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
Article
Dans Anglais
| LILACS
| ID: biblio-1011503
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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Tuberculose pulmonaire
/
Dépression
/
Trouble dépressif majeur
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude de prévalence
/
Recherche qualitative
/
Facteurs de risque
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Anglais
Texte intégral:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Thème du journal:
Psychiatrie
Année:
2019
Type:
Article
Pays d'affiliation:
Brésil
/
États-Unis d'Amérique
Institution/Pays d'affiliation:
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
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS