TB Research

Frequency and predictors of depression and anxiety in chronic illnesses: A multi disease study across non-communicable and communicable diseases

Abbas U, Hussain N, Tanveer M, Laghari RN, Ahmed I, Rajper AB

PloS one · 2025-05

Abstract

Background Depression and anxiety are among the most common mental health conditions globally that impact the lifestyle of affected individuals. Mental conditions and chronic diseases are linked to each other bidirectionally. Depression and anxiety with comorbid chronic conditions are often neglected or under-screened and possess challenges in treatment. This study aimed to know the frequency and determinants of depression and anxiety along with the severity level among common chronic communicable and non-communicable diseases. Methods We enrolled 200 healthy controls and 800 cases with equal number (n = 400) of patients with communicable and non-communicable diseases. Depression and anxiety were screened through Hamilton's rating scale for depression and anxiety separately. We also measured the determinants of severe depression among patients with chronic diseases. Data was analyzed through SPSS version 23. Results We found higher frequency of depression (31% vs 11%; p= Conclusion There is a significantly higher percentage of depression and anxiety among participants with chronic diseases. It calls for a comprehensive approach to patient care that incorporates mental health as a fundamental aspect of the treatment and management of chronic diseases. Understanding the predictors of severe depression across different chronic conditions helps in stratifying patients who may benefit most from integrated psychiatric and psychological interventions.

MeSH terms

  • Humans
  • Communicable Diseases
  • Chronic Disease
  • Case-Control Studies
  • Depression
  • Anxiety
  • Comorbidity
  • Adult
  • Aged
  • Middle Aged
  • Female
  • Male
  • Noncommunicable Diseases
  • COVID-19