[Analyzing the status of depression and anxiety of new registered tuberculosis outpatients and correlations with social support influence factors].
Objective:To investigate the prevalence of depression and anxiety and the related factors among new registered tuberculosis (TB) outpatients.Methods:Questionnaire survey was conducted in 1 105 new registered TB patients from sixteen districts of Beijing city during Jan to Jun, 2015. Structured self-administered questionnaire including gender, age, education, occupation, history of smoking and drinking information was designed by epidemiological and psychiatric experts from Beijing Research Institute for Tuberculosis Control. Meanwhile the TB patients status including depression, anxiety and social supporting were investigated by using Self-rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS) and Social Support Rating Scale (SSRS). The survey data was then analyzed. A total of 1 132 questionnaires were issued and 1 119 were recovered including 1 105 valid questionnaires, and the effective rate was 98.7%.Results:There were 742 males and 363 females among 1 105 new registered TB patients. Age ranged from 16 to 65 years, the mean age was (35.7±13.8) years old. The total standard scores of SDS and SAS were (45.00±12.40) and (39.46±10.03) points, obviously higher than those in national norms (allP<0.05). The detection rates of depression and anxiety were 29.8% (329/1 105) and 13.5% (149/1 105). Multivariate Logistic regression analysis showed that TB patients with female (OR=1.75, 95%CI: 1.32-2.30), over 35 years (OR=1.82, 95%CI:1.39-2.39), annual household income <50 000 ￥ (OR=1.57, 95%CI:1.19-2.06), rarely talking to someone about their worries (OR=1.41, 95%CI:1.05-1.90) had high risk of depression (allP<0.05). Annual household income<50 000 ￥ (OR=1.69, 95%CI:1.17-2.43), rarely talking to someone about their worries (OR=1.80, 95%CI:1.19-2.74) also had high risk of anxiety (allP<0.05). The medians scores in social support, subjective support, objective support and support utilization were 38(32, 43), 22(18, 26), 8(6, 10) and 7 (6, 9) points, respectively, and these scores were negatively related to depression and anxiety.Conclusion:Depression and anxiety prevalence in TB patients are obviously higher than those in normal people, and there are many factors that can cause or contribute to depression and anxiety.
Department of Tuberculosis Control and Prevention, Beijing Research Institute for Tuberculosis Control, Beijing 100035, China.
X
X
Chen
Y
Y
Zhao
Y
Y
Xu
H W
HW
Zhang
S H
SH
Sun
Z D
ZD
Gao
X X
XX
He
D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety; D000068476:Beijing; D003863:Depression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D015995:Prevalence; D012944:Social Support; D011795:Surveys and Questionnaires; D014376:Tuberculosis; D055815:Young Adult