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Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 312-317

Comparative assessment of depression, quality of sleep, and respiratory functions among tuberculosis patients with their nontuberculosis family contacts

1 Department of Physiology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India
2 Department of Public Health Dentistry, ESIC Dental College, Gulbarga, Karnataka, India

Correspondence Address:
Dr. Afreen Begum H. Itagi
Department of Physiology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijrc.ijrc_54_21

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Context: Tuberculosis (TB) patients may present depression as comorbidity. This presents great challenges including the stigma of increased risk of developing TB in tackling such patients. Aims: The main aim of the study was to assess the lung function, sleep quality, and extent of depression in TB patients as compared to non-TB family contacts. Methods: TB patients and their family contacts (60 each) stopping by specialized directly observed therapy short-course center at a tertiary care hospital were assessed for depression and quality of sleep. Pulmonary functions were analyzed by spirometry. Descriptive statistics and t-tests were applied using SPSS version 19.0. P ≤ 0.05 was considered significant. Results: Depression with a significantly higher mean Patient Health Questionnaire-9 score was more prevalent among TB patients (73.3%) when compared to their family contacts (46.7%). TB patients presented with significantly higher levels of mean global Pittsburgh Sleep Quality Index score (9.56 ± 3.97) compared to their non-TB family contacts (4.36 ± 2.07), indicating a poorer sleep quality and also the sleep disturbance and daytime dysfunction were significantly more in TB patients (P = 0.000). The lung function measures were reduced in TB patients, and the difference was significant compared to their non-TB family contacts. Conclusions: The present study shows that TB patients have a poor quality of sleep, higher depression levels, and reduced lung functions compared to their non-TB family contacts. This calls for well-organized screening strategies to screen the in-apparent symptoms of adverse mental conditions among TB patients and their family caregivers/contacts with aid of mental health professionals to enable better management of this population.

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