Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences
Objective: During multidrug-resistant tuberculosis (MDR-TB) treatment, patients face depression and anxiety. This study aims to evaluate the effects of cognitive behavioral therapy (CBT) on the psychological status and risk of loss to follow-up (LTFU) during MDR-TB treatment in Mongolia. Method: E...
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| Format: | Article |
| Language: | English |
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Mongolian National University of Medical Sciences
2024-06-01
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| Series: | Central Asian Journal of Medical Sciences |
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| Online Access: | https://www.mongoliajol.info/index.php/CAJMS/article/view/3573 |
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| author | Dorjmaa Dashdavaa Bolor Rash Ser-Od Khuyagaa Anuzaya Purevdagva Kyung Hyun Oh Oyunsuren Davaasuren Naranzul Dambaa Baatarkhuu Oidov Khishigsuren Zuunnast |
| author_facet | Dorjmaa Dashdavaa Bolor Rash Ser-Od Khuyagaa Anuzaya Purevdagva Kyung Hyun Oh Oyunsuren Davaasuren Naranzul Dambaa Baatarkhuu Oidov Khishigsuren Zuunnast |
| author_sort | Dorjmaa Dashdavaa |
| collection | DOAJ |
| description | Objective: During multidrug-resistant tuberculosis (MDR-TB) treatment, patients face depression and anxiety. This study aims to evaluate the effects of cognitive behavioral therapy (CBT) on the psychological status and risk of loss to follow-up (LTFU) during MDR-TB treatment in Mongolia. Method: Eligible participants were randomly assigned to intervention and control groups. Intervention group participants underwent CBT, while control group participants received standard patient education. Psychological status was assessed before and after CBT. MDR-TB treatment outcomes were evaluated as internationally defined. Results: The study included a total of 83 patients. After CBT, depression and anxiety levels decreased by 12% and 16%, respectively, in the intervention group, whereas the control group showed a 4% decrease in depression and an 8.5% increase in anxiety levels. MDR-TB treatment outcomes revealed an 8% higher treatment success rate and a fivefold reduction in LTFU rate in the intervention group compared to the control group. In multivariable logistic regression, risk factors associated with increased LTFU were living alone (OR 12.7, p=0.031) and not being provided CBT (OR 16.1, p=0.040). Conclusion: Our study suggests that CBT not only alleviates these psychological challenges but also diminishes the risk of LTFU during treatment, leading to improved MDR-TB treatment success. |
| format | Article |
| id | doaj-art-18bfda6919de42949b0bdd1f7e118bf1 |
| institution | Kabale University |
| issn | 2413-8681 2414-9772 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Mongolian National University of Medical Sciences |
| record_format | Article |
| series | Central Asian Journal of Medical Sciences |
| spelling | doaj-art-18bfda6919de42949b0bdd1f7e118bf12025-08-20T03:25:26ZengMongolian National University of Medical SciencesCentral Asian Journal of Medical Sciences2413-86812414-97722024-06-01102475610.24079/cajms.2024.02.0023524Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiencesDorjmaa Dashdavaa0https://orcid.org/0000-0002-4776-3174Bolor Rash1Ser-Od Khuyagaa2Anuzaya Purevdagva3Kyung Hyun Oh4Oyunsuren Davaasuren5Naranzul Dambaa6Baatarkhuu Oidov7Khishigsuren Zuunnast8Department of Mental Health, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, MongoliaTuberculosis clinic, National Center for Communicable Diseases, Ulaanbaatar, MongoliaDepartment of Epidemiology and Biostatistics, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, MongoliaDepartment of Communicable Diseases Control, World Health Organization, MongoliaDepartment of End TB, World Health Organization Regional Offi ce for the Western Pacifi c, PhilippinesDepartment of Mental Health, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, MongoliaTuberculosis Surveillance and Research Department, National Center for Communicable Diseases, Ulaanbaatar, MongoliaDepartment of Infectious Diseases, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, MongoliaDepartment of Mental Health, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, MongoliaObjective: During multidrug-resistant tuberculosis (MDR-TB) treatment, patients face depression and anxiety. This study aims to evaluate the effects of cognitive behavioral therapy (CBT) on the psychological status and risk of loss to follow-up (LTFU) during MDR-TB treatment in Mongolia. Method: Eligible participants were randomly assigned to intervention and control groups. Intervention group participants underwent CBT, while control group participants received standard patient education. Psychological status was assessed before and after CBT. MDR-TB treatment outcomes were evaluated as internationally defined. Results: The study included a total of 83 patients. After CBT, depression and anxiety levels decreased by 12% and 16%, respectively, in the intervention group, whereas the control group showed a 4% decrease in depression and an 8.5% increase in anxiety levels. MDR-TB treatment outcomes revealed an 8% higher treatment success rate and a fivefold reduction in LTFU rate in the intervention group compared to the control group. In multivariable logistic regression, risk factors associated with increased LTFU were living alone (OR 12.7, p=0.031) and not being provided CBT (OR 16.1, p=0.040). Conclusion: Our study suggests that CBT not only alleviates these psychological challenges but also diminishes the risk of LTFU during treatment, leading to improved MDR-TB treatment success.https://www.mongoliajol.info/index.php/CAJMS/article/view/3573tuberculosisdepressionanxietymental healthpsychotherapy |
| spellingShingle | Dorjmaa Dashdavaa Bolor Rash Ser-Od Khuyagaa Anuzaya Purevdagva Kyung Hyun Oh Oyunsuren Davaasuren Naranzul Dambaa Baatarkhuu Oidov Khishigsuren Zuunnast Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences Central Asian Journal of Medical Sciences tuberculosis depression anxiety mental health psychotherapy |
| title | Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences |
| title_full | Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences |
| title_fullStr | Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences |
| title_full_unstemmed | Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences |
| title_short | Effectiveness of Cognitive Behavioral Therapy on Multi-drug Resistant Tuberculosis Patients in Mongolia: 10 years experiences |
| title_sort | effectiveness of cognitive behavioral therapy on multi drug resistant tuberculosis patients in mongolia 10 years experiences |
| topic | tuberculosis depression anxiety mental health psychotherapy |
| url | https://www.mongoliajol.info/index.php/CAJMS/article/view/3573 |
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