The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
Depression, anxiety comorbidity, and disability in tuberculosis and chronic obstructive pulmonary disease patients: applicability of GHQ-12
Abstract
Our aim was to study anxiety and/or depression comorbidity and the influence of these comorbid conditions on disability for 3 clinical groups of pulmonary tuberculosis and chronic obstructive pulmonary disease (COPD). We also investigated the applicability of General Health Questionnaire 12 (GHQ12) for these clinical groups as a simple screening test for psychiatric comorbidity. A total of 157 male inpatients were included in the study: 42 with recently diagnosed (RDtb), 39 with defaulted (Dtb), 39 with multidrug resistant tuberculosis (MDRtb) and 38 with COPD. The presence of depression and anxiety was assessed by Composite International Diagnostic Interview (CIDI). Disability was evaluated by Brief Disability Questionnaire. The validity of GHQ12 for the study groups was examined in order to determine a functional cut-off point. Depression and/or anxiety comorbidity was 19% for RDtb, 21.6% for Dtb, 25.6% for MDRtb and 47.3% for COPD. Patients with psychiatric comorbidity had higher disability scores than the group without psychiatric comorbidity. For the tuberculosis group a 3/4 cut-off point of GHQ had 80.7% sensitivity and 87.1% specificity while a 5/6 cut-off point with 83.3% sensitivity and 80% specificity was applicable to the COPD group.
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“In stable COPD, the prevalence of clinical depression ranges between 10% and 42%, while that of anxiety ranges between 10% and 19% (Table 2).6–25”
From Anxiety and Depression in COPD (2008) · cites this paper as [11]
In the citing paper
“In stable COPD, the prevalence of clinical depression ranges between 10% and 42%, while that of anxiety ranges between 10% and 19% (Table 2).6–25”
From Anxiety and Depression in COPD (2008) · cites this paper as [11]
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A review of the interplay between tuberculosis and mental health
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“those of LACASSE et al. [4], DAHLE ´ N and JANSON [5], PERUZZA et al. [6], YOHANNES and co-workers [7, 8], DOWSON et al. [9], STAGE et al. [10], VAN MANEN et al. [11], AYDIN and ULUS ¸AHIN [ 13 ], and AGHANWA and ERHABOR [12]) have addressed the prevalence of depression in patients with COPD.”
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Major Depression, Physical Illness, and Suicidal Ideation in Primary Care
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“Aydin [16] Turkey Tubercolosis and chronic obstructive pulmonary disease patients 3/4 Tubercolosis 5/6 COPD GHQ-12”
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“These results are in line with a small cross-sectional study from Turkey showing that psychiatric comorbidity is associated with a higher rate of disability among TB patients [40].”
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“Though depression is common in patients with TB, affecting up to 52% patients [15-17], no study has as yet examined the prevalence of depression and illness beliefs in Pakistan.”
Cafarella, P., Effing, T., Usmani, Z. A., & Frith, P. A. (2012) · Respirology · doi:10.1111/j.1440-1843.2012.02148.x · Cited by 134
Meader, N., Mitchell, A. J., Chew-Graham, C. A., Goldberg, D. P., Rizzo, M., Bird, V., Kessler, D. S., Packham, J., Haddad, M., & Pilling, S. (2011) · British Journal of General Practice · doi:10.3399/bjgp11x613151 · Cited by 134
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“Westaway [16] 1992 South Africa Abbreviated BDI, RSE Wang [63] 1998 China SF-36, QLI, KPS Aghanwa [17] 1998 Nigeria GHQ-30 Bhatia [64] 2000 India DAQ Aydin [15] 2001 Turkey GHQ-12 Yang [65] 2003 China SCL-90 and Social Support Rating Scale (SSRS)”
MethodCommon mental disorders in TB/HIV co-infected patients in Ethiopia
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“A study conducted in Turkey showed that the prevalence of depression and anxiety was 19% for recently diagnosed patients with TB, 22% for defaulted TB patients, and 26% for patients with multidrug-resistant TB[16].”
