Sains Malaysiana 49(5)(2020): 1089-1096

http://dx.doi.org/10.17576/jsm-2020-4905-13

Prevalence of Depression and Associated Factors among Tuberculosis Patients in Primary Care in the District of Kuching, Sarawak

(Prevalens Depresi dan Faktor Berkaitan dalam Kalangan Pesakit Tuberkulosis di Pusat Jagaan Primer di Daerah Kuching, Sarawak)

TIONG CHONG YING, NOOR AZAH ABD AZIZ*, RAHMAH KAMALUDDIN & ZUHRA HAMZAH

Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Federal Territory, Malaysia

Received: 10 October 2019/Accepted: 14 January 2020

ABSTRACT

Depression in tuberculosis (TB) increases the risks of adverse health outcomes. However, little is known about depression in tuberculosis patients in Malaysia. The aim of this study was to determine the prevalence and associated factors of depression in tuberculosis patients in primary care clinics. A cross-sectional study was adapted for this study. A total of 235 TB patients were recruited in six primary care clinics in the district of Kuching, Sarawak in Malaysia using convenience sampling method. A self-administered questionnaire, Patient Health Questionnaire-9 (PHQ-9), was used to screen for depression, and social support was accessed using Multidimensional Scale of Perceived Social Support, MSPSS.  This study showed that the prevalence of depression among TB patients was 7.7%. Socio-demographic factors, tuberculosis-related clinical data and social support are not significantly associated with participant’s depressive states. Findings also showed that there is no different in terms of social support received by depressive and non-depressive tuberculosis patients. Conclusively, depression in TB patients is considered low; however, screening for depression in TB patients should not be neglected because it can lead to better treatment outcomes.

Keywords: Depression; prevalence; tuberculosis

ABSTRAK

Kemurungan dalam pesakit tuberkulosis meningkatkan risiko untuk penyusutan tahap kesihatan keseluruhan. Namun demikian, tidak banyak yang diketahui mengenai kemurungan dalam kalangan pesakit tuberkulosis di Malaysia. Kajian ini bertujuan untuk mengenal pasti kadar prevalens dan faktor berkaitan kemurungan dalam kalangan pesakit tuberkulosis pada peringkat kesihatan primer. Suatu kajian lintang yang melibatkan seramai 235 pesakit TB di enam buah klinik primer di Kuching, Sarawak telah dijalankan, menggunakan soal-selidik PHQ-9 (Soal Selidik Kesihatan Pesakit) bagi saringan kemurungan dan saringan Skala Pelbagai Dimensi Persepsi Sokongan Sosial (MSPSS) bagi mengenal pasti sokongan sosial pesakit. Kajian mendapati tahap kemurungan pesakit adalah tinggi sebanyak 7.7%, dengan faktor sosio-demografi, keadaan klinikal dan sokongan sosial tidak berkait dengan tahap kemurungan. Kajian juga mendapati tiada perbezaan antara mereka dalam kemurungan dan tidak murung. Kesimpulannya, walaupun tahap kemurungan pesakit TB adalah rendah namun saringan berterusan adalah perlu bagi memastikan keberhasilan rawatan yang baik.

Kata kunci: Kemurungan; prevalens; tuberkulosis

REFERENCES

Aamir, S. & Aisha, A. 2010. Co-morbid anxiety and depression among pulmonary tuberculosis patients. Journal of the College of Physicians and Surgeons Pakistan 20(10): 703-704.

Amreen. & Nadeem, R. 2016. Frequency of depression and anxiety among tuberculosis patients. Journal of Tuberculosis Research 4(4): 183-190.

Baldwin, M.R., Yori, P.P., Ford, C., Moored, D.A.J., Gilman, R.H., Vidal, C., Ticona, E. & Evans, C.A. 2004. Tuberculosis and nutrition: Disease perceptions and health seeking behavior of household contacts in the Peruvian Amazon. International Journal of Tuberculosis and Lung Disease 8(12): 1484-1491.

