Background: Patients with tuberculosis (TB) often face stigma within their communities. Additionally, TB is frequently accompanied by comorbid conditions that contribute to psychological stress, as patients must cope with a dual burden. Pregnant women with comorbid TB are particularly vulnerable to developing mental health problems.
Methods: Searching PubMed, Google Schoolar, dan Scopus from 2018 to 2023. Using Publish or Perish, a number of journals were collected and visualized using VOS viewer.
Results: Various comorbid conditions have been identified in TB patients such a HIV, DM, etc. Similarly, mental health issues have been observed in pregnant women with comorbid TB. Including anxiety disorders, depression, stress, and other related mental health conditions.
Conclusion: The double burden of disease on TB patients makes them feel depressed. The stigma that exists in the community makes patients isolated. Community support is needed in the midst of patients who experience a lot of psychological pressure. Therefore, efforts to prevent and treat mental health disorders in comorbid TB patients require cooperation between health workers, families and people closest to the patient.
- 1. Sveinbjornsdottir GM, Kamowa D, Katundu PN, Gizurarson S. Compliance and illiteracy when treating tuberculosis. Int Health. 2024;16(1):126–8.
- 2. Kemenkes RI. Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024. Pertem Konsolidasi Nas Penyusunan STRANAS TB. 2020;135.
- 3. Bates M, Marais BJ, Zumla A. Tuberculosis comorbidity with communicable and noncommunicable diseases. Cold Spring Harb Perspect Med. 2015;5(11):1–15.
- 4. Manggasa DD, Suharto DN. Riwayat Pengobatan dan Komorbid Diabetes Mellitus Berhubungan Dengan Kejadian Tuberkulosis Resisten Obat. Poltekita J Ilmu Kesehat. 2022;15(4):403–8.
- 5. Manti S, Leonardi S, Rezaee F, Harford TJ, Perez MK, Piedimonte G. Effects of Vertical Transmission of Respiratory Viruses to the Offspring. Front Immunol. 2022;13(March):1–12.
- 6. Abu-Raya B, Michalski C, Sadarangani M, Lavoie PM. Maternal Immunological Adaptation During Normal Pregnancy. Front Immunol. 2020;11(October):1–18.
- 7. Huque R, Elsey H, Fieroze F, Hicks JP, Huque S, Bhawmik P, et al. “death is a better option than being treated like this”: A prevalence survey and qualitative study of depression among multi-drug resistant tuberculosis in-patients [Internet]. Vol. 20, BMC Public Health. 2020. Available from: https://api.elsevier.com/content/abstract/scopus_id/85086007968
- 8. Stubbs B, Siddiqi K, Elsey H, Siddiqi N, Ma R, Romano E, et al. Tuberculosis and non-communicable disease multimorbidity: An analysis of the world health survey in 48 low-and middle-income countries [Internet]. Vol. 18, International Journal of Environmental Research and Public Health. mdpi.com; 2021. p. 1–15. Available from: https://www.mdpi.com/1660-4601/18/5/2439
- 9. Liu X, Bai X, Ren R, Tan L, Zhang Y, Lan H, et al. Association between depression or anxiety symptoms and immune-inflammatory characteristics in in-patients with tuberculosis: A cross-sectional study. Front Psychiatry. 2022;13.
- 10. Rajeev H, Pradeep TS. Stress, Depression and Coping in Tuberculosis Patients-A Hospital Based Study. Natl J Community Med. 2022;13(11):762–70.
- 11. Mainga T, Gondwe M, Stewart RC, Mactaggart I, Shanaube K, Ayles H, et al. Conceptualization, detection, and management of psychological distress and mental health conditions among people with tuberculosis in Zambia: a qualitative study with stakeholders’ and TB health workers. Int J Ment Health Syst [Internet]. 2022;16(1):1–12. Available from: https://doi.org/10.1186/s13033-022-00542-x
- 12. Thungana Y, Wilkinson R, Zingela Z. Comorbidity of mental ill-health in tuberculosis patients under treatment in a rural province of South Africa: a cross-sectional survey. BMJ Open. 2022;12(11):1–8.
- 13. Alisjahbana B, Sahiratmadja E, Nelwan EJ, Purwa AM, Ahmad Y, Ottenhoff THM, et al. The effect of type 2 diabetes mellitus on the presentation and treatment response of pulmonary tuberculosis. Clin Infect Dis. 2007;45(4):428–35.
- 14. Ahmad SR, Yaacob NA, Jaeb MZ, Hussin Z, Wan Mohammad WMZ. Effect of diabetes mellitus on tuberculosis treatment outcomes among tuberculosis patients in Kelantan, Malaysia. Iran J Public Health. 2020;49(8):1485–93.
- 15. Alkabab YM, Al-abdely HM, Heysell SK, Arabia S, Faisal K, Hospital S, et al. Diabetes-related tuberculosis in the Middle East: an urgent need for regional research Yosra. Int J Infect Dis. 2016;(Dm):64–70.
- 16. Sibarani JP. Description Of Stress Levels In Pulmonary Tuberculosis Patients Undergoing The Intensive Phase Of Treatment In Hospital And Puskesmas. 2019.
- 17. Tetrapoik JC, Nugroho KPA, De Fretes F. Upaya Keluarga dalam Perawatan Klien TB Paru dengan Komorbid Diabetes Melitus Di Kota Salatiga. J Sains dan Kesehat. 2020;2(4):331–9.
- 18. Kim AW, Nyengerai T, Mendenhall E. Evaluating the mental health impacts of the COVID-19 pandemic: perceived risk of COVID-19 infection and childhood trauma predict adult depressive symptoms in urban South Africa [Internet]. Vol. 52, Psychological Medicine. ncbi.nlm.nih.gov; 2022. p. 1587–99. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310654/
- 19. Wahyuni R. Hubungan Antara Dukungan Sosial Terhadap Kualitas Hidup Penderita Tb Pada Puskesmas Di Kota Makassar. 2013;1–85. Available from: http://repository.unhas.ac.id/id/eprint/9957/1/riawahyuni-2347-1-13-riaw-5 1-2.pdf
- 20. Sweetland AC, Jaramillo E, Wainberg ML, Chowdhary N, Oquendo MA, Medina-Marino A, et al. Tuberculosis: an opportunity to integrate mental health services in primary care in low-resource settings. The Lancet Psychiatry [Internet]. 2018;5(12):952–4. Available from: http://dx.doi.org/10.1016/S2215-0366(18)30347-X
- 21. Cáceres G, Calderon R, Ugarte-Gil C. Tuberculosis and comorbidities: treatment challenges in patients with comorbid diabetes mellitus and depression [Internet]. Vol. 9, Therapeutic Advances in Infectious Disease. 2022. Available from: https://api.elsevier.com/content/abstract/scopus_id/85130714113
- 22. Ehsanpour S, Shabangiz A, Bahadoran P, Kheirabadi GR. The association of depression and preterm labor. Iran J Nurs Midwifery Res. 2012;17(4):275–8.
- 23. McCauley M, Abigail B, Bernice O, Van Den Broek N. “i just wish it becomes part of routine care”: Healthcare providers’ knowledge, attitudes and perceptions of screening for maternal mental health during and after pregnancy: A qualitative study. BMC Psychiatry. 2019;19(1):1–8.
- 24. Kumar M, Saadaoui M, Al Khodor S. Infections and Pregnancy: Effects on Maternal and Child Health. Front Cell Infect Microbiol. 2022;12(June):1–15.
- 25. Mutahi J, Larsen A, Cuijpers P, Peterson SS, Unutzer J, McKay M, et al. Mental health problems and service gaps experienced by pregnant adolescents and young women in Sub-Saharan Africa: A systematic review. eClinicalMedicine [Internet]. 2022;44:101289. Available from: https://doi.org/10.1016/j.eclinm.2022.101289
- 26. Deribew A, Deribe K, Reda AA, Tesfaye M, Hailmichael Y, Maja T. Do common mental disorders decline over time in TB/HIV co-infected and HIV patients without TB who are on antiretroviral treatment? BMC Psychiatry. 2013;13:1–6.
