||Dubey KK, Bhasin SK & Bhatia MS
||Emotional problems amongst hospitalised tuberculosis
patients in Delhi
||INDIAN MEDICAL GAZETTE 2000, 134/3, 65-69
Even today TB is considered to be a social stigma
in our society. It is also a psychological trauma for a person to
be diagnosed as a case of TB. Moreover many patients have guilt
feeling, helplessness, loss of self-esteem, apathy and jealousy
towards others due to interaction of complex psychosocial factors.
During hospitalization, he may react emotionally to the illness
in a way, which may be fatal during the first episode of illness
or may have a modifying effect on his life style and habits.
In 1997, a study was conducted at the Rajan Babu
TB hospital to find out the emotional problems encountered by the
hospitalized patients. The hospital having indoor capacity of 1155
beds is located at kingsway camp in New Delhi. A total of 550 patients
were included in the study by using systematic random sampling of
all the admitted patients. Out of them, 300 (60%) were in the age
group 20-40 years comprising of 366 (73.2%) males, 306 (61.2%) illiterates
and only 16 (3.2%) were educated up to higher secondary. Socio-economic
profile was that 60.4% of the patients came from upper lower middle
class, 12.8% from lower middle class and 6.4% from upper middle
class. No patients belonged to the upper class. A structured and
pre-coded interview schedule was used for data collection. The data
was analyzed by using SPSS software package.
Results revealed that 59.6% patients had loss of
self-esteem, which is borderline of depression followed by 16.3%
apathy towards the world and 15.9% had the desire to commit suicide.
The loss of self-esteem was found to be more prevalent among those
in the age group 30-50 years (60.53%), while the desire to commit
suicide was more common in older age groups. With regard to emotional
reactions of self-avoidance of social gathering, 310 (63.5%) patients
said that they avoid going to the parties themselves. This trend
was more common among those in the age group 20-40 years (61.9%).
Feeling of loneliness and of being ignored by the family members
was experienced by 12.5% of respondents. In the age group ? 40 years,
it was noticed that patients daily routine was affected to
a great extent due to TB.
The study findings suggest a definite need to address
these psychiatric issues for a proper integration of the TB patients
in the main stream of social milieu.
|KEY WORDS: EMOTIONAL PROBLEMS; LOSS OF SELF-ESTEEM;
||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.