Psychiatric Problems in Pulmonary Tuberculosis: Depression and Anxiety
2021
Depression, anxiety and tuberculosis are common conditions with
significant public health implications. The connection among these conditions
is syndemic: the incidence of one increases the chance of developing the other,
with clusters of biological, social and psychological interaction. Therefore,
it has become crucial to understand better the mechanisms liable for the
physiological process related to these three conditions. The
present review focuses specifically on shared social events (perception of illness
severity, social stigma, poverty and social isolation) and biological pathways (central response
of the immune system within the CNS, the activation of the HPA axis and the
SNS) that may mechanistically elucidate the depression-anxiety-tuberculosis association
and discuss interventions prospects and significant issues to be arranged by
future clinical and research implications.
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