Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 41(4): 316-323, July-Aug. 2019. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1011503
Biblioteca responsable:
BR1.1
ABSTRACT
Objective:
To estimate the prevalence of major depressive episode (MDE) in patients with presumptive pulmonary tuberculosis (pre-PTB, defined by cough lasting ≥ 3 weeks) and compare it between patients with pulmonary tuberculosis (PTB) and without PTB.Methods:
Patients with pre-PTB (n=260) were screened for depression using the Patient Health Questionnaire (PHQ-9). Those individuals with scores ≥ 10 were subsequently assessed with the depression module of the Mini International Neuropsychiatric Interview (MINI-Plus) to confirm diagnosis. Associations of categorical variables with PTB and MDE were calculated using the chi-square test and OR.Results:
PTB was confirmed in 98 patients (37.7%). A high proportion of both groups (active PTB and no PTB) screened positive for depression (60.2 vs. 62.1%, respectively). Among 159 patients who screened positive for depression, a subset of 97 (61.0%) were further evaluated with the MINI-Plus; current MDE was confirmed in 54.6% (53/97). On univariate and multivariate analysis, female sex was the only factor associated with the diagnosis of current MDE (p = 0.04).Conclusion:
The prevalence of MDE was high among individuals with prolonged respiratory symptoms, independent of PTB diagnosis. This is consistent with other studies of depression in primary care in Brazil.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Meta 3.8 Alcanzar cobertura universal de salud
/
Enfermedades Desatendidas
Problema de salud:
Coordinación Multisectorial
/
Enfermedades Desatendidas
/
Tuberculosis
Base de datos:
LILACS
Asunto principal:
Tuberculosis Pulmonar
/
Depresión
/
Trastorno Depresivo Mayor
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio de prevalencia
/
Investigación cualitativa
/
Factores de riesgo
Aspecto:
Equidad y inequidad
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Asunto de la revista:
Psiquiatria
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Estados Unidos
Institución/País de afiliación:
Columbia College of Physicians & Surgeons/US
/
Faculdade de Medicina/BR
/
Instituto Oswaldo Cruz (IOC), Fundação Oswaldo Cruz (Fiocruz)/BR
/
Universidade Federal do Rio de Janeiro (UFRJ)/BR
/
University of Pennsylvania/US