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Aggarwal, A. N. (2019) · Journal of Clinical Tuberculosis and Other Mycobacterial Diseases · doi:10.1016/j.jctube.2019.100121 · Cited by 119
“This is most evident in evaluation of psychological morbidity, where several tools such as General Health Questionnaire 12 (GHQ12) [57], Patient Health Questionnaire (PHQ-9) [12,58–60], Centre for Epidemiologic Studies Depression Scale (CES-D) [31], State-trait Anxiety Short-Form (STAI-6) [31], Kessler-10 item scale (…”
MethodPulmonary rehabilitation in idiopathic pulmonary fibrosis: A call for continued investigation
Swigris, J. J., Brown, K. K., Make, B. J., & Wamboldt, F. S. (2008) · Respiratory Medicine · doi:10.1016/j.rmed.2008.08.014 · Cited by 109
Mental Health of Parents of Special Needs Children in China during the COVID-19 Pandemic
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“We used a “0-0-1-1” scoring method (bimodal scoring method) to add all the scores [28,29].”
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“Two studies used the GHQ-12 to assess HRQOL among subjects with active TB [1, 2].”
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Norwood, R. J. (2006) · Current Opinion in Pulmonary Medicine · doi:10.1097/01.mcp.0000208450.50231.c6 · Cited by 99
Untreated depression and tuberculosis treatment outcomes, quality of life and disability, Ethiopia
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“…the DSM-III-R/-IV (Saß et al 1996) also International Journal of COPD 2008:3(4)728 reported inconsistent but lower prevalence rates, ranging from 10% to 35% and 16% to 47%, respectively (Yellowlees et al 1987; Karajgi et al 1990; Aghanwa and Erhabor 2001; Aydin and Ulusahin 2001; Stage et al 2003).”
BackgroundMental disorders in chronic obstructive pulmonary disease (COPD)
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Giardino, N. D., Curtis, J. L., Andrei, A., Fan, V. S., Benditt, J. O., Lyubkin, M., Naunheim, K. S., Criner, G. J., Make, B. J., Wise, R. A., et al. (2010) · Respiratory Research · doi:10.1186/1465-9921-11-29 · Cited by 96
“A key feature of our report is the objective measurement of physical functioning using well-validated physiologic measures, which allows us to extend the findings of other investigators who suggested greater impairment in physical functioning and quality of life with increasing levels of anxiety in COPD patients [7,40…”
MethodDepression and its relationship with poor exercise capacity, BODE index and muscle wasting in COPD
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“It is therefore not surprising to find a higher prevalence of depression in COPD patients than in either healthy controls(4,5) or even patients with other chronic illnesses such as Parkinson’s disease, stroke, arthritis and tuberculosis.(5,6) The prevalence of depression in COPD patients has varied significantly from…”
BackgroundHealth-Related Quality of Life Trajectories Among Adults With Tuberculosis
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“Similar high prevalence was reported from Nigeria [9, 17], India [10] and Turkey [12] regardless of whether structured diagnostic tools [17] or screening instruments such as PHQ-9 [9] were used.”
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Targeted treatment in COPD: a multi-system approach for a multi-system disease
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“Generalized anxiety disorder in COPD is associated with impaired quality of life.(191) Despite”
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A study of prevalence of depression and anxiety in patients suffering from tuberculosis
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The role of social support in anxiety for persons with COPD
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“Despite their high comorbidity and relationship to both disability [20] and poorer quality of life [21], anxiety and depression appear to be underdiagnosed and ineffectively managed in the clinical care of COPD patients [6,12, 22].”
BackgroundDepression in COPD ? management and quality of life considerations
Stage, K. B., Middelboe, T., Stage, T. B., & Sørensen, C. H. (2006) · International Journal of COPD · doi:10.2147/copd.2006.1.3.315 · Cited by 59
“COPD patients with co-morbid depression have impaired quality of life compared with COPD patients without depression (Bosley et al 1996; Yohannes et al 1998; Kim et al 2000; Aydin and Ulusahin 2001; Felker et al 2001; Yohannes et al 2003).”
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The impact of chronic obstructive pulmonary disease-related fears on disease-specific disability
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“Several studies indicated that anxiety in COPD impacts functional impairment.(1,3,5,9) In this study, we examined the effect of specific fears on COPDrelated disability with regression analyses.”
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Current Perspectives on Management of Co-Morbid Depression in COPD
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“Depression not only increases the suffering of COPD patients but it also decreases function, impairs overall health status and rehabilitation efforts, and contributes to the ongoing use of tobacco (7, 16, 17).”
