国际紧急心理健康和人类复原力杂志

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Screening for Depression Requiring Emergency Intervention among Pulmonary Tuberculosis Patients in a Tertiary Health Care Center in Nigeria

Israel Aina and Oke T Ehondor

Pulmonary tuberculosis which is a chronic lung disease, by the nature of the disorder, its course, as well as its treatment could be emotionally challenging and can lead to depression. This study sets out to screen patients with pulmonary tuberculosis for depression and to determine if there is an urgent need for intervention. The willing patients with Pulmonary Tuberculosis (PTB) attending the Respiratory clinic of the Consultant Out-Patient Department (COPD) of the University of Benin Teaching Hospital (UBTH) Benin City were studied. The socio-demographic characteristics of the patients was collected and the Patient Health Questionnaire-9 (PHQ-9) was administered to screen for and diagnose depression. The study showed that a larger group of PTB patients (74.8%) had depressive illness. The relationship between the expressed feeling of unhappiness and the screening diagnosis of depression was found to be statistically significant at p-value < .05. Though the majority of the patients (93.1%) had no need for urgent treatment, there was however a significant need for emergency treatment among the small group who had co-morbidities (X2=21.21 df=1 p<.05). Depressive illness is common among the patients with PTB as well as a need for urgent treatment among those with co-morbidities. Such patients should be given appropriate treatment in collaboration with the mental health team.