Galhenage J S, Rupasinghe J P, Abeywardena G S, de Silva A P, Williams S S, Gunasena B
National Hospital for Respiratory Diseases, Welisara, Sri
Ceylon Med J. 2016 Mar;61(1):37-40. doi: 10.4038/cmj.v61i1.8261.
A descriptive cross sectional study was carried out to determine prevalence of depression and anxiety and to describe disease perception among patients with tuberculosis (TB) at National Hospital for Respiratory Diseases (NHRD), Welisara. Consecutive patients on anti-TB therapy admitted to wards and attending clinic were recruited until the estimated sample of 430 was reached. They were assessed using Hospital Anxiety and Depression Scale (HADS) and Brief Illness Perception Questionnaire (BIPQ). A total of 254 in-ward patients and 176 clinic patients were included. Of the inward patients, 25.2% had depression and 12.6% had anxiety. Of the clinic patients, 17.6% screened were positive for anxiety and 8.5% screened were positive for depression. Mean BIPQ score was 27.44 for the whole population. Prevalence of depression was significantly higher among in-ward patients (25.2%, p<0.0001), elderly age groups (20.5%, p=0.007), patients with lower education levels (20.6%, p= 0.012) and previously treated patients (32.3%, p=0.004). In-ward group (50.8%, p=0.002), lower education group (48.7%, p<0.0001), previously treated group (60%, p=0.005) and patients with depression (60.8%, p=0.001) and anxiety (68.3%, p<0.0001) showed significanly higher BIPQ scores. Our study shows that depression and anxiety are common among patients receiving treatment for TB.
在韦利萨拉的国家呼吸系统疾病医院（NHRD）开展了一项描述性横断面研究，以确定抑郁症和焦虑症的患病率，并描述结核病（TB）患者对疾病的认知情况。连续招募入住病房和在门诊就诊且正在接受抗结核治疗的患者，直至达到430例的估计样本量。使用医院焦虑抑郁量表（HADS）和简短疾病认知问卷（BIPQ）对他们进行评估。共纳入254例住院患者和176例门诊患者。住院患者中，25.2%患有抑郁症，12.6%患有焦虑症。门诊患者中，17.6%的筛查结果显示焦虑呈阳性，8.5%的筛查结果显示抑郁呈阳性。整个人群的BIPQ平均得分为27.44。抑郁症患病率在住院患者中显著更高（25.2%，p<0.0001）、老年年龄组（20.5%，p=0.007）、教育水平较低的患者（20.6%，p = 0.012）以及既往接受过治疗的患者（32.3%，p=0.004）中更高。住院组（50.8%，p=0.002）、低教育组（48.7%，p<0.0001）、既往治疗组（60%，p=0.005）以及患有抑郁症（60.8%，p=0.001）和焦虑症（68.3%，p<0.0001）的患者的BIPQ得分显著更高。我们的研究表明，抑郁症和焦虑症在接受结核病治疗的患者中很常见。
