Risk Factors for Depression Associated with The Use of Cycloserine in MDR TB Patients at dr. Soebandi Hospital
DOI:
https://doi.org/10.36497/jri.v45i3.883Keywords:
risk of depression, resistant, tuberculosis, antibioticsAbstract
Background: The most common psychological disorder in cycloserine treatment is depression. The purpose of this study was to determine factors that can affect the level of depression due to the use of cycloserine in MDR TB patients at dr. Soebandi Regional Hospital.
Methods: Data was obtained from medical records and the Depression Anxiety Stress Scales (DASS 42) questionnaire from 89 MDR TB patients at RSUD dr. Soebandi Regional Hospital in 2022-2024. Data analysis was done using Lambda and Somers test, and then the multivariate analysis was continued using ordinal logistic regression.
Results: The bivariate test results showed that the variables that significantly influenced the level of depression were gender (p=0.011), education (p = 0.000), occupation (p = 0.037), BMI (p = 0.000), and comorbidities (p = 0.029). Multivariate tests showed that three variables had a significant effect (p-value <0.05) on the level of depression, namely gender (p = 0.047), occupation (p = 0.001), and comorbidities (p = 0.011). The top two dominant risk factors affecting the level of depression are occupation (OR = 17,12) and comorbidities (OR = 9,14).
Conclusion: Occupation and comorbidities are the risk factors that most influence the level of depression in MDR TB patients receiving cycloserineDownloads
References
Bagcchi S. Global tuberculosis report 2022. The Lancet Microbe. 2023;4(1)(e20).
Kemenkes RI. Laporan Program Penanggulangan Tuberkulosis Tahun 2022. Jakarta: Kementerian Kesehatan RI; 2023. 1–147 p.
Syakira Q, Wibowo A, Febriani E, Masyarakat BK. Psychological challenges faced by multidrug-resistant tuberculosis pa ents: a systema c review. Ber Kedokt Masy. 2019;35(4):155–61.
Roba AA, Dasa TT, Weldegebreal F, Asfaw A, Mitiku H, Teklemariam Z, et al. Tuberculosis patients are physically challenged and socially isolated: A mixed methods case-control study of Health Related Quality of Life in Eastern Ethiopia. PLoS One. 2018;13(10):1–14.
Supriyanto I, Liung S, Suprihatini S, Ismanto SH. Psychiatric disorders in patients with multidrug resistant tuberculosis (MDR-TB) in Sardjito Hospital, Yogyakarta, Indonesia. J Anal Res Clin Med. 2017;5(3):91–6.
Pang Y, Liu R, Song Y, Lv Z, Gao M, Nie L, et al. High Incidence of Psychiatric Disorders Associated with Cycloserine Treatment of Multidrug-Resistant Tuberculosis Patients: A Cohort Study in Beijing, China. Infect Drug Resist. 2022;15(June):3725–32.
Tornheim JA, Udwadia ZF, Arora PR, Gajjar I, Gupte N, Sharma S, et al. Cycloserine did not increase depression incidence or severity at standard dosing for multidrug-resistant tuberculosis. Eur Respir J. 2022;59(3).
Nahda ND, Kholis FN, Wardani ND, Hardian. Factors Influence Depression in Tuberculosis Patients at Dr. Kariadi Central General Hospital Semarang. J Ked Diponegoro. 2017;6(4):1529–42.
Das D, Singh H. Cycloserine induced depression in a case of multidrug resistant tuberculosis. World J Pharm Phamaceutical Sci. 2017;6(10):1069–73.
Bawonte TG, Mambo CD, Masengi ASR. Faktor-Faktor Yang Mempengaruhi Tuberculosis Multidrug Resistance ( TB MDR ). eBiomedik. 2021;9(1):117–25.
Shivekar SS, Kaliaperumal V, Brammacharry U. Prevalence and factors associated with multidrug resistant tuberculosis in South India. Sci Rep. 2020;1–11.
