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
| dc.contributor.author | Janse Van Rensburg, André | |
| dc.contributor.author | Dube, Audry | |
| dc.contributor.author | Curran, Robyn | |
| dc.contributor.author | Ambaw, Fentie | |
| dc.contributor.author | Murdoch, Jamie | |
| dc.contributor.author | Bachmann, Max | |
| dc.contributor.author | Petersen, Inge | |
| dc.contributor.author | Fairall, Lara | |
| dc.date.accessioned | 2020-01-20T06:49:54Z | |
| dc.date.available | 2020-01-20T06:49:54Z | |
| dc.date.issued | 2020-01-15 | |
| dc.date.updated | 2020-01-19T04:32:15Z | |
| dc.description.abstract | 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. | |
| dc.identifier.apacitation | Janse Van Rensburg, A., Dube, A., Curran, R., Ambaw, F., Murdoch, J., Bachmann, M., ... Fairall, L. (2020). 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. http://hdl.handle.net/11427/30754 | en_ZA |
| dc.identifier.chicagocitation | Janse Van Rensburg, André, Audry Dube, Robyn Curran, Fentie Ambaw, Jamie Murdoch, Max Bachmann, Inge Petersen, and Lara Fairall "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." (2020) http://hdl.handle.net/11427/30754 | en_ZA |
| dc.identifier.citation | Infectious Diseases of Poverty. 2020 Jan 15;9(1):4 | |
| dc.identifier.ris | TY - Journal Article AU - Janse Van Rensburg, André AU - Dube, Audry AU - Curran, Robyn AU - Ambaw, Fentie AU - Murdoch, Jamie AU - Bachmann, Max AU - Petersen, Inge AU - Fairall, Lara AB - 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. DA - 2020-01-15 DB - OpenUCT DP - University of Cape Town KW - Tuberculosis KW - Mental disorder KW - Comorbidity KW - Person-centred care KW - Low-to-middle income countries KW - BRICS LK - https://open.uct.ac.za PY - 2020 T1 - 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 TI - 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 UR - http://hdl.handle.net/11427/30754 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s40249-019-0619-4 | |
| dc.identifier.uri | http://hdl.handle.net/11427/30754 | |
| dc.identifier.vancouvercitation | Janse Van Rensburg A, Dube A, Curran R, Ambaw F, Murdoch J, Bachmann M, et al. 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. 2020; http://hdl.handle.net/11427/30754. | en_ZA |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s). | |
| dc.subject | Tuberculosis | |
| dc.subject | Mental disorder | |
| dc.subject | Comorbidity | |
| dc.subject | Person-centred care | |
| dc.subject | Low-to-middle income countries | |
| dc.subject | BRICS | |
| dc.title | 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 | |
| dc.type | Journal Article |