Predictors of anxiety and depression in Egyptian thalassemic patients: a single center study
Autor: | Ahmad Darwish, Mohamed A. El-Hadidy, Abdel-Hady El-Gilany, Rokiah Anwar, Ahmed M. Mansour, Sohier Yahia |
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Rok vydání: | 2012 |
Předmět: |
Delayed puberty
Male medicine.medical_specialty Pediatrics Adolescent Physical examination Anxiety Hospital Anxiety and Depression Scale Short stature Young Adult Risk Factors Diabetes mellitus medicine Odds Ratio Prevalence Humans Medical history Psychiatry Depression (differential diagnoses) medicine.diagnostic_test business.industry Depression Hematology medicine.disease Case-Control Studies Thalassemia Egypt Female medicine.symptom business |
Zdroj: | International journal of hematology. 97(5) |
ISSN: | 1865-3774 |
Popis: | Thalassemic patients are vulnerable to emotional and behavioral problems. Each patient age group exhibits problems unique to that stage of development, and although up to 80 % of thalassemic patients are likely to have psychological disorders, e.g., anxiety and depression, predictors of these disorders remain poorly understood. The present study was designed to assess the prevalence of anxiety and depression in a sample of