Paudel S. Risk Factors for Multidrug-resistant Tuberculosis. Acta Med Indones. 2017;5(4):548–54.
Widyasrini ER, Probandari AN, Reviono. Factors Affecting the Success of Multi Drug Resistance (Mdr-Tb) Tuberculosis Treatment in Residential Surakarta. J Epidemiol Public Heal. 2017;2(1):44–57.
Prasetya FA, Sugiri YJ, Sartono TR, Al Rasyid H. Factors Affecting the Treatment Success of Short-Term Regimen for Drug Resistant Tuberculosis (DR TB) Patients at Dr. Saiful Anwar General Hospital Malang. J Respirologi Indones. 2022;42(3):192–200.
Kasron, Edhi Rahayu YS, Sobirin. Karakteristik Pasien Tb-Mdr Di Rsud Cilacap Periode Januari - Desember 2017. Media Ilmu Kesehat. 2020;8(2):171–9.
Aristiana CD, Wartono M. Faktor-faktor yang mempengaruhi kejadian Multi Drug Resistance Tuberkulosis (MDR-TB). J Biomedika dan Kesehat. 2018;1(1):65–74.
Dwi Cahyani T, Ratna Rahayu S, Jazilatun F, Nur Ayu Merzistya A. Multi-Drug Resistant Tuberculosis in Semarang City. Public Heal Perspect J [Internet]. 2021;6(2):148–58. Available from: http://journal.unnes.ac.id/sju/index.php/phpj
Rahayu SR, Susilastuti MS, Saefurrohim MZ, Azam M, Indrawati F, Supriyono M, et al. Lost to Follow-Up among Tuberculosis Patients during the Public-Private Mix Era in Rural Area of Indonesia. Ethiop J Health Sci. 2023;33(1):115–22.
Prabowo E. Konsep & Aplikasi Asuhan Keperawatan Jiwa. Yogyakarta: Nuha Medika; 2019.
Athiyyah, Santoso H. Permasalahan Kesehatan Mental di Masa Covid-19. J Ris dan Pengabdi Masy. 2021;1(2):170–85.
Batubara IMS, Dewi S. Gambaran Derajat Depresi pada Penderita Kusta Usia Produktif (18 - 64 Tahun). J Adv Nurs Heal Sci. 2021;2(1):15–20.
Pratiwi K, Rusinani D, Tinggi S, Kesehatan I. Literature Review: Gangguan Mental Depresi pada Wanita. J Ilmu Kebidanan. 2022;10:103–10.
Dirgayunita A. Depresi: Ciri, Penyebab dan Penangannya. J An-Nafs Kaji Penelit Psikol. 2016;1(1):1–14.
Fithriany F, Yuniwati C, Dewi S, Kartika Sari Harahap L. Pengaruh Psikoedukasi Terhadap Kadar Hormon Kortisol Pada Ibu Tujuan Dengan Depresi Postartum Di Wilayah Kerja Dinas Kesehatan Kota Langsa Tahun 2020. J Heal Sains. 2022;3(11):1604–11.
Gong Y, Yan S, Qiu L, Zhang S, Lu Z, Tong Y, et al. Prevalence of Depressive Symptoms and Related Risk Factors among Patients with Tuberculosis in China : A Multistage Cross-Sectional Study. Am Soc Trop Med Hyg Preval. 2018;98(6):1624–8.
Alifa T, Gani A, Saragih J. Hubungan Pendidikan Dengan Tingkat Depresi Pada Pasien Hipertensi di Kecamatan Syiah Kuala Banda Aceh. J Sehat Indones. 2024;6(02):671–80.
Notoatmodjo S. Metode Penelitian Kesehatan. Jakarta: Rineka Cipta; 2018. 37–41 p.
Fitrianur W. Analisis Faktor Yang Berhubungan Dengan Kejadian Ansietas Dan Depresi Pada Pasien Multidrug Resistant Tuberculosis (MDR TB) Di Poli MDR TB RSUD Ibnu Sina Gresik. Universitas Brawijaya; 2019.