BackgroundDeveloping an intervention for depressed, chronically medically ill elders: A model from COPD
Alexopoulos, G. S., Raue, P. J., Sirey, J. A., & Arean, P. A. (2008) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1925 · Cited by 48
“purpose because of the chronic disability it confers, the demanding treatment it requires, and the high comorbidity with depression (Borson et al., 1998; Yohannes et al., 2000; Aydin and Ulusahin, 2001; Alexopoulos and Latoussakis, 2004; Wong et al., 2006).”
BackgroundKeil, D. C., Vaske, I., Kenn, K., Rief, W., & Stenzel, N. (2016) · Chronic Respiratory Disease · doi:10.1177/1479972316654286 · Cited by 46
People with tuberculosis are associated with a subsequent risk of depression
Shen, T., Wang, C.-Y., Lin, C., Liao, W.-C., Chen, C., Tu, C., Hsia, T., Shih, C., Hsu, W., & Chung, C. (2014) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2014.10.006 · Cited by 44
“7–30% [20,28], Ethiopia 64% [29], India 76% [30], South Africa 46% [31,32] and Turkey 19–26% [33].”
Rouf, A., Masoodi, M. A., Dar, M. M., Khan, M. S., & Bilquise, R. (2021) · Journal of Clinical Tuberculosis and Other Mycobacterial Diseases · doi:10.1016/j.jctube.2021.100281 · Cited by 42
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“because of the length of treatment, loss of income, stigma, and isolation from society [6,7].”
BackgroundTuberculosis and mental health in the Asia-Pacific
Mason, P. H., Sweetland, A. C., Fox, G. J., Halovic, S., Nguyen, T. A., & Marks, G. B. (2016) · Australasian Psychiatry · doi:10.1177/1039856216649770 · Cited by 39
A review of etiologies of depression in COPD.
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Felker, B. L., Bush, K. R., Harel, O., Shofer, J. B., Shores, M. M., & Au, D. H. (2010) · The Primary Care Companion to The Journal of Clinical Psychiatry · doi:10.4088/pcc.09m00858gry · Cited by 35
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“COPD patients that do not meet diagnostic criteria are even more common [7].”
BackgroundAdverse neuro-immune–endocrine interactions in patients with active tuberculosis
Bottasso, O. A., Bay, M. L., Besedovsky, H. O., & del Rey, A. (2012) · Molecular and Cellular Neuroscience · doi:10.1016/j.mcn.2012.11.002 · Cited by 32
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“Journal of Family Medicine and Primary Care 4176 Volume 9 : Issue 8 : August 2020 studies in which GHQ-12 was used as a preliminary screening tool also found depression and anxiety in TB patients.[18,19]”
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Lobo, E., de Jonge, P., Huyse, F. J., Slaets, J. P. J., Rabanaque, M.-J., & Lobo, A. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31802e46da · Cited by 28
“Functional impairment (9), increased disability (11), adverse quality of life (6), and increased health care utilization (14) are all to be expected as an outcome of this psychopathology.”
BackgroundPanic, Anxiety, and Chronic Dyspnea
Periyakoil, V. S., Skultety, K. M., & Sheikh, J. I. (2005) · Journal of Palliative Medicine · doi:10.1089/jpm.2005.8.453 · Cited by 27
“19 The prevalence of GAD among patients with COPD ranges from 10% to 15.8% when using standard diagnostic procedures 20,21 compared to lifetime rates of 3.6% to 5.1% in the general public.”
InfluentialAnxiety and depression in chronic obstructive pulmonary disease: A new intervention and case report
Stanley, M. A., Veazey, C. H., Hopko, D. R., Diefenbach, G. J., & Kunik, M. E. (2005) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(05)80070-7 · Cited by 26
Pumar, M., Roll, M., Fung, P., Rolls, T., Walsh, J., Bowman, R., Fong, K. M., & Yang, I. A. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.10.23 · Cited by 25
Smoking patterns and predictors of smoking cessation in elderly populations in Lebanon.
Chaaya, M., Sibai, A. M., & El‐Chemaly, S. (2006) · PubMed · Cited by 26
Increased Risk of Pulmonary Tuberculosis in Patients with Depression: A Cohort Study in Taiwan
Cheng, K. F., Liao, K., Lin, C., & Lai, S. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00235 · Cited by 25
“Although previous studies have shown definite association between them worldwide (8, 20, 22), including studies published in Nigeria 8 years ago (61, 62), there were no related studies exploring the relationship between depression and TB in Taiwan.”
