肺结核患者的心理表现:发病率和诱因

Surya Kant, A. Pandey, Sushma Yadav, Pranjal Tripathi
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摘要

结核病(TB)仍然是全球关注的主要健康问题,每年影响数百万人。除了外在症状之外,结核病还会对心理健康产生严重的负面影响,并给患者带来心理痛苦。本综述旨在回顾结核病患者心理不适的发生频率和诱因。以往的研究显示,心理困扰的发生率各不相同,通常表现为压力、担忧和抑郁。这些因素会改变基因表达模式、表观遗传修饰和免疫反应,从而导致更高的心理压力。压力、焦虑和抑郁等心理因素会通过各种机制影响肺结核患者的基因代谢。这些因素会影响结核病的易感性、疾病进展和治疗效果。为了有效满足结核病患者的心理健康需求,必须了解结核病人群中心理困扰的流行情况和因素。为了促进肺结核患者的整体健康,必须将心理健康治疗与减轻耻辱感和加强社会支持的措施相结合,纳入肺结核护理中。
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Psychological manifestations in patients with tuberculosis: prevalence and contributing factors
Tuberculosis (TB) continues to be a major global health concern impacting millions of people each year. Beyond its outward symptoms TB can have a significant negative influence on psychological health and cause psychological anguish in those who are afflicted. The purpose of this review is to recapitulate the frequency and contributing variables of psychological discomfort in TB patients. Previous studies show varying prevalence rates of psychological distress which frequently manifests as stress, worry, and depression. Numerous factors such as sociodemographic characteristics the severity of the disease the treatment plan, stigma, and social support. these factors can alter gene expression patterns, epigenetic modifications, and immune responses linked to higher psychological distress. Psychological factors like stress, anxiety, and depression can influence gene metabolism in TB patients through various mechanisms. These factors impacting TB susceptibility, disease progression, and treatment outcomes. To effectively address the mental health needs of TB patients, it is imperative to comprehend the prevalence and factors of psychological distress in tb population. Promote the holistic well-being of TB patients, it is imperative that mental health treatments be integrated into TB care in conjunction with initiatives to lessen stigma and enhance social support.
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