Paulo Benvinda Xavier, Peixoto Bruno
Sanatorium Hospital of Huambo, Huambo, Angola.
CESPU, Instituto Universitário de Ciências da Saúde (SciencesDepartment), Gandra, Portugal.
Int J Mycobacteriol. 2016 Dec;5 Suppl 1:S58. doi: 10.1016/j.ijmyco.2016.11.002. Epub 2016 Nov 19.
There is growing evidence that emotional distress expressed in terms of anxiety and depression it is very high among tuberculosis (TB) patients.
This study aims to determine levels of anxiety, depression and emotional distress in patients with several types of TB and to determine the association between social-demographic and economical factors, clinical variables and anxiety, depression and emotional distress.
A cross-sectional study was performed in a sample of 81 TB patients. A social-demographic and economical questionnaire was used, followed by the Hospital Anxiety and Depression Scale.
38.3% and 49.4% of our sample presented significant levels of anxiety and depression. 44.4% of patients had significant levels of emotional distress. Married subjects, a diagnosis of extra-pulmonary TB and multidrug resistant TB were related to higher risk for anxiety. Gender, extra-pulmonary and multidrug resistant TB were associated to depression. Female gender and cases of extra-pulmonary TB presented a 1,5 times risk for emotional distress.
Our study found high rates of anxiety, depression and emotional distress among TB patients. Marital status, gender, type and treatment of TB were related to higher levels of emotional disorder. Mental health services should be an integral part of programs against tuberculosis.
越来越多的证据表明，结核病（TB）患者中以焦虑和抑郁表现出的情绪困扰非常高。
本研究旨在确定几种类型结核病患者的焦虑、抑郁和情绪困扰水平，并确定社会人口统计学和经济因素、临床变量与焦虑、抑郁和情绪困扰之间的关联。
对81例结核病患者进行了横断面研究。使用了社会人口统计学和经济问卷，随后使用医院焦虑抑郁量表。
我们样本中的38.3%和49.4%表现出显著的焦虑和抑郁水平。44.4%的患者有显著的情绪困扰水平。已婚受试者、肺外结核诊断和耐多药结核与焦虑风险较高有关。性别、肺外结核和耐多药结核与抑郁有关。女性和肺外结核病例出现情绪困扰的风险是1.5倍。
我们的研究发现结核病患者中焦虑、抑郁和情绪困扰的发生率很高。婚姻状况、性别、结核病类型和治疗与情绪障碍水平较高有关。心理健康服务应成为结核病防治项目的一个组成部分。
