The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 65 , ISSUE 1 ( January-March, 2023 ) > List of Articles

Original Article

Psychiatric Morbidity in Patients of Pulmonary Tuberculosis According to Sociodemographic Profile

Aashish Kumar Singh, Rajesh Bajiya, Gaurav Rajender

Keywords : Chest disease, Pulmonary, Tuberculosis

Citation Information : Singh AK, Bajiya R, Rajender G. Psychiatric Morbidity in Patients of Pulmonary Tuberculosis According to Sociodemographic Profile. Indian J Chest Dis Allied Sci 2023; 65 (1):27-31.

DOI: 10.5005/jp-journals-11007-0061

License: CC BY-NC 4.0

Published Online: 29-06-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: An association has been described between tuberculosis (TB) and common mental disorders. We aimed to evaluate the patterns of psychiatric morbidities in patients with pulmonary TB. Methods: This was a prospective study conducted over a period of 1 year. A total of 100 patients were recruited for the study. Baseline psychiatric morbidity was assessed after 2 weeks of diagnosis and at the end of an intensive phase (IP). Results: In the present study, 56% of patients with pulmonary TB had morbid baseline psychiatric disorders. The major depressive episode was the most common morbid psychiatric disorder (39%), followed by panic disorder (9%), generalized anxiety disorder (GAD) (6%), and agoraphobia (2%). The psychiatric morbidity dropped to 15%. Major depressive episode dropped to 13%, followed by GAD and panic disorder (1%) each at the end of an IP. Conclusion: Because of high burden of psychiatric morbidity associated with pulmonary TB, there is a need for psychiatric services to be made available to these patients.

  1. Global tuberculosis report 2021. 2021.
  2. Lara-Espinosa JV, Hernández-Pando R. Psychiatric problems in pulmonary tuberculosis: depression and anxiety. J Tuberc Res 2021;9(1): 31–50. DOI: 10.4236/jtr.2021.91003.
  3. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789–1858.
  4. Dahiya S, Khichi SK, Goel PK, et al. Prevalence of depression among tuberculosis patients. Sch J App Med Sci 2017;5(6C):2212–2215. DOI: 10.21276/sjams.
  5. Issa BA, Yussuf AD, Kuranga S. Depression comorbidity among patients with tuberculosis in a university teaching hospital outpatient clinic in Nigeria. Mental Health in Family Medicine 2009;6:133–138. PMID: 22477903.
  6. Westaway MS, Wolmarans L. Depression and self-esteem: rapid screening for depression in black, low literacy, hospitalized tuberculosis patients. Soc Sci Med 1992;35(10):1311–1315. DOI: 10.1016/0277-9536(92)90184-r.
  7. Aghanwa HS, Erhabor GE. Demographic/socioeconomic factors in mental disorders associated with tuberculosis in Southwest Nigeria. J Psychosom Res 1998;45(4):353–360. DOI: 10.1016/s0022-3999(98)00006-3.
  8. Mavila R, Kottarath MD, Naseer M, et al. Clinico-pathological profile of abdominal tuberculosis and their treatment response in a tertiary care centre. Int J Res Med Sci 2016;4:5120–5124. DOI: 10.18203/2320-6012.ijrms20164024.
  9. Salodia UP, Sethi S, Khokar A. Depression among tuberculosis patients attending a DOTS centre in rural area of Delhi. A cross sectional study. Indian J Public Health 2019; 63:39–43. DOI: 10.4103/ijph.IJPH_109_18.
  10. Trenton AJ, Currier GW. Treatment of comorbid tuberculosis and depression. Primary Care Companion J Clin Psychiatry 2001;3:236–243. DOI: 10.4088/pcc.v03n0610.
  11. Debnath DJ, Kakkar R. Modified BG Prasad Socio-economic Classification, Updated – 2020. Indian J Community Health 2020; 32(1). DOI: 10.4103/JIMPH.JIMPH_1_21.
  12. Mini International Neuropsychiatric Interview (MINI) 7.0.2 neuropsychiatric-interview-mini-7-0-2-13.
  13. Guo N, Marra F, Marra CA. Measuring health-related quality of life in tuberculosis: A systematic review. Health Qual Life Outcomes 2009;7:14. DOI: 10.1186/1477-7525-7-14.
  14. Moussas G, Tselebis A, Karkanias A, et al. A comparative study of anxiety and depression in patients with bronchial asthma, chronic obstructive pulmonary disease and tuberculosis in a general hospital of chest diseases. Ann Gen Psychiatry 2008;7:7. DOI: 10.1186/1744-859X-7-7.
  15. Stern TA, Fricchione GL, Rosenbaum JF. Massachusetts General Hospital Handbook of General Hospital Psychiatry-E-Book. Massachusetts: Elsevier Health Sciences, 2010.
  16. Panchal SL. Correlation with duration and depression in TB patients in rural Jaipur district (NIMS Hospital). Int J Pharm Bio Sci 2011;2(2):263–267. Corpus ID: 79417484.
  17. Ahola K, Virtanen M, Honkonen T, et al. Common mental disorders and subsequent work disability: a population-based Health 2000 Study. J Affect Disord 2011;134(1–3):365–372. DOI: 10.1016/j.jad.2011.05.028.
  18. Duko B, Gebeyehu A, Ayano G. Prevalence and correlates of depression and anxiety among patients with tuberculosis at Wolaita Sodo University Hospital and Sodo Health Center, WolaitaSodo, South Ethiopia, Cross sectional study. BMC Psychiatry 2015;15:214. DOI: 10.1186/s12888-015-0598-3.
  19. Kumar K, Kumar A, Chandra P, et al. A study of prevalence of depression and anxiety in patients suffering from tuberculosis. J Family Med Prim Care 2016;5(1):150–153. DOI: 10.4103/2249-4863.184641.
  20. Aamir S, Aisha. Co-morbid anxiety and depression among pulmonary tuberculosis patients. J Coll Physicians Surg Pak 2010;20(10):703–704. DOI: 10.2010/JCPSP.703704.
  21. Yadav BS, Jain SC, Sharma G, et al. Psychiatric morbidity in pulmonary tuberculosis. Indian J Tuberc 1980;27:167–171.
  22. Husain MO, Dearman SP, Chaudhry IB, et al. The relationship between anxiety, depression and illness perception in tuberculosis patients in Pakistan. Clin Pract Epidemiol Mental Health 2008;4:4. DOI: 10.1186/1745-0179-4-4.
  23. Maikandaan CJ, Praveen Kumar RS, Vivian Kapil V, et al. A study of psychiatric morbidity in patients suffering from pulmonary tuberculosis. Global J Res Analysis 2016;5:10–13. DOI: 10.36106.
  24. Atif M, Sulaiman SA, Shafie AA, et al. Impact of tuberculosis treatment on health-related quality of life of pulmonary tuberculosis patients: a follow-up study. Health Quality of Life Outcomes 2014;12:19. DOI: 10.1186/1477-7525-12-19.
  25. Kruijshaar ME, Lipman M, Essink-Bot M-L, et al. Health status of UK patients with active tuberculosis. Int J Tuberc Lung Dis 2010;14(3):296–302. PMID: 20132620.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.