Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Considering the high prevalence of depression and anxiety among thalassemia patients and the role of social support in preventing mental disorders, this study aimed to determine prevalence of depression, anxiety, and perceived social support (PSS) among adults with beta-thalassemia major.Methods: This cross-sectional study was performed with 389 adults with beta-thalassemia major. Data were col-lected via a questionnaire consisting of three parts: demographic and medical information, the Persian version of the hospital anxiety and depression scale, and the Persian version of the Multidimensional Scale of Perceived So-cial Support. Data were analyzed using IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) through analytical statis-tics (independent-samples t-test, one-way analysis of variance, Pearson correlation coefficient, and multilevel lin-ear regression), and the results less than 0.05 were considered to be significant.Results: The mean scores of depression, anxiety, and PSS of patients were 7.42±3.17, 7.47±4.35, and 41.8±8.64, re-spectively. Of 389 patients, 19.8% had depression and 23.7% had an anxiety disorder. Relationships of depression and anxiety with age, the level of education, job, and family income were statistically significant, as were those of PSS with age, thalassemia center, family income, job, and the level of education. PSS from family, friends, and sig-nificant others were the significant predictive factors of depression and anxiety among adult patients with beta-thalassemia major.Conclusion: Considering the PSS as a factor influencing the reduction in depression and anxiety in thalassemia pa-tients, social support from the social networks (spouse, family members, friends, and healthcare workers) should be integrated with interventions that are designed to improve the mental and physical health of thalassemia pa-tients.
Abstract
Background: Considering the high prevalence of depression and anxiety among thalassemia patients and the role of social support in preventing mental disorders, this study aimed to determine prevalence of depression, anxiety, and perceived social support (PSS) among adults with beta-thalassemia major.Methods: This cross-sectional study was performed with 389 adults with beta-thalassemia major. Data were col-lected via a questionnaire consisting of three parts: demographic and medical information, the Persian version of the hospital anxiety and depression scale, and the Persian version of the Multidimensional Scale of Perceived So-cial Support. Data were analyzed using IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) through analytical statis-tics (independent-samples t-test, one-way analysis of variance, Pearson correlation coefficient, and multilevel lin-ear regression), and the results less than 0.05 were considered to be significant.Results: The mean scores of depression, anxiety, and PSS of patients were 7.42±3.17, 7.47±4.35, and 41.8±8.64, re-spectively. Of 389 patients, 19.8% had depression and 23.7% had an anxiety disorder. Relationships of depression and anxiety with age, the level of education, job, and family income were statistically significant, as were those of PSS with age, thalassemia center, family income, job, and the level of education. PSS from family, friends, and sig-nificant others were the significant predictive factors of depression and anxiety among adult patients with beta-thalassemia major.Conclusion: Considering the PSS as a factor influencing the reduction in depression and anxiety in thalassemia pa-tients, social support from the social networks (spouse, family members, friends, and healthcare workers) should be integrated with interventions that are designed to improve the mental and physical health of thalassemia pa-tients.
