Author:
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1.
WHO, 2016. Global Tuberculosis Report 2016. Geneva, Switzerland: World Health Organization.
-
2.
Issa BA, Yussuf AD, Kuranga SI, 2009. Depression comorbidity among patients with tuberculosis in a university teaching hospital outpatient clinic in Nigeria. Ment Health Fam Med 6: 133–138.
-
3.
Balaji AL, Abhishekh HA, Kumar NC, Mehta RM, 2013. Depression in patients with pulmonary tuberculosis in a tertiary care general hospital. Asian J Psychiatr 6: 251–252.
-
4.
Duko B, Gebeyehu A, Ayano G, 2015. Prevalence and correlates of depression and anxiety among patients with tuberculosis at Wolaita Sodo University Hospital and Sodo Health Center, Wolaita Sodo, south Ethiopia, cross sectional study. BMC Psychiatry 15: 214.
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5.
Husain MO, Dearman SP, Chaudhry IB, Rizvi N, Waheed W, 2008. The relationship between anxiety, depression and illness perception in tuberculosis patients in Pakistan. Clin Pract Epidemiol Mental Health 4: 4.
-
6.
Kehbila J, Ekabe CJ, Aminde LN, Noubiap JJ, Fon PN, Monekosso GL, 2016. Prevalence and correlates of depressive symptoms in adult patients with pulmonary tuberculosis in the southwest region of Cameroon. Infect Dis Poverty 5: 51.
-
7.
Ambaw F, Mayston R, Hanlon C, Alem A, 2015. Depression among patients with tuberculosis: determinants, course and impact on pathways to care and treatment outcomes in a primary care setting in southern Ethiopia—a study protocol. BMJ Open 5: e007653.
-
8.
Kumar K, Kumar A, Chandra P, Kansal HM, 2016. A study of prevalence of depression and anxiety in patients suffering from tuberculosis. J Family Med Prim Care 5: 150–153.
-
9.
Shen TC, Wang CY, Lin CL, Liao WC, Chen CH, Tu CY, Hsia TC, Shih CM, Hsu WH, Chung CJ, 2014. People with tuberculosis are associated with a subsequent risk of depression. Eur J Intern Med 25: 936–940.
-
10.
Doherty AM, Kelly J, McDonald C, O’Dywer AM, Keane J, Cooney J, 2013. A review of the interplay between tuberculosis and mental health. Gen Hosp Psychiatry 35: 398–406.
-
11.
Wang PS, Bohn RL, Knight E, Glynn RJ, Mogun H, Avorn J, 2002. Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors. J Gen Intern Med 17: 504–511.
-
12.
Radloff LS, 1977. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1: 385–401.
-
13.
Smilkstein G, 1978. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract 6: 1231–1239.
-
14.
Wang Y, 2011. Report of the Fifth National Tuberculosis Epidemiological Survey. Beijing, China: Military Medical Science Press.
-
15.
Zhang J, Wu ZY, Fang G, Li J, Han BX, Chen ZY, 2010. Development of the Chinese norms of CES-D in urban area. Chin Ment Health J 24: 139–143.
-
16.
Zhang Y, Jia CX, Fan ZL, Li HF, Zhang JL, Han X, Zhao ZT, 2008. Study on depressive symptoms in rural residents in Shandong province. Chin J Publ Health 24: 1376–1378.
-
17.
Chang XR, Sun XB, Liu YX, Yuan ZS, Zhang JX, Xue FZ, 2013. Prevalence of depressive symptoms and its risk factors in the rural residents of Laiwu city. Shandong Daxue Xuebao Yixue Ban 51: 96–99.
-
18.
Lu QY, Yang XQ, Yang XQ, Zhang WY, Huang ZY, Tu Y, 2015. Study on the relationship between depressive status and personality traits in community residents in Beijing. J Int Psychiatry 42: 11–14.
-
19.
Xavier PB, Peixoto B, 2015. Emotional distress in Angolan patients with several types of tuberculosis. Afr Health Sci 15: 378–384.
-
20.
Perlick DA, Rosenheck RA, Clarkin JF, Sirey JA, Salahi J, Struening EL, Link BG, 2001. Stigma as a barrier to recovery: adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatr Serv 52: 1627–1632.
-
21.
