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
Artigo
em Inglês
| LILACS
| ID: biblio-1011503
Biblioteca responsável:
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:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Doenças Negligenciadas
Problema de saúde:
Coordenação Multissetorial
/
Doenças Negligenciadas
/
Tuberculose
Base de dados:
LILACS
Assunto principal:
Tuberculose Pulmonar
/
Depressão
/
Transtorno Depressivo Maior
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Aspecto:
Equidade e iniquidade
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Assunto da revista:
Psiquiatria
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Estados Unidos
Instituição/País de afiliação:
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