ResultThe solubility profile and apparent thermodynamic analysis of doxofylline in pure and mixed solvents
Li, R., Zhang, B., Hou, N., Li, C., Xie, J., He, J., Chen, X., Xu, Q., Zhao, J. Y., & Han, D. (2020) · The Journal of Chemical Thermodynamics · doi:10.1016/j.jct.2020.106126 · Cited by 25
Thakur, E. R., Sansgiry, S., Petersen, N. J., Stanley, M. A., Kunik, M. E., Naik, A. D., & Cully, J. A. (2017) · International Journal of Behavioral Medicine · doi:10.1007/s12529-017-9663-2 · Cited by 24
Social Support and Depression Among Pulmonary Tuberculosis Patients in Anhui, China
Fang, X.-H., Wu, Q., Tao, S.-S., Xu, Z., Zou, Y.-F., Ma, D.-C., Pan, H.-F., & Hu, W. (2022) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s356160 · Cited by 25
“Evidently, pulmonary TB patients with psychiatric disorders are more likely to have physical and social disability.(16) In order to supplement biomedical work to control pulmonary TB, it is necessary to implement multi-level interventions.”
BackgroundCognitive and Psychological Issues in Emphysema
Kozora, E., Emery, C., Kaplan, R. M., Wamboldt, F. S., Zhang, L., & Make, B. J. (2008) · Proceedings of the American Thoracic Society · doi:10.1513/pats.200708-123et · Cited by 24
Ferguson, C. J., Stanley, M. A., Souchek, J., & Kunik, M. E. (2005) · Depression and Anxiety · doi:10.1002/da.20136 · Cited by 22
“Furthermore, given the high clinical overlap of depressive and anxiety disorders among medical patients [Aydin and Ulusahin, 2001; Huang, 1997; Nisenson et al., 1998; Zung et al., 1990], it is unclear whether depressive and anxiety disorders can be Published online 28 November 2005 in Wiley…”
BackgroundZhang, S.-R., Yan, H., Zhang, J., Zhang, T., Li, X., & Zhang, Y. (2010) · BMC Infectious Diseases · doi:10.1186/1471-2334-10-174 · Cited by 22
Stoichiță, A., Dumitrescu, A., Ciobanu, A., Oancea, C. I., Fildan, A. P., Crișan-Dabija, R. A., Dumchev, K. V., Dadu, A., Mahler, B., & Akopyan, K. (2021) · Monaldi Archives for Chest Disease · doi:10.4081/monaldi.2021.1704 · Cited by 21
“Previous studies from the WHO European Region, report a prevalence of depression and depressive symptoms among TB patients ranging from 19-65% [13-17].”
BackgroundTreinamento de força para pacientes com doença pulmonar obstrutiva crônica
da Silva, E. G., & Dourado, V. Z. (2008) · Revista Brasileira de Medicina do Esporte · doi:10.1590/s1517-86922008000300014 · Cited by 21
Progredienzangst und End-of-Life-Ängste bei COPD-Patienten
Stenzel, N., Rief, W., Kühl, K., Pinzer, S., & Kenn, K. (2012) · Pneumologie · doi:10.1055/s-0031-1291637 · Cited by 21
Perkins-Porras, L., Riaz, M., Okekunle, A., Zhelezna, S., Chakravorty, I., & Ussher, M. (2018) · Chronic Respiratory Disease · doi:10.1177/1479972318766140 · Cited by 20
Sutar, R. F., Majumdar, A., Yadav, V., Basera, D. S., & Gupta, H. (2024) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_58_23 · Cited by 23
“A total of 6069 subjects with TB had comorbid depression and anxiety, with a pooled prevalence of 32.87% [25.79, 40.82], τ 2 = 0.7374, I 2 = 96%, Cochran’s Q = 644.82, df = 25, and P 0.001 [Supplementary Figure 6].”
InfluentialAdem, A., Tesfaye, M., & Mohammed, M. A. (2013) · Medicine Science | International Medical Journal · doi:10.5455/medscience.2013.02.8097 · Cited by 20
“87% in male where it was comparable to literatures [8-15].”
