PREVALENCE OF DEPRESSION IN HOSPITALIZED PATIENTS OF PULMONARY TUBERCULOSIS

Abstract

Objective: To find the prevalence of depression in admitted patients of pulmonary tuberculosis. Study Design: Cross-sectional study. Place and Duration of Study: Tuberculosis centre, Pak Emirates Military Hospital Rawalpindi and Medicine department Combined Military Hospital Peshawar, from Dec 2017 to May 2018. Methodology: One hundred and six patients of both genders admitted due to pulmonary tuberculosis for more than 2 weeks were taken into study. Individuals on treatment for depression before diagnosis of tuberculosis on medical records and patients with chronic debilitating diseases liable to depression were excluded. All patients were interviewed and scored on Hamilton Depression Rating Scale. Data was noted on especially designed proforma. Statistical analysis was done on SPSS-22. Results: Mean age of the patients was 37.452 ± 9.26 years with range from 20 to 60 years. Mean duration of tuberculosis was 4.283 ± 1.21 months and mean duration of hospitalization was 3.584 ± 0.65 weeks while mean weight was 70.839 ± 8.85 Kg. Majority of the patients were male 54 (50.9%) and married 79 (74.5%). Depression was seen in 45 (42.5%) patients. Conclusion: The effects of chronic diseases such as tuberculosis are not only physical but also include mental health dysfunction which can lead to poor drug compliance and ultimately drug resistance. In our study depression was recorded in 42.5% of patients hospitalized for treatment of tuberculosis. Thus, all admitted patients of tuberculosis should be screened for depression and managed in collaboration with psychiatrist.

Keywords

• depression
• pulmonary tuberculosis
• prevalence