참고문헌 (30)
- Renani HA, "The relationship between social capital and self-concept in adolescents with thalassemia major", Jundishapur J Chronic Dis Care, 5, pp.e31306~ (2016)
- Langlois S, "Carrier screening for thalassemia and hemoglobinopathies in Canada", J Obstet Gynaecol Can, 30, pp.950~959 (2008)[DOI]
- Rahim F, "Spectrum of <TEX>${\beta}$<", TEX>-thalassemia mutations in various ethnic regions of Iran, 2008, pp.24, 410~415
- Rivella S, "<TEX>${\beta}$<", TEX>-thalassemias: paradigmatic diseases for scientific discoveries and development of innovative therapies, 2015, pp.100, 418~430
- Mettananda S, "<TEX>${\alpha}$<", TEX>-Globin as a molecular target in the treatment of <TEX>${\beta}$<, Blood, pp.2015, 125[DOI]
- Aghbabak Maheri, "Associations between a health-promoting lifestyle and quality of life among adults with beta-thalassemia major", Epidemiology and Health, 38, pp.1~7 (2016), 한국역학회[DOI]
- Khodaei GH, "Frequency of thalassemia in Iran and Khorasan Razavi", Int J Pediatr, 1, pp.45~50 (2013)
- Mednick L, "Symptoms of depression and anxiety in patients with thalassemia: prevalence and correlates in the thalassemia longitudinal cohort", Am J Hematol, 85, pp.802~805 (2010)[DOI]
- Yildiz E, "Determine the relationship between perceived social support and depression level of patients with diabetic foot", J Diabetes Metab Disord, 14, pp.59~ (2015)[DOI]
- Yang HC, "Illness knowledge, social support and self care behavior in adolescents with beta-thalassemia major", Hu Li Yan Jiu, 9, pp.114~124 (2001)
- "Statistics of Iranian Ministry of Health" (2015)[URL]
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)[DOI]
- Ebadi A, "Comparison of the hospital anxiety and depression among patients with coronary artery disease based on proposed treatment", Iran J Crit Care Nurs, 4, pp.97~102 (2011)
- Montazeri A, "The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version", Health Qual Life Outcomes, 1, pp.14~ (2003)[DOI]
- Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)[DOI]
- Maryam Mataji Amirrood M, "The relationship between perceived social support and obesity preventive eating behavior in women of Urmia City in 2012", Razi J Med Sci, 21, pp.1~11 (2014)
- Canty-Mitchell J, "Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents", Am J Community Psychol, 28, pp.391~400 (2000)
- Mohamadian H, "Predicting health-related quality of life by using a health promotion model among Iranian adolescent girls: a structural equation modeling approach", Nurs Health Sci, 13, pp.141~148 (2011)[DOI]
- Hooshmandi R, "The relationship between social support and depression in patients with thalassemia major in Bushehr, Iran", NJV, 2, pp.1~14 (2015)
- Mikelli A, "Brief report: depressive symptoms and quality of life in adolescents with b-thalassaemia", J Adolesc, 27, pp.213~216 (2004)[DOI]
- Pinar G, "The relationship between social support and the level of anxiety, depression, and quality of life of Turkish women with gynecologic cancer", Cancer Nurs, 35, pp.229~235 (2012)[DOI]
- Wu SF, "Correlations among social support, depression, and anxiety in patients with type-2 diabetes", J Nurs Res, 21, pp.129~138 (2013)[DOI]
- Ghorbani Saeedian R, "The role of social support in anxiety and depression among Parkinson's disease patients", Disabil Rehabil, 36, pp.2044~2049 (2014)[DOI]
- Poormansouri S, "Quality of life, depression, anxiety and stress in over-18-year-old patients with betathalassemia major", Sci J Iran Blood Transfus Organ, 13, pp.72~82 (2016)
- Khamoushi F, "Prevalence and socio-demographic characteristics related to stress, anxiety, and depression among patients with major thalassemia in the Kermanshah County", J Biol Today's World, 4, pp.79~84 (2015)
- Harley K, "Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent", Soc Sci Med, 62, pp.3048~3061 (2006)[DOI]
- Soltani T, "Social support and its relation with daily activities among elderly people of Yazd", J Commun Health Res, 3, pp.270~277 (2015)
- Arafa MA, "Predictors of psychological well-being of nurses in Alexandria, Egypt", Int J Nurs Pract, 9, pp.313~320 (2003)[DOI]
- Akouchekian SH, "Relation between social support and coping with stress in nurses in psychiatric ward", J Guilan Univ Med Sci, 18, pp.41~46 (2009)
- Naderi M, "Evaluation of mental health and related factors among patients with beta-thalassemia major in South East of Iran", Iran J Psychiatry, 7, pp.47~51 (2012)