* Inability of clear thinking or to concentrate ;

* Death or suicidal thoughts;

Clinical studies:

The study of the prevalence of depression and anxiety at the tuberculosis patients,
realised in India by Kunal Kumar and his partners , pointed out that 74 from 100
tuberculosis patients were diagnosed with psychiatric issues, and 35 of them were
suffering from depression.

The study of the prevalence of depression at the tuberculosis patients , realised in

Nigeria by Olusoji Mayow Ige and his partners , looked into 88 tuberculosis patients
and 81 family members , revealed that , the prevalence of depression goes to 45
percent at the tuberculosis patients and 13,4 percent at the family members.

The purpose of the research:

The purpose regarding the study above was established by taking into consideration
the lack of national and european studies , regarding the depressive disorders at the
children with tuberculosis , especially because Romania is an endemic country for
tuberculosis, that’s why, some measures are necessary to be taken for the decrease in
the incidence of tuberculosis and its prevalence.

Chapter II: Case report

1. Patient information :
* Name and surname :
* Age:
* Adress : Tecuci- Apple Valley
* Family: organised, a 8 years old brother , with autism in therapy since the age of 4,
the maternal grandmother , diagnosed with depression, in therapy for two years.
* Education: 10th grade , at an industrial highschool , from Tecuci
* Technical / artistic skills: he likes playing football
Medical diagnosis:

Primary tuberculosis, depressing syndrome

The patient I.A. comes, at the children Pneumology section, from the
Pneumophtisiology Hospital – Galati, with his mother and maternal grandmother ,
after the epidemiological investigation , inside the highschool , due to the fact that
one of his colleagues has been diagnosed with tuberculosis.

Psychodiagnostic tools used:

- anamnestic interview ;
- clinical observation;
- the inventary of depression for children;

Current state of health;

The patient said that he felt depressed for the last week, with no vision for the future,
with a depressed vision we might say, he often cries, he falls asleep with difficulty,
threatening the medical staff and his family that he will commit suicide.

His current issue started one week ago , after he was diagnosed with pimary
tuberculosis .

Symptoms:
*irritability mood, exacerbated anger in frewuency and intensity
*obvious behavioral probems
* permanent sadness and helplessness;
* insomnia;
* bursts into tears and verbal tantrums;
* feelings of guilt or debasement;
* inability of thinking or concentrating
* death or suicidal thoughts .

The interpretation of CDI

* The interpretation of the child:

Raised feeling of inefficiency , negative evaluation of his own abilities, and school
performance, anhedonia.
Low self-esteem, lack of consideration of his own , the feeling that he is not
appreciated or even not loved.

Figure 1:- child scale after hearing the diagnosis of tuberculosis

Before hearing the tuberculosis diagnosis , the patient made the CDI questionnaire,
that one having no pathological value.

Figure 2 : patient scale before hearing the diagnosis of tuberculosis

Parent interpretation:

The feeling of sadness is very obvious, worrying at the idea of pathological notion,
inability to make decisions, unhappiness and irritation .

Figure 3: parent scale