有焦虑症，21 人（14.3%）患有抑郁症。20（13.6%）名患者同时患有焦虑症和抑郁症，03（2%）名患者患有严重精神病。精神疾病与年龄组和性别的关系不显著（P = 0.734，0.203）。有 105 名患者（71.40%）接受过 12 个标准的教育，他们与精神病的关系有统计学意义（P = 0.044）。80名（54.42%）患者出现了药物不良反应，药物不良反应与精神疾病之间的关联具有显著性（P = 0.031）：精神疾病是结核病患者需要及时评估的重要领域之一，由于结核病的严重性、社会因素和长期性，他们很容易患上精神疾病，因此需要早期干预，以便更好地管理结核病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

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0.00%

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期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.