Description of a Comparative Study on Self Esteem and Psychological Distress among Patients with Tuberculosis and Fracture in Selected Hospitals in Enugu, Nigeria

Background: Tuberculosis and lower limb fracture diagnosis and rehabilitation can affect the psychological well-being of a patient. Psychological conditions can affect the patient’s general well-being and make it more difficult to relieve physical symptoms. Psychological symptoms indicate self-esteem and the extent of psychological distress among individuals. Objectives: The purpose of this study is to evaluate and compare emotional health and self-esteem in tuberculosis and fracture patients admitted to chest units at the Enugu State University Teaching Hospital, University of Nigeria Teaching Hospital, and Enugu National Orthopaedic Hospital, Nigeria. Methods: The research population consisted of 126 patients undergoing care at Direct Reported Treatment Short Course (DOTS) clinics with pulmonary tuberculosis and 126 patients with emergency and out-of-patient lower limb fracture. The sociodemographic characteristics of the respondents were analysed using a socio-demographic interview schedule. Symptom Checklist-90 was used to measure the degree of psychological symptoms in both respondents and was used to evaluate self-esteem in the Self-Esteem Index. Results: In the tuberculosis group (25.4 percent), the incidence of mental conditions was substantially higher than in the orthopaedic group (7.6 percent). Depression , anxiety, and paranoid ideation and interpersonal sensitivity were among the psychological symptoms experienced (SCL-90). Compared to fractures, low self-esteem was more prevalent among tuberculosis patients. In this analysis, psychological distress levels were higher in tuberculosis patients relative to fracture patients (p<0.001). Tuberculosis diagnosis can lead to a host of patient anxiety and concerns. The strength of emotional responses can be much higher for a stigma-ridden disease like tuberculosis. We also found that patients with tuberculosis who were younger were significantly related to poorer mental wellbeing and that low self-esteem was more prevalent among tuberculosis participants relative to those with fracture (P<0.0001).

Author(s) Details

Andrew Orovwigho
Department of Psychiatry, Federal Neuropsychiatric Hospital, Enugu, Nigeria.

Emmanuel Olose
Department of Psychiatry, University of Calabar, Nigeria.

Richard Uwakwe

Department of Psychiatry, Nnamdi Azikiwe University, Awka, Nigeria.

Donald Chukwujekwu
Department of Psychiatry, University of Port Harcourt, Nigeria.

Chinyere Aguocha

Department of Psychiatry, Imo State University, Orlu, Nigeria.

Monday Igwe
Department of Psychiatry, Ebonyi State University, Abakaliki, Nigeria.

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