DEPRESSIVE DISORDERS IN NEWLY DIAGNOSED TUBERCULOSIS PATIENTS

Аннотация

Relevance. The problem of tuberculosis as an infectious disease does not lose its relevance against the background of a widespread decrease in the incidence of tuberculosis. The results of the study indicate the development of borderline mental disorders in tuberculosis patients after diagnosis, the elimination of which contributes to improving the effectiveness of comprehensive TB treatment. Purpose of the research. In order to take into account the peculiarities of the psychoemotional background in newly diagnosed tuberculosis patients, ensure timely correction of the identified disorders and increase the role of this category of patients in the treatment regimen, we decided at the end of the second month of chemotherapy to assess the degree of presence and severity of depressive disorders before they undergo the next X-ray examination. Materials and methods. The study involved 120 patients with active tuberculosis. Of these, 78 are men and 42 are women. The control group consisted of relatively healthy people who underwent routine check-ups in polyclinics, namely 135 men and 45 women. The study was conducted using V.Zung's method of differential diagnosis of depressive states, adapted by T.I.Balashova. The study was conducted in outpatient and inpatient settings with the participation of depressed patients suffering from mental or organic diseases. Results.The majority of patients with newly diagnosed tuberculosis had no depressive disorders by the end of the second month of chemotherapy. Mild depression of neurotic origin occurs in 26,6% of patients, one in ten patients has a state of masked depression, and 1,6% of patients have true depression. Conclusions. Patients with tuberculosis in this study are more susceptible to mild depression than healthy people, who have less depressive reactions. Consequently, by the end of the second month of chemotherapy, patients with newly diagnosed tuberculosis may need specially organized psychological and, in some cases, medical care to eliminate depressive tendencies of varying degrees.