Symptoms of depression and anxiety in patients with thalassemia: Prevalence and correlates in the thalassemia longitudinal cohort

被引:42
|
作者
Mednick, Lauren [1 ]
Yu, Shuli
Trachtenberg, Felicia
Xu, Yan
Kleinert, Dorothy A. [2 ]
Giardina, Patricia J. [2 ]
Kwiatkowski, Janet L. [3 ]
Foote, Dru [4 ]
Thayalasuthan, Vivekanandan [5 ]
Porter, John B. [6 ]
Thompson, Alexis A. [7 ]
Schilling, Leann [8 ]
Quinn, Charles T. [9 ]
Neufeld, Ellis J.
Yamashita, Robert [10 ]
机构
[1] Childrens Hosp, Dept Psychiat, Boston, MA 02115 USA
[2] Weill Cornell Med Coll, New York, NY USA
[3] Childrens Hosp Philadelphia, Philadelphia, PA USA
[4] Childrens Hosp & Res Ctr Oakland, Oakland, CA USA
[5] Toronto Gen Hosp, Toronto, ON, Canada
[6] UCL, London WC1E 6BT, England
[7] Childrens Mem Hosp, Chicago, IL USA
[8] Childrens Healthcare Atlanta, Atlanta, GA USA
[9] UT SW Med Ctr Dallas, Dallas, TX USA
[10] California State Univ San Marcos, San Marcos, CA USA
关键词
QUALITY-OF-LIFE; NATIONAL-COMORBIDITY-SURVEY; PSYCHIATRIC-DISORDERS; MEDICATION ADHERENCE; UNIPOLAR DEPRESSION; GENDER-DIFFERENCES; HOSPITAL ANXIETY; GLYCEMIC CONTROL; ADOLESCENTS; CHILDREN;
D O I
10.1002/ajh.21826
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thalassemia is an inherited blood disorder that requires lifelong adherence to a complicated and burdensome medical regimen which could potentially impact emotional functioning of patients. The importance of understanding and promoting healthy emotional functioning is crucial not only to psychological well-being, but also to physical health as it has been shown to impact adherence to medical regimens [1-4]. The current study aimed to [1] determine the prevalence of depressive and anxiety symptoms in adolescent and adult patients with thalassemia; and [2] explore possible demographic, medical, and psychosocial correlates of these symptoms in 276 patients (14-58 years old, M age = 27.83; 52% female). Overall, most patients did not report experiencing significant symptoms of anxiety and depression (33% of participants indicated experiencing symptoms of anxiety and 11% symptoms of depression). Females and older patients were more likely to experience these symptoms than males and younger patients. Symptoms of anxiety and depression were positively associated with self-report of difficulty with adherence and negatively associated with quality of life. Given these findings, regular screening for anxiety and depression symptoms could help to identify at-risk individuals to provide them with appropriate psychological support with the goal of improving both emotional and physical health.
引用
收藏
页码:802 / 805
页数:4
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