- 27. Siddiqi K, Stubbs B, Lin Y, Elsey H, Siddiqi N. TB multimorbidity: A global health challenge demanding urgent attention [Internet]. Vol. 25, International Journal of Tuberculosis and Lung Disease. ingentaconnect.com; 2021. p. 87–90. Available from: https://www.ingentaconnect.com/content/iuatld/ijtld/2021/00000025/00000002/art00001
- 28. Barman P. Tuberculosis and mental health: The interface. Indian J Public Heal Res Dev [Internet]. 2019;10(12):333–7. Available from: https://api.elsevier.com/content/abstract/scopus_id/85089757404.
Copyright (c) 2025 INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright Rights & Permissions Guide
Reproducing Published Material from other Publishers
It is absolutely essential that authors obtain permission to reproduce any published material (figures, schemes, tables or any extract of a text) which does not fall into the public domain, or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).
Permission is required for:
- Your own works published by other Publishers and for which you did not retain copyright.
- Substantial extracts from anyones’ works or a series of works.
- Use of Tables, Graphs, Charts, Schemes and Artworks if they are unaltered or slightly modified.
- Photographs for which you do not hold copyright.
Permission is not required for:
- Reconstruction of your own table with data already published elsewhere. Please notice that in this case you must cite the source of the data in the form of either “Data from…” or “Adapted from…”.
- Reasonably short quotes are considered fair use and therefore do not require permission.
- Graphs, Charts, Schemes and Artworks that are completely redrawn by the authors and significantly changed beyond recognition do not require permission.
Obtaining Permission
In order to avoid unnecessary delays in the publication process, you should start obtaining permissions as early as possible. If in any doubt about the copyright, apply for permission. JNH cannot publish material from other publications without permission.
The copyright holder may give you instructions on the form of acknowledgement to be followed; otherwise follow the style: “Reproduced with permission from [author], [book/journal title]; published by [publisher], [year].’ at the end of the caption of the Table, Figure or Scheme.
Every mansucript should be accompanied by "Copyright Transfer Agreement" prior to the article publication
Similar Articles
- Usha Panta, Factors Associated With Utilization Of Adolescent-Friendly Health Services In Sunsari District Of Nepal: Utilization Of Adolescent-Friendly Health Services , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 4 No. 2 (2022): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Candra Kirana, Usti Syah Putri , Muhammad Abdul Rauf, INTEGRATION OF THE SEHAT-LINGKUNGAN MODEL INTO QUALITY AND ACCREDITATION SYSTEMS: A CASE STUDY OF ENVIRONMENTAL HEALTH RISK MANAGEMENT AT THE MUNA DISTRICT HEALTH CENTRE: SEHAT-LINGKUNGAN MODEL , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Muhammad Ikhsan Akbar, Wa Ode Nova Noviyanti Rachman, Sartini Risky MS, FACTORS RELATING TO THE PERFORMANCE OF HEALTH WORKERS IN ABELI CITY HEALTH CENTER, KENDARI CITY: Performance of Health Workers , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 1 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Noviati Noviati, Sitti Marya Ulva, THE RELATIONSHIPS BETWEEN THE PROVIDING OF SELF-PROTECTIVE EQUIPMENTAND OCCUPATIONAL STRESS EVENTS OF HEALTH OFFICERS IN THE HANDLING OF COVID-19 IN KANDAI HEALTH CENTER: SELF-PROTECTIVE EQUIPMENT AND OCCUPATIONAL STRESS , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 3 No. 2 (2021): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Sri Mulyani, THE RELATIONSHIP BETWEEN INCOME AND ACCESS WITH PAYMENT REGULATIONS OF HEALTH INSURANCE FOR SELF-FINANCING MEMBERS