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Cited by 142Tuberculosis Research and EpidemiologyMental Health Treatment and AccessInfectious Diseases and Tuberculosis

The DOI matches its Crossref record; 125 of the 126 references it cites were found in a registry or an index.

Comorbidities between tuberculosis and common mental disorders: a scoping review of epidemiological patterns and person-centred care interventions from low-to-middle income and BRICS countries

Open access
Janse Van Rensburg, André, Dube, Audry, Curran, Robyn, Ambaw, Fentie, Murdoch, Jamie, Bachmann, Max, Petersen, Inge, Fairall, Lara·2020·Infectious Diseases of Poverty
DOI 10.1186/s40249-019-0619-4PMC PMC6964032
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Abstract

Background: There is increasing evidence that the substantial global burden of disease for tuberculosis unfolds in concert with dimensions of common mental disorders. Person-centred care holds much promise to ameliorate these comorbidities in low-to-middle income countries (LMICs) and emerging economies. Towards this end, this paper aims to review 1) the nature and extent of tuberculosis and common mental disorder comorbidity and 2) person-centred tuberculosis care in low-to-middle income countries and emerging economies. Main text: A scoping review of 100 articles was conducted of English-language studies published from 2000 to 2019 in peer-reviewed and grey literature, using established guidelines, for each of the study objectives. Four broad tuberculosis/mental disorder comorbidities were described in the literature, namely alcohol use and tuberculosis, depression and tuberculosis, anxiety and tuberculosis, and general mental health and tuberculosis. Rates of comorbidity varied widely across countries for depression, anxiety, alcohol use and general mental health. Alcohol use and tuberculosis were significantly related, especially in the context of poverty. The initial tuberculosis diagnostic episode had substantial socio-psychological effects on service users. While men tended to report higher rates of alcohol use and treatment default, women in general had worse mental health outcomes. Older age and a history of mental illness were also associated with pronounced tuberculosis and mental disorder comorbidity. Person-centred tuberculosis care interventions were almost absent, with only one study from Nepal identified. Conclusions: There is an emerging body of evidence describing the nature and extent of tuberculosis and mental disorders comorbidity in low-to-middle income countries. Despite the potential of person-centred interventions, evidence is limited. This review highlights a pronounced need to address psychosocial comorbidities with tuberculosis in LMICs, where models of person-centred tuberculosis care in routine care platforms may yield promising outcomes.

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Fig. 1 Search results for papers describing the nature and extent of tuberculosis and mental (anxiety, mood and substance use) disorder comorbidity in LMICs and BRICS (2000–2019)
Fig. 1 Search results for papers describing the nature and extent of tuberculosis and mental (anxiety, mood and substance use) disorder comorbidity in LMICs and BRICS (2000–2019)CC BY · PubMed Central
Fig. 2 Search results for papers describing person-centred care approaches to tuberculosis and mental disorder comorbidities in LMICs and BRICS (2000–2019)
Fig. 2 Search results for papers describing person-centred care approaches to tuberculosis and mental disorder comorbidities in LMICs and BRICS (2000–2019)CC BY · PubMed Central

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Cites

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Research works printed but not linked: 10

  1. World Health Organization. Global Tuberculosis Report 2019. Geneva: WHO; 2019.
  2. de Silva D. Helping measure person-centred care. London: The Health Foundation; 2014.
  3. Analytics C. Endnote X9; 2018.
  4. QSR. NVivo qualitative data analysis Software. In: QSR International Pty Ltd; 2018.
  5. Srivastava AS, Ramdinee NA, Matah SC, Tripathi MN, Pandit B, Yadav JS. Psychiatric morbidities in patients with pulmonary tuberculosis. Dysphrenia. 2014;5(2):133–7.
  6. Hermosilla S, You P, Aifah A, Abildayev T, Akilzhanova A, Kozhamkulov U, Muminov T, Darisheva M, Zhussupov B, Terlikbayeva A et al. Identifying risk factors associated with smear positivity of pulmonary tuberculosis in Kazakhstan. PLoS One 2017, 12(3):e0172942. · DOI
  7. Jankowska-Polanska BK, Kamińska M, Uchmanowicz I, Rycombel A. Quality of life and health behaviours of patients with tuberculosis—sex differences. Pneumonol Alergol Pol. 2015;83(4):256–65. · DOI
  8. Louw JS, Mabaso M, Peltzer K. Change in health-related quality of life among pulmonary tuberculosis patients at primary health care settings in South Africa: a prospective cohort study. PLoS One. 2016;11(5):e0151892. · DOI
  9. Thapa P, Kamath R, Shetty BK, Monteiro A, Sekaran VC. Prevalence and associated factors of alcoholism among tuberculosis patients in Udupi Taluk, Karnataka, India: a cross sectional study. J Nepal Health Res Counc. 2014;12(28):177–81.
  10. Peltzer K, Louw JS. Prevalence and factors associated with tuberculosis treatment outcome among hazardous or harmful alcohol users in public primary health care in South Africa. Afr Health Sci. 2014;14(1):157–66. · DOI

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Metadata

Authors
Janse Van Rensburg, A., Dube, A., Curran, R., Ambaw, F., Murdoch, J., Bachmann, M., Petersen, I., & Fairall, L.
Affiliations
  • University of Cape Town (ZA)
  • Bahir Dar University (ET)
  • University of East Anglia (GB)
  • University of KwaZulu-Natal (ZA)
ORCID
Venue
Infectious Diseases of Poverty
Publisher
Springer Science and Business Media LLC
Published
2020-01-15
Volume
9
Issue
1
Pages
4-4
ISSN
2049-9957 (ISSN-L)
DOI
10.1186/s40249-019-0619-4
PMC
PMC6964032
OpenAlex
W3002282706
Cited by
142
References
126
Citations by year
2026: 11 · 2025: 15 · 2024: 33 · 2023: 42 · 2022: 12 · 2021: 23 · 2020: 5
FWCI
0.97
Type
journal article
Language
en
Open access
Licence
Locations
  • Infectious Diseases of Poverty (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UEA Digital Repository (University of East Anglia) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Research Portal (King's College London) (submittedVersion, other-oa)
  • Open University of Cape Town (University of Cape Town) (submittedVersion)
  • Greater South Information System
Funders
National Institute for Health Research (GHRU 16/136/54)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
Keywords
tuberculosis, common mental disorders, comorbidities, depression, anxiety, alcohol consumption, person-centred care, low- and middle-income countries, BRICS countries, treatment default, gender differences, psychosocial burden, poverty
MeSH terms
Mental Disorders, Developing Countries, Health Services Needs and Demand, Humans, Tuberculosis, Comorbidity, Patient-Centered Care

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