Association of psychological status with first diagnosed pulmonary tuberculosis in men

Keywords: infiltrative pulmonary tuberculosis, lung destruction, depression, anxiety, psychological status, efficiency of treatment, psychological sphere, STAI, BDI, marital status

Abstract

The aim. Assessment of the initial psychological status of men with first diagnosed pulmonary tuberculosis and the study of its associations with the clinical course of the disease.

Materials and methods. The study involved 54 men with first diagnosed pulmonary tuberculosis. Patients had a dynamic complex clinical, laboratory and instrumental examination with an assessment of the psychological status according to the State-Trait Anxiety Inventory (STAI) and the Beck Depression Inventory (BDI).

Results. The evaluating of initial psychological status in patients with first diagnosed pulmonary tuberculosis, depressive states of varying severity were found in 47.05 % of patients, moderate state anxiety – in 74.51 % of patients, moderate trait anxiety – in 35.29 %. We revealed associations of the levels of anxiety and depression with the degree of bacterial excretion and the duration of the intensive phase of therapy.

Conclusions. To assess the psychological status of patients with first diagnosed infiltrative pulmonary tuberculosis, it is advisable to use the STAI and the BDI.

Patients with first diagnosed infiltrative pulmonary tuberculosis in 100 % of cases have psychological status disorders with a predominance of moderate state anxiety and the absence of depressive disorders in only half of them. More expressed violations of the psychological status (anxiety, depression) identifies patients who are married and have a steady job.

In patients with first diagnosed infiltrative pulmonary tuberculosis, an increase in the severity of anxiety and depression is associated with more expressed bacterial excretion, decrease in body weight, greater frequency of destruction of lung tissue, prevalence of the tuberculosis process by more than 2 lung segments, decrease in the effectiveness of standard therapy and prolongation intensive phase of treatment.

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Author Biographies

Maryna Koсhuieva, V. N. Karazin Kharkiv National University

Department of Internal Medicine

Vasyl Kushnir, Kharkiv Mediсal Aсademy of Postgraduate Eduсation; V. N. Karazin Kharkiv National University

Department of Phthisiology, Pulmonology and Family Mediсine

Department of General and Clinical Immunology and Allergology

Ivan Hrek, Kharkiv Mediсal Aсademy of Postgraduate Eduсation; V. N. Karazin Kharkiv National University

Department of Phthisiology, Pulmonology and Family Mediсine

Department of General and Clinical Immunology and Allergology

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Published
2021-05-25
How to Cite
KoсhuievaM., Kushnir, V., & Hrek, I. (2021). Association of psychological status with first diagnosed pulmonary tuberculosis in men. EUREKA: Health Sciences, (3), 24-30. https://doi.org/10.21303/2504-5679.2021.001800
Section
Medicine and Dentistry