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A cross-sectional study to determine the psychological distress among pulmonary tuberculosis patients during COVID-19 pandemic

Authors

Ankita Mandal
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Ajay Kumar Verma
drajay21@gmail.com
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Sujit Kumar Kar
Department of Psychiatry, King George’s Medical University, Lucknow, India.
Jyoti Bajpai
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Surya Kant
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Santosh Kumar
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Ram Avadh Singh Kushwaha
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Rajiv Garg
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Anand Srivastava
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Darshan Kumar Bajaj
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Sanjeev Kumar Verma
Department of Respiratory Medicine, King George’s Medical University, Lucknow, India.
Shyam Chand Chaudhary
Department of Internal Medicine, King George’s Medical University, Lucknow, India.

COVID-19 pandemic had adversely affected the services of the National Tuberculosis (TB) Elimination Programme, resulting in psychological distress among pulmonary tuberculosis patients (PTB). This cross-sectional, hospital-based study included 361 PTB patients. Three pre-defined questionnaires were used for the analysis, a questionnaire to evaluate anxiety related to COVID-19, a patient health questionnaire (PHQ-9) for depression, and a fear of COVID-19 scale (FCV-19S) questionnaire. Among 361 PTB patients, 13% (n=47) had COVID-19 infection. Out of the total patients, 69% (n=250) were DR-TB (drug resistance-tuberculosis) cases. Proportion of anxiety, fear and depression due to COVID-19 was found in 49% (n=177), 23% (n=83), 67% (n=247) respectively. Delay in the initiation of anti-tubercular treatment was found in 58% (n=210) of the cases, among which the majority, i.e., 69% (n=172, p=0.011), were DR-TB. This pandemic has led to a sudden step-down of PTB. Trend analysis of the psychological distress showed a peak following the COVID-19 pandemic. Most DR-TB patients had delayed initiation of the anti-tubercular treatment during the pandemic. The preponderance of the younger age group was seen in the pulmonary tuberculosis patients, and a majority of them had DR-TB. Depression was the predominant psychological distress among the study subjects during the pandemic.

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Ethics Approval

The study was approved by the Institutional Ethical Committee of the King George’s Medical University, Lucknow, India.

How to Cite

Mandal, Ankita, Ajay Kumar Verma, Sujit Kumar Kar, Jyoti Bajpai, Surya Kant, Santosh Kumar, Ram Avadh Singh Kushwaha, et al. 2022. “A Cross-Sectional Study to Determine the Psychological Distress Among Pulmonary Tuberculosis Patients During COVID-19 Pandemic”. Monaldi Archives for Chest Disease 93 (1). https://doi.org/10.4081/monaldi.2022.2255.
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