Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: de Castro-Silva,Karina M.
Data de Publicação: 2019
Outros Autores: Carvalho,Anna C., Cavalcanti,Maria T., Martins,Pedro da S., França,José R., Oquendo,Maria, Kritski,Afrânio L., Sweetland,Annika
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019000400316
Resumo: 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.
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spelling Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, BrazilDepressiontuberculosisprevalence 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.Associação Brasileira de Psiquiatria2019-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019000400316Brazilian Journal of Psychiatry v.41 n.4 2019reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/1516-4446-2018-0076info:eu-repo/semantics/openAccessde Castro-Silva,Karina M.Carvalho,Anna C.Cavalcanti,Maria T.Martins,Pedro da S.França,José R.Oquendo,MariaKritski,Afrânio L.Sweetland,Annikaeng2019-10-11T00:00:00Zoai:scielo:S1516-44462019000400316Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2019-10-11T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
title Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
spellingShingle Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
de Castro-Silva,Karina M.
Depression
tuberculosis
prevalence
title_short Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
title_full Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
title_fullStr Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
title_full_unstemmed Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
title_sort Prevalence of depression among patients with presumptive pulmonary tuberculosis in Rio de Janeiro, Brazil
author de Castro-Silva,Karina M.
author_facet de Castro-Silva,Karina M.
Carvalho,Anna C.
Cavalcanti,Maria T.
Martins,Pedro da S.
França,José R.
Oquendo,Maria
Kritski,Afrânio L.
Sweetland,Annika
author_role author
author2 Carvalho,Anna C.
Cavalcanti,Maria T.
Martins,Pedro da S.
França,José R.
Oquendo,Maria
Kritski,Afrânio L.
Sweetland,Annika
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv de Castro-Silva,Karina M.
Carvalho,Anna C.
Cavalcanti,Maria T.
Martins,Pedro da S.
França,José R.
Oquendo,Maria
Kritski,Afrânio L.
Sweetland,Annika
dc.subject.por.fl_str_mv Depression
tuberculosis
prevalence
topic Depression
tuberculosis
prevalence
description 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.
publishDate 2019
dc.date.none.fl_str_mv 2019-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019000400316
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019000400316
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-4446-2018-0076
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Brazilian Journal of Psychiatry v.41 n.4 2019
reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
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institution ABP
reponame_str Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
collection Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
repository.name.fl_str_mv Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv ||rbp@abpbrasil.org.br
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