Hubungan Antara Keterikatan Pengobatan, Karakteristik Sosiodemografik, dan Kondisi Klinis TB dengan Sindrom Depresif, Ansietas, dan Kecenderungan Bunuh Diri pada Pasien TB di Fasilitas Pelayanan Kesehatan Primer

Abstract

Background: Tuberculosis (TB) remains a leading cause of global morbidity and mortality, with Indonesia ranking as the country with the second highest TB burden in the world. Treatment success is highly influenced by patient adherence, which is often disrupted by depression, anxiety, and social stigma. These psychological disorders increase the risk of suicide among TB patients, particularly those with chronic illnesses. Primary healthcare facilities, especially community health centers, play a strategic role in TB control through integrated service networks aimed at improving early diagnosis, treatment adherence, and reducing the psychological impact on patients. Methods: This study employed a cross-sectional design involving 79 TB patients selected through consecutive sampling. Instruments used included the Hospital Anxiety and Depression Scale (HADS) to assess depressive and anxiety syndromes, the Beck Scale for Suicide Ideation (BSS) to assess suicidal tendencies, and the Medication Adherence Rating Scale (MARS-10) to assess treatment adherence. Data were analyzed using chi-square tests and multivariate logistic regression with a significance level of p<0.05. Results: Significant associations were found between gender and depressive syndrome in TB patients (p=0.036), educational level and anxiety syndrome (p=0.045), treatment adherence and suicidal tendency (p=0.021), and gender and suicidal tendency (p=0.055). Conclusion: This study revealed significant associations between gender and depressive syndrome, educational level and anxiety syndrome, as well as treatment adherence and suicidal tendency among TB patients. Additionally, gender was found to influence suicidal tendencies. These findings highlight the importance of a more comprehensive approach that considers sociodemographic factors and treatment adherence in efforts to improve the mental health of TB patients. Keywords: Tuberculosis, depressive syndrome, anxiety, suicide, treatment adherence.