||Bhatia MS, Dubey KK, Bhasin SK & Narender Sindhi
||Psychiatric morbidity in Tuberculosis patients
||INDIAN MEDICAL GAZETTE 2000, 134/1, 5-6
TB like any other chronic infection needs prolonged
treatment. It also carries a social stigma and results in adverse
psychological reactions. The study details the pattern of psychiatric
morbidity among patients sufferings from TB. The study group includes
50 out-patients of pulmonary TB attending Guru Teg Bahadur TB hospital
in Delhi with the mean age of 28.3 years (range 11-55 years). Their
socio-demongraphic and clinical details were noted on a semi-structured
proforma. These patients were then interviewed in detail and specialists
opinion and relevant investigations were obtained whenever required.
Diagnosis of psychiatric disorder was made according to ICD 10 (International
Classification of Diseases 10th Edition). The male and female sex
ratio was 3:1.
Thirty nine patients (78%) had associated psychiatric
disorders; the commonest being mixed anxiety and depressive disorders.
The remaining 22% did not have any psychiatric disorders.
The TB patients showed a higher degree of psychiatric
disorder like denial, hopelessness about life, fear of being neglected
by the spouse, family and society. This could be because of the
nature of illness, prolonged treatment, social stigma, misconception
about illness, reactions of family members and economical stress.
More studies are warranted with a larger sample
size to find out the causation and pattern of psycho-social disturbance
among patients sufferings from TB and other chronic physical illness.
|KEY WORDS: SOCIAL PSYCHOLOGY; PSYCHIATRIC DISORDER;
TB PATIENTS; INDIA.