Assessment of anxiety-depressive status in patients with various forms of pulmonary tuberculosis
https://doi.org/10.33667/2078-5637-2022-21-37-42
Abstract
The urgency of the problem is caused by the high prevalence of anxiety-depressive disorders in patients with somatic pathology, including tuberculosis. The aim of the study was to study the level of anxiety and depression among patients with pulmonary tuberculosis undergoing treatment in a hospital setting, taking into account the clinical form of pulmonary tuberculosis, age and gender parameters. Screening testing of 500 patients undergoing inpatient treatment for pulmonary tuberculosis was carried out using the HADS scale. The sample consisted of 274 female and 226 male patients aged 18 to 72 years. The study showed the presence of anxiety and/or depression of varying severity on the HADS scale in almost half of the respondents (42.4 %). Approximately 30 % of patients with anxiety symptoms were also diagnosed with probable depression. The prevalence of concomitant depression and anxiety among tuberculosis patients was especially high among patients with an infiltrative form of pathology. The highest rates of anxiety and depression were detected in female and young patients. The study showed that tuberculosis clinics need to develop recommendations for screening, diagnosis and treatment of anxiety and depressive disorders in tuberculosis patients.
About the Authors
A. Yu. Berezantsev
Central Clinical Psychiatric Hospital; Psychiatric Clinical Hospital № 1 n. a. N. A. Alekseev
Russian Federation
Russian Federation
Berezantsev Andrey Yu., DM Sci (habil.), professor, leading forensic psychiatristexpert, psychotherapist
Moscow
N. L. Karpina
Central Research Institute of Tuberculosis
Russian Federation
Russian Federation
Karpina Natalya L., DM Sci (habil.), professor, deputy director for scientific work, head of Centre for Diagnosis and Rehabilitation of Respiratory Diseases
Moscow
D. A. Minochkin
Psychiatric Clinical Hospital № 1 n. a. N. A. Alekseev; Central Research Institute of Tuberculosis
Russian Federation
Russian Federation
Minochkin Dmitry A., psychiatrist, correspondence post-graduate student
Moscow
A. V. Masyakin
Central Clinical Psychiatric Hospital
Russian Federation
Russian Federation
Masyakin Anton V., DM Sci (habil.), chief physician
Moscow
References
1. Seltsovsky P. P. Belilovsky E. M. Monitoring and system analysis of the epidemiological situation of tuberculosis. Scientific works (On the 80th anniversary of the birth of Honored scientist, professor, academician of the Russian Academy of Sciences V. I. Litvinov). – Moscow: LLC «Sam Polygraphist», 2021. P. 80–92. https://elibrary.ru/mpypop (in Russ.)
2. Tuberculosis disease statistics 2022. [Electronic resource] https://stromynka7.ru/blog/statistika-zabolevanij-tuberkulezom-2022 (in Russ.) Дата обращения 03.07.2022.
3. Dzhumaniyazova G. M. Bekchanova B. B. Tuberculosis in the practice of a polyclinic doctor. European Science. 2020; 1 (50): 73–76. (in Russ.) https://elibrary.ru/upipod
4. Mordyk A. V., Udalova T. Yu., Bagisheva N. V., Rudenko S. A., Ivanova O. G., Aroyan A. R., Goryunova T. A. Characteristics of depressive tendencies in patients with newly diagnosed tuberculosis. Bulletin of the I. I. Mechnikov Northwestern State Medical University. 2016; 2 (8): 82–88. (in Russ.) https://elibrary.ru/wlsqxt
5. Shubina A. T., Borodulina E. A., Gerasimov A. N., Yakovleva E. V. Pulmonary tuberculosis in pulmonological practice. Siberian Scientific Medical Journal. 2021; (3) 41: 78–84. (in Russ.) https://doi.org/10.18699/SSMJ20210311; https://elibrary.ru/ydlgxl
6. Husain M. O., Dearman S. P., Chaudhry I. B., Rizvi N., Waheed W. The relationship between anxiety, depression and illness perception in tuberculosis patients in Pakistan. Clinical practice and epidemiology in mental health. 2008; 4. 4. https://doi.org/10.1186/1745–0179–4–4
7. Olssøn I., Mykletun A., Dahl A. A. The hospital anxiety and depression rating scale: A cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry. 2005; 5(46). https://doi.org/10.1186/1471–244X-5–46
8. Wang X., Li X., Zhang Q., Zhang J., Chen H., Xu W., Fu Y., Wang Q., Kang J. and Hou G. A Survey of Anxiety and Depressive Symptoms in Pulmonary Tuberculosis Patients with and Without Tracheobronchial Tuberculosis. Frontiers in Psychiatry. 2018; 9: 308. https://doi.org/10.3389/fpsyt.2018.00308
9. Boechko D. I., Prilensky B. Yu., Kozlova O. F., Kozlova A. V., Kashuba E. V., Artititkova P. A., Asyamova E. I. The influence of infectious diseases of the respiratory tract on the development of anxiety and depressive disorders. Current scientific research in the modern world. 2021. No. 2–4 (70): 38–41. (in Russ.) https://elibrary.ru/skklyk
10. World Health Organization. Comprehensive Mental Health Action Plan 2013–2030. Geneva: World Health Organization, 2021. https://www.who.int/initiatives/mentalhealth-action-plan-2013–2030 (Available at 03.07.2022)
11. World Health Organization. World mental health report: Transforming mental health for all. Geneva: World Health Organization, 2022. https://www.who.int/teams/mental-health-and-substance-use/world-mental-health-report (Available at 03.07.2022).
12. Iosifescu D. V., Clementi Craven N., Fraguas R. et al. Cardiovascular risk factors may moderate pharmacological treatment effects in major depressive disorder. Psychosom Med. 2005; 67: 703–6. https://doi.org/10.1097/01.psy.0000170338.75346.d0
13. Arroll B., Khin N., Kerse N. Screening for depression in primary care with two verbally asked questions: cross sectional study. BMJ. 2003; 327: 1144–1146. https://doi.org/10.1136/bmj.327.7424.1144
14. O’Connor E.A., Whitlock E. P., Beil T. L., Gaynes B. N. Screening for depression in adult patients in primary care settings: A systematic evidence review. Annals of Internal Medicine. 2009: 151 (11). 793–803. https://doi.org/10.7326/0003–4819–151–11–200912010–00007
15. Depression in adults: Screening. US Preventive Services Task Force [Electronic resource]. https://www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/depression-in-adults-screening (Available at 03.07.2022).
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For citations:
Berezantsev A.Yu., Karpina N.L., Minochkin D.A., Masyakin A.V. Assessment of anxiety-depressive status in patients with various forms of pulmonary tuberculosis. Medical alphabet. 2022;(21):37-42. (In Russ.) https://doi.org/10.33667/2078-5637-2022-21-37-42
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