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- Title
Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil.
- Authors
de Castro-Silva, Karina M.; Carvalho, Anna C.; Cavalcanti, Maria T.; Martins, Pedro da S.; França, JoséR.; Oquendo, Maria; Kritski, Afrânio L.; Sweetland, Annika
- Abstract
To estimate the prevalence of major depressive episode (MDE) in patients with presumptive pulmonary tuberculosis (pre-PTB, defined by cough lasting X 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 X 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 chisquare 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.
- Subjects
BRAZIL; TUBERCULOSIS; DISEASE prevalence; UNIVARIATE analysis; MULTIVARIATE analysis; TUBERCULOSIS patients
- Publication
Brazilian Journal of Psychiatry / Revista Brasileira de Psiquiatria, 2019, Vol 41, Issue 4, p316
- ISSN
1516-4446
- Publication type
Article
- DOI
10.1590/1516-4446-2018-0076