Juliasih NN, Mertaniasih NM, Hadi C, Soedarsono, Sari RM, Alfian IN, et al. Mental Health Status and Its Associated Factors Related to Pulmonary Tuberculosis Patients in Primary Health Care Centre in Surabaya, Indonesia. Acta Med Indones. 2023;55(2):158–64.
Salodia UP, Sethi S, Khokhar A. Depression among tuberculosis patients attending a DOTS centre in a rural area of Delhi: A cross-sectional study. Indian J Public Health. 2019;63(1):39–43.
Hua Z, Ma D. Depressionen und wahrgenommene soziale Unterstützung bei arbeitslosen Jugendlichen in China: Untersuchung der Rolle von Emotionsregulationsschwierigkeiten und Selbstwirksamkeit. Int J Environ Res Public Health. 2022;19(8).
Kehbila J, Ekabe CJ, Aminde LN, Noubiap JJN, Fon PN. Prevalence and correlates of depressive symptoms in adult patients with pulmonary tuberculosis in the Southwest Region of Cameroon. Infect Dis Poverty. 2016;1–8.
Syam A, HM A, Abrar EA. Hubungan Antara Aktivitas Fisik, Status Gizi, dan Riwayat Paparan Asap Rokok Dengan Potensi Depresi Postpartum. J Ilm Mhs Penelit Keperawatan. 2023;3(3):14–20.
Fu X, Wang Y, Zhao F, Cui R, Xie W, Liu Q, et al. Shared Biological Mechanisms of Depression and Obesity: Focus on Adipokines and Lipokines. J Aging. 2023;15(12):5917–50.
Etherton PMK, Petersen KS, Hibbeln JR, Hurley D, Kolick V, Peoples S, et al. Nutrition and behavioral health disorders: Depression and anxiety. Nutr Rev. 2021;79(3):247–60.
Phoebe ED, Mahendra AI, Sidqoh AB. Hubungan Diabetes Melitus dengan Kejadian Depresi pada Lansia di Poli Geriatri. J Penelit Perawat Prof. 2022;4(4):1339–48.
Pertiwi AB, Ali H, Dwikotjo F, Sumantyo S. Pengaruh Persepsi Harga dan Kualitas Pelayanan terhadap Loyalitas Pelanggan Melalui Kepuasan Pelanggan pada E- Commerce Shopee. J Ilmu Multidisiplin. 2022;1(2):537–53.
Reviono, Kusnanto P, Eko V, Pakiding H, Nurwidiasih D. Multidrug Resistant Tuberculosis (MDR-TB): Tinjauan Epidemiologi dan Faktor Risiko Efek Samping Obat Anti Tuberkulosis. Maj Kedokt Bandung. 2014;46(4):189–96.
Abdurahman S, Yadeta TA, Ayana DA, Kure MA, Ahmed J, Mehadi A. Magnitude of Depression and Associated Factors Among Patients on Tuberculosis Treatment at Public Health Facilities in Harari Regional State, Eastern Ethiopia: Multi-Center Cross-Sectional Study. Neuropsychiatr Dis Treat. 2022;18:1405–19.
Septiani I. Association between Physical Condition, Socio-Economic, and Clinical Characteristics with Depression Status among Multi Drug Resistant Tuberculosis Patient. Universitas Negeri Semarang; 2019.
Berk M, Köhler-Forsberg O, Turner M, Penninx BWJH, Wrobel A, Firth J, et al. Comorbidity between major depressive disorder and physical diseases: a comprehensive review of epidemiology, mechanisms and management. World Psychiatry. 2023;22(3):366–87.
Khairunisa NS, Safitri DR, Angelia D, Taufan M. Produktivitas Dan Depresi Di Indonesia : Analisis Data Indonesian Family Life Survey 2014 Productivity And Depression In Indonesia : Analysis From Indonesian Family Life Survey 2014. J Ekon dan Pembang. 2019;27:75–84.
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