Duko, B., Gebeyehu, A. & Ayano, G. 2015. Prevalence and correlates of depression and anxiety among patients with tuberculosis at WolaitaSodo University Hospital and Sodo Health Center, WolaitaSodo, South Ethiopia, Cross sectional study. BMC Psychiatry 15(1): 1-7.

Kehbila, J., Ekabe, C.J., Aminde, L.N., Noubiap, J.J.N., Fon, P.N. & Monekosso, G.L. 2016. Prevalence and correlates of depressive symptoms in adult patients with pulmonary tuberculosis in the Southwest Region of Cameroon. Infectious Diseases of Poverty 5(1): 51.

Li, Z., Li, Y., Chen, L., Chen, P. & Hu, Y. 2015. Prevalence of depression in patients with hypertension. Medicine 94(31): e1317.

Manea, L., Gilbody, S. & McMillan, D. 2012. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): A meta-analysis. Canadian Medical Association Journal 184(3): E191-E196.

Masumoto, S., Yamamoto, T., Ohkado, A., Yoshimatsu, S., Querri, A.G. & Kamiya, Y. 2014. Prevalence and associated factors of depressive state among pulmonary tuberculosis patients in Manila, The Philippines. The International Journal of Tuberculosis and Lung Disease 18(2): 174-179.

Ng, C.G., Amer Siddiq, A.N., Aida, S.A., Zainal, N.Z. & Koh, O.H. 2010. Validation of the Malay version of the Multidimensional Scale of Perceived Social Support (MSPSS-M) among a group of medical students in Faculty of Medicine, University Malaya. Asian Journal of Psychiatry 3(1): 3-6.

Rundi, C. 2010. Understanding tuberculosis: Perspectives and experiences of the people of Sabah, East Malaysia. Journal of Health, Population and Nutrition 28(2): 114-123.

Sherina, M.S. & Arroll, B. 2012. Criterion validity of the PHQ-9 (Malay Version) in a primary care clinic in Malaysia. Med. J. Malaysia 67(3): 309-315.

Siti Fatimah Kader Maideen, Sherina Mohd. Sidik, Lekhraj Rampal & Firdaus Mukhtar 2014. Prevalence, associated factors and predictors of depression among adults in the community of Selangor, Malaysia. PLoS ONE 9(4): e95395.

Sweileh, W.M., Abu-Hadeed, H.M., Al-Jabi, S.W. & Zyoud, S.H. 2014. Prevalence of depression among people with type 2 diabetes mellitus: A cross sectional study in Palestine. BMC Public Health 14(1): 1-11.

Theron, G., Peter, J., Zijenah, L., Chanda, D., Mangu, C., Clowes, P. & Rachow, A. 2015. Psychological distress and its relationship with non-adherence to TB treatment: A multicentre study. BMC Infectious Diseases 15: 253.

Ugarte-Gil, C., Ruiz, P., Zamudio, C., Canaza, L., Otero, L., Kruger, H. & Seas, C. 2013. Association of major depressive episode with negative outcomes of tuberculosis treatment. PLoS ONE 8(7): 1-7.

World Health Organization (WHO). 2017. Global tuberculosis report 2017. http://www.who.int/tb/publications/global_report/en/.

Xavier, P.B. & Peixoto, B. 2015. Emotional distress in angolan patients with several types of tuberculosis. African Health Sciences 15(2): 378-384.

Zimet, G.D., Powell, S.S., Farley, G.K., Werkman, S. & Berkoff, K.A. 1990. Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment 55(3-4): 610-617.

Zimet, G.D., Dahlem, N.W., Zimet, S.G. & Farley, G.K. 1988. The multidimensional scale of perceived social support. Journal of Personality Assessment 52(1): 30-41.

*Corresponding author; email: azah@ppukm.ukm.edu.my