ResultPsychiatric Problems in Pulmonary Tuberculosis: Depression and Anxiety
Lara-Espinosa, J. V., & Hernández‐Pando, R. (2021) · Journal of Tuberculosis Research · doi:10.4236/jtr.2021.91003 · Cited by 19
“Turkey Aydin & Uluşahin, 2001 [26] 119 CIDI, ICD-10, DSM-IV and GHQ-12 21% 20.”
Wong, D. F. K., Chau, P. W. P., Kwok, A., & Kwan, J. C. Y. (2007) · International Journal of Group Psychotherapy · doi:10.1521/ijgp.2007.57.3.367 · Cited by 20
“Inclusion criteria included: (a) being between 18 and 60 years of age and (b) being at risk of developing psychological ill–health, as indicated by showing four or more of the 12 symptoms on the General Health Questionnaire–12 (GHQ–12) (Aydin & Ulusahin, 2001; Picardi et al., 2004).”
BackgroundSarmiento, J. M. H., Correa, N. E., Correa, M., Franco, J. G., Álvarez, M., Ramírez, C., Gómez, L. M., Toro, A. C., Arredondo, N. H. L., Martínez, M., et al. (2013) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-013-9776-x · Cited by 21
Larsen, C., Bendstrup, E. M., & Neergaard, M. A. (2021) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1080/15412555.2021.1972091 · Cited by 18
“[10] included inpatients with COPD and the study did not clarify whether the patients were hospitalised due to an acute COPD exacerbation or if the reason for the hospitalisation was another medical illness.”
BackgroundMethodInfluentialPrediction of end-of-life fears in COPD – hoping for the best but preparing for the worst
Stenzel, N., Vaske, I., Kühl, K., Kenn, K., & Rief, W. (2015) · Psychology and Health · doi:10.1080/08870446.2015.1014816 · Cited by 15
“Moreover, the results speak to the impact that mental problems could have on COPD, for example, by worsening the course of disease, reduced quality of life and more hospitalisation (Aydin & Ulusahin, 2001; Miratvilles et al., 2007; Ng et al., 2007).”
BackgroundRahman, A., & Prince, M. J. (2009) · Annals of Tropical Medicine and Parasitology · doi:10.1179/136485909x398186 · Cited by 16
Quality of Life of Patients with Tuberculosis in a Nigerian Teaching Hospital
Sule, A. G., Odeigah, L. O., Alabi, K., Issa, B. A., Shittu, R., Joseph, A., Abiola, O., & Butawa, N. N. (2014) · Turkish Journal of Family Medicine & Primary Care · doi:10.5455/tjfmpc.46982 · Cited by 16
Kigozi, G. (2020) · Southern African Journal of Infectious Diseases · doi:10.4102/sajid.v35i1.242 · Cited by 17
Confronting and Coping with Multidrug-Resistant Tuberculosis: Life Experiences in Thailand
Numpong, S., Kengganpanich, M., Kaewkungwal, J., Ngum, W. P., Silachamroon, U., Kasetjaroen, Y., & Lawpoolsri, S. (2021) · Qualitative Health Research · doi:10.1177/10497323211049777 · Cited by 15
“Mental health problems are common among persons with chronic diseases that require long-term treatment (Aydin & Ulusahin, 2001).”
Background
Metadata
- Authors
- Orhan Aydin, I., & Uluşahin, A.
- Affiliations
- Hacettepe University (TR)
- Corresponding author
- Uluşahin, Aylin
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2001-03
- Volume
- 23
- Issue
- 2
- Pages
- 77-83
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2070878359
- Cited by
- 161
- References
- 33
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 11 · 2016: 5 · 2015: 8 · 2014: 9 · 2013: 7 · 2012: 10
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Environmental Research and Education Foundation
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, anxiety, psychiatric comorbidity, tuberculosis, chronic obstructive pulmonary disease, disability, GHQ-12, screening validity, multidrug-resistant tuberculosis, treatment default, Composite International Diagnostic Interview
- MeSH terms
- Adult, Aged, Anxiety, Cross-Sectional Studies, Depression, Humans, Lung Diseases, Obstructive, Male, Mass Screening, Middle Aged, Psychiatric Status Rating Scales, Sensitivity and Specificity, Tuberculosis, Pulmonary, Turkey, Comorbidity
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