Lee LY, Tung HH, Chen SC, Fu CH, 2017. Perceived stigma and depression in initially diagnosed pulmonary tuberculosis patients. J Clin Nurs 26: 4813–4821.
-
22.
Masumoto S, Yamamoto T, Ohkado A, Yoshimatsu S, Querri AG, Kamiya Y, 2014. Prevalence and associated factors of depressive state among pulmonary tuberculosis patients in Manila, The Philippines. Int J Tuberc Lung Dis 18: 174–179.
-
23.
Paz-Soldan VA, Alban RE, Jones CD, Oberhelman RA, 2013. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru: a qualitative study. BMC Health Serv Res 13: 290.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1452 | 1182 | 59 |
| Full Text Views | 1503 | 11 | 2 |
| PDF Downloads | 302 | 15 | 4 |
Prevalence of Depressive Symptoms and Related Risk Factors among Patients with Tuberculosis in China: A Multistage Cross-Sectional Study
Yanhong Gong
Yanhong Gong
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China;
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Shijiao Yan
Shijiao Yan
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China;
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Lei Qiu
Lei Qiu
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China;
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Shengchao Zhang
Shengchao Zhang
Bao’an Central Hospital of Shenzhen, Shenzhen, People’s Republic of China;
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Zuxun Lu
Zuxun Lu
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China;
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Yeqing Tong
Yeqing Tong
Center for Disease Control and Prevention of Hubei Province, Wuhan, People’s Republic of China;
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Pengqian Fang
Pengqian Fang
Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
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Xiaoxv Yin
Xiaoxv Yin
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China;
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Poor mental health among tuberculosis (TB) patients affects not only their compliance with treatments but also their daily lives. Few studies in China have evaluated depressive symptoms among TB patients. The present study aimed to determine the prevalence of depressive symptoms and its associated risk factors among Chinese TB patients. A total of 1,342 TB patients were recruited using a multistage sampling method and interviewed using a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Multinomial logistic regression analysis was performed to identify risk factors of depressive symptoms. Of the 1,342 participants included in this study, 48.0% had depressive symptoms. Of these, 34.8% and 13.2% had mild and moderate-to-severe depressive symptoms, respectively. Factors associated with depressive symptoms included family dysfunction, TB-related stigma, poor doctor–patient communication, and lack of knowledge about TB. Depressive symptoms are common among TB patients in China. Efforts of government and stakeholders in the development of relevant policy documents to prevent stigma and create social support for TB patients are necessary. This would not only promote their mental health but also improve their compliance with treatments.
Author Notes
Financial support: This project was funded by the Health and Family Planning Commission of Hubei Province (No. QJX2012-25) and the National Philosophy and Social Science Foundation of China (No. 15ZDC037).
Authors’ addresses: Yanhong Gong, Shijiao Yan, Lei Qiu, Zuxun Lu, and Xiaoxv Yin, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China, E-mails: gongyanhong@hust.edu.cn, iamjiaoha@126.com, qiuleihk@163.com, zuxunlu@yahoo.com, and yxx@hust.edu.cn. Shengchao Zhang, Bao’an Central Hospital of Shenzhen, Shenzhen, People’s Republic of China, E-mail: pocoo@126.com. Yeqing Tong, Center for Disease Control and Prevention of Hubei Province, Wuhan, People’s Republic of China, E-mail: 63382251@qq.com. Pengqian Fang, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China, E-mail: pfang@mails.tjmu.edu.cn.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
WHO, 2016. Global Tuberculosis Report 2016. Geneva, Switzerland: World Health Organization.
-
2.
Issa BA, Yussuf AD, Kuranga SI, 2009. Depression comorbidity among patients with tuberculosis in a university teaching hospital outpatient clinic in Nigeria. Ment Health Fam Med 6: 133–138.
-
3.
Balaji AL, Abhishekh HA, Kumar NC, Mehta RM, 2013. Depression in patients with pulmonary tuberculosis in a tertiary care general hospital. Asian J Psychiatr 6: 251–252.
-
4.
Duko B, Gebeyehu A, Ayano G, 2015. Prevalence and correlates of depression and anxiety among patients with tuberculosis at Wolaita Sodo University Hospital and Sodo Health Center, Wolaita Sodo, south Ethiopia, cross sectional study. BMC Psychiatry 15: 214.