IN PUUWATU PRIMARY HEALTH CARE CENTRE IN KENDARI CITY: HEALTH INSURANCE FOR SELF-FINANCING MEMBERS , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 1 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Silvia Amanda Lodi, Ade Suzana Eka Putri, Yeffi Masnarivan, FACTORS ASSOCIATED WITH HEALTH SEEKING BEHAVIOUR OF PNEUMONIA CHILDREN UNDER FIVE IN LUBUK BEGALUNG HEALTH CENTER 2024 : PNEUMONIA CHILDREN UNDER FIVE , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 8 No. 1 (2026): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Tasnim Tasnim, Siti Rahmatia, The Health Promotion Strategy To Increase Covid-19 Vaccination Coverage In Lampeapi Health Center: Health Promotion Strategy , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 1 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Stefi Kristina Gultom, Lilis Novitarum, Murni Sari Dewi Simanullang, The Relationship Between Self-Management and Health Behavior of Hypertension Patients in Romana Tanjung Anom Clinic: Self-Management and Health Behavior , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Ari Nofitasari, Nawawi Nawawi, Mimi Yati, Sarah Sarizan Yunam, THE EFFECT OF HEALTH EDUCATION AUDIOVISUAL BASED ON HEALTH BELIEF MODEL TOWARDS COMPLIANCE BEHAVIOR OF TB PATIENTS IN PREVENTION TRANSMISSION AT NAMBO PUBLIC HEALTH CENTER AREA: HEALTH EDUCATION , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 2 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Musfirah Fhyra, Syamsu Andi Kamaruddin, Arli Adam, Andi Ihsan, Hasma, Traditional Health Practices In The Kajang Community: Health Practices , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
You may also start an advanced similarity search for this article.
Most read articles by the same author(s)
- Fitri Rachmillah Fadmi, La Djabo Buton, Sri Mulyani, The Determinant Of Pneumonia In Children Under Five Years Old Related To Environmental And Behavioral Factors: Determinant Of Pneumonia , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 1 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Wisnu Catur Bayu Pati, Andi Asri, M. Syukri Siradjuddin, Analysis Of Factors Causing Sexual Deviance (Lesbian) In Adolescents In The Coastal Region Of Southeast Sulawesi: Sexual Deviance (Lesbian) , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- La Djabo Buton, Fitri Rachmillah Fadmi, THE RISK OF KNOWLEDGE, SMOKING AND PATIENT'S CONTACT ON TUBERCULOSIS DISEASE IN PUUWATU HEALTH CENTRE IN KENDARI CITY: THE RISKS OF TUBERCULOSIS DISEASE , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 1 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Fitri Rachmillah Fadmi, La Djabo Buton, DETERMINANT FACTORS OF UNDERNUTRITION IN PETOAHA VILLAGE: PATH ANALYSIS: Path analysis of determinants of undernutrition , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 2 No. 1 (2020): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Wisnu Catur Bayu Pati, Sri Yuliatin, Dian Mardi Yani, PSYCHOLOGICAL DYNAMICS OF WOMEN WITH THE FIRST PREGNANCY WORKING IN WANDER: PSYCHOLOGICAL DYNAMICS OF WOMEN , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 4 No. 1 (2022): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- Fitri Rachmillah Fadmi, Rahmawati, Fitriyanti, Sri Mulyani, Wa Ode Sitti Justin, LOGISTIC REGRESSION ANALYSIS FOR PULMONARY TUBERCULOSIS RELATED TO ENVIRONMENTAL FACTORS IN KATOBU HEALTH CENTRE: PULMONARY TUBERCULOSIS RELATED TO ENVIRONMENTAL , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 7 No. 1 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
- La Djabo Buton, Fitri Rachmillah Fadmi, Is It Truly Household Income Affect Underweightin Children Under Five Years Old ? Evidence From Indonesia: Underweightin Children , INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD): Vol. 5 No. 1 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT





