Assessment of anxiety-depressive status in patients with various forms of pulmonary tuberculosis

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.