PSYCHIATRIC MORBIDITY IN PEOPLE WITH TUBERCULOSIS: A CROSS SECTIONAL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 43
Abstract
BACKGROUND Tuberculosis ranks alongside Human Immunodeficiency Virus as a leading cause of death worldwide.1,2 Psychiatric disorders in chronic medical illnesses have been found to be associated with poor compliance in previous studies. Poor compliance in tuberculosis can have drastic consequences including emergence of drug resistance.1,2,3,4,5 In this study, we have attempted to study the prevalence of psychiatric disorders in tuberculosis at a tertiary care centre in Chennai. The objectives of the study were1. To assess the prevalence of psychiatric illnesses in people undergoing treatment for tuberculosis. 2. To assess the association between psychiatric comorbidity and different socio-demographic factors (age, gender, education) and tuberculosis disease related factors. 3. To assess the relationship between psychiatric comorbidity and negative behavioural factors like history of defaulting. MATERIALS AND METHODS Ours is a cross sectional study conducted at the Department of Thoracic Medicine in Government Kilpauk Medical College, Chennai. A total of 106 patients were interviewed and examined. RESULTS We observed that 63.12% of the patients had at least one psychiatric illness. About 62.6% had depressive disorder. Anxiety disorders were found in 23.5%. We also found significant relationships between the following: male gender and presence of psychiatric illnesses, joint family and presence of psychiatric illnesses, dyspnoea grade 3 or more and presence of psychiatric illnesses, dyspnoea grade 3 or more and severity of depression. CONCLUSION The high prevalence of psychiatric disorders in people with tuberculosis warrants specific screening and management.
Authors and Affiliations
Kannan P. P. , Malaiappan M. , David Malaiarasan
Keywords
Related Articles
- EP ID EP598957
- DOI 10.18410/jebmh/2018/617
- Views 88
- Downloads 0
ASSESSING THYROID PROFILE IN PATIENTS WITH METABOLIC SYNDROME AS PER IDF CRITERIA
BACKGROUND Thyroid hormones are major regulatory hormones and increase the rate of metabolic functions and may be associated with metabolic syndrome. The aim and objective of the study is to study thyroid function in pat...
GASTRO INTESTINAL FISTULA
Gastrointestinal fistula is a common problem faced by General and Gastrointestinal surgeons. Many times it is a disaster after abdominal operation. Though conservative management heals many fistulae, it is sometimes nece...
AXILLARY ARTERY- A STUDY ON BRANCHING PATTERN AND VARIATIONS
BACKGROUND Study of variations in the branching pattern of axillary artery is of considerable importance. There may be variations in the origin of branches, additional branches or 2 or more from common trunk or the arter...
ROLE OF SONOLOGICAL AND PLAIN ABDOMINAL RADIOGRAPHY IN EVALUATION OF ACUTE ABDOMEN
BACKGROUND Acute abdominal pain is a common complaint of patients presenting at the Emergency Department. Plain X-Ray as well as ultrasonography are the two most commonly used modalities in diagnosing the causes of acute...
INTRATHORACIC RUPTURE OF HEPATIC HYDATID CYST- A RARE COMPLICATION OF HYDATID DISEASE
PRESENTATION OF CASE Intrathoracic rupture with resultant pleurobiliary and/or bronchobiliary fistula is a rare but potentially life threatening complication of hepatic hydatid cyst. We report a case of a trans-diaphragm...