Depressive syndrome, anxiety and illness perception in Tuberculosis patients

摘要

The incidence of tuberculosis varies in different country, and is very high in Romania. There is a high prevalence of mental illness in TB patients, but primary care physicians and pneumologist do not screen this association The aims of this study were to evaluate the incidence of depressive syndrome and anxiety in tuberculosis patients hospitalized in Leon Daniello Pneumology Clinical and Savadisla Sanatorium between January 2010- October 2010. The subject replied to the questionnaires (Beck Depression Inventory-BDI, State Trait Anxiety Inventory STAI, and Illness Perception Questionnaire -IPQ) in the present of psychologists, familiarized with such tests. Depression and anxiety are very high in patients with tuberculosis, in our study (6, 78 % for severe depression, 32, 20% moderate depression and 32, 20 for severe, 40, 68% for moderate anxiety).For patients at first admission in hospital (new case) the anxiety score is high than for chronic patients or with multiple admission, .Depression was positively correlated with anxiety (p=0.001) for patient with tuberculosis Evaluation of mental disorders from tuberculosis patients may increase treatment compliance and reduce relapse. This can ameliorate the prognosis quality of life of patients with this chronic disease. Pneumologist need to develop systematic strategies to screen the mental disorders symptoms in tuberculosis patients and must ask aide from psychology or psychiatric doctor for treat these co morbidities.