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Category: Volume 06 Issue 05 May 2018
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Title: Estimation of Psychiatric Co-Morbidities in Patients of Tuberculosis Attending- A Tertiary Medical Centre

Authors: Dr Mukesh Tiwari, Dr Santosh Kumar, Dr Gajendra Vikram Singh, Dr Vishal Sinha

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.174

Abstract

Aims and Objectives: To estimate and compare psychiatric co-morbidities in patients of Tuberculosis depending on duration, category of treatment and various other socio-demographic parameters.

Methodology: 240 patients of tuberculosis, between 18 to 60 years of age were taken into periodic study between April 2015 and March 2016, for evaluation of associated psychiatric co-morbidities at 10-15days and 55-60days after the registration under RNTCP DOTS. We collected information regarding psychiatric symptoms using M.I.N.I. (Mini International Neuropsychiatric interview).

Result: Male to female ratio was 1.3:1, the mean age group was 32.93 years, and majority (70%) of the patients belonged to lower socioeconomic group. Psychiatric co-morbidities evaluation in patient of tuberculosis on the study group at 10-15 days, patient taking category I treatment 59(24.58%). Among these 10(16.94%) had Major depressive episode, 8(13.55%) had Generalized anxiety disorder, 4(6.77%) had Obsessive-compulsive disorder, 2(3.38%) had Manic episode,4(6.77%) had Social phobia, 4(6.77%) had Alcohol dependence, 1(1.69%) had suicidal tendency, 4(6.77%) had Panic episode and 22(37.2%) had no psychiatric co-morbidities. As compared to category I, other categories were significantly and independently at high risk of psychiatric co-morbidities. Category II group had 75.47% and category IV group had 84% of psychiatric co-morbidities.

Conclusion: Depressive disorder is the most common psychiatric co-morbidity in patients of tuberculosis and more severe in category IV patient, at 10-15days after registration and majority of the patient belong to lower socioeconomic group.

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Corresponding Author

Dr Mukesh Tiwari

S.N.M.C. Agra (U.P.), India