-
5.
Husain MO, Dearman SP, Chaudhry IB, Rizvi N, Waheed W, 2008. The relationship between anxiety, depression and illness perception in tuberculosis patients in Pakistan. Clin Pract Epidemiol Mental Health 4: 4.
-
6.
Kehbila J, Ekabe CJ, Aminde LN, Noubiap JJ, Fon PN, Monekosso GL, 2016. Prevalence and correlates of depressive symptoms in adult patients with pulmonary tuberculosis in the southwest region of Cameroon. Infect Dis Poverty 5: 51.
-
7.
Ambaw F, Mayston R, Hanlon C, Alem A, 2015. Depression among patients with tuberculosis: determinants, course and impact on pathways to care and treatment outcomes in a primary care setting in southern Ethiopia—a study protocol. BMJ Open 5: e007653.
-
8.
Kumar K, Kumar A, Chandra P, Kansal HM, 2016. A study of prevalence of depression and anxiety in patients suffering from tuberculosis. J Family Med Prim Care 5: 150–153.
-
9.
Shen TC, Wang CY, Lin CL, Liao WC, Chen CH, Tu CY, Hsia TC, Shih CM, Hsu WH, Chung CJ, 2014. People with tuberculosis are associated with a subsequent risk of depression. Eur J Intern Med 25: 936–940.
-
10.
Doherty AM, Kelly J, McDonald C, O’Dywer AM, Keane J, Cooney J, 2013. A review of the interplay between tuberculosis and mental health. Gen Hosp Psychiatry 35: 398–406.
-
11.
Wang PS, Bohn RL, Knight E, Glynn RJ, Mogun H, Avorn J, 2002. Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors. J Gen Intern Med 17: 504–511.
-
12.
Radloff LS, 1977. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1: 385–401.
-
13.
Smilkstein G, 1978. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract 6: 1231–1239.
-
14.
Wang Y, 2011. Report of the Fifth National Tuberculosis Epidemiological Survey. Beijing, China: Military Medical Science Press.
-
15.
Zhang J, Wu ZY, Fang G, Li J, Han BX, Chen ZY, 2010. Development of the Chinese norms of CES-D in urban area. Chin Ment Health J 24: 139–143.
-
16.
Zhang Y, Jia CX, Fan ZL, Li HF, Zhang JL, Han X, Zhao ZT, 2008. Study on depressive symptoms in rural residents in Shandong province. Chin J Publ Health 24: 1376–1378.
-
17.
Chang XR, Sun XB, Liu YX, Yuan ZS, Zhang JX, Xue FZ, 2013. Prevalence of depressive symptoms and its risk factors in the rural residents of Laiwu city. Shandong Daxue Xuebao Yixue Ban 51: 96–99.
-
18.
Lu QY, Yang XQ, Yang XQ, Zhang WY, Huang ZY, Tu Y, 2015. Study on the relationship between depressive status and personality traits in community residents in Beijing. J Int Psychiatry 42: 11–14.
-
19.
Xavier PB, Peixoto B, 2015. Emotional distress in Angolan patients with several types of tuberculosis. Afr Health Sci 15: 378–384.
-
20.
Perlick DA, Rosenheck RA, Clarkin JF, Sirey JA, Salahi J, Struening EL, Link BG, 2001. Stigma as a barrier to recovery: adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatr Serv 52: 1627–1632.
-
21.
Lee LY, Tung HH, Chen SC, Fu CH, 2017. Perceived stigma and depression in initially diagnosed pulmonary tuberculosis patients. J Clin Nurs 26: 4813–4821.
-
22.
Masumoto S, Yamamoto T, Ohkado A, Yoshimatsu S, Querri AG, Kamiya Y, 2014. Prevalence and associated factors of depressive state among pulmonary tuberculosis patients in Manila, The Philippines. Int J Tuberc Lung Dis 18: 174–179.
-
23.
Paz-Soldan VA, Alban RE, Jones CD, Oberhelman RA, 2013. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru: a qualitative study. BMC Health Serv Res 13: 290.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1452 | 1182 | 59 |
| Full Text Views | 1503 | 11 | 2 |
| PDF Downloads | 302 | 15 | 4 |