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Clinical Strategies for Identifying Pediatric Patients with Tuberculosis at Risk of Developing Depressive Disorders
Oana Mariana Mihailov1,2, Anamaria Ciubară2, Valerii Luțenco3
1"Sfântul Spiridon" Pneumophthisiology of Galati, 800189 Galați, Romania.
Insights
This study developed a 9-point predictive score to identify depressive disorders in pediatric tuberculosis patients. Early detection improves treatment adherence and outcomes for children with tuberculosis and depression.
Area of Science:
- Pediatric Pulmonology
- Child and Adolescent Psychiatry
- Global Health
Background:
- Tuberculosis (TB) is a significant global health issue impacting millions, including children.
- Depressive disorders are prevalent in children and adolescents, affecting their well-being and development.
- The co-occurrence of TB and depression in pediatric patients presents complex clinical challenges.
Purpose of the Study:
- To develop a predictive score for depressive disorders in pediatric tuberculosis patients.
- To facilitate early identification and treatment of depression in children with TB.
- To improve anti-TB treatment compliance, reduce dropout rates, and optimize hospitalization and surveillance.
Main Methods:
- A study involving 190 pediatric patients (aged 7-18) diagnosed with tuberculosis.
- Data collected from patients admitted to Galati "St. Spiridon" Pneumophthisiology Hospital between January 2019 and December 2021.
- Development of a 9-point scoring system to assess the risk of affective disorders.
Main Results:
- A predictive score was established to quantify the risk of affective disorders.
- Scores below 4 indicate a minor risk.
- Scores between 4-6 indicate a medium risk, and scores above 6 indicate a severe risk of affective disorders.
Conclusions:
- Effective management requires comprehensive clinical assessment and screening tools.
- Long-term monitoring, multidisciplinary interventions, and family support are crucial.
- These strategies aim to improve the quality of life for children affected by both tuberculosis and depression.
Background:
Tuberculosis remains a major global public health problem, affecting millions of people every year, including children. At the same time, depressive disorders are among the most common mental disorders in children and adolescents, significantly influencing their quality of life and development. The intersection between these two pathologies-tuberculosis and depressive disorders-in pediatric patients raises complex clinical challenges that require effective identification and intervention strategies.
Materials And Methods:
A total sample of 190 patients aged between 7 and 18 years who presented to Galati "St. Spiridon" Pneumophthisiology Hospital between January 2019 and December 2021 was used.
Objective:
The main objective of this paper is to achieve a predictive score of depressive disorders in pediatric patients diagnosed with a form of tuberculosis. This score is particularly important because it helps to identify and treat early depressive disorders in children previously diagnosed with tuberculosis, resulting in increased compliance with anti-tuberculosis treatment, decreased dropout rate, and an optimal duration of hospitalization and surveillance, which positively influences the incidence of tuberculosis.
Results:
The final score is determined by a rating of a total of 9 points: if the value is below 4 points, there is a minor risk of affective disorders; if the value is between 4 and 6 points, there is a medium risk of affective disorders; if the value is above 6 points, there is a severe risk of affective disorders.
Conclusions:
A detailed clinical assessment, the usage of screening tools, long-term monitoring, multidisciplinary interventions, and family support are essential to ensure an effective management and to improve the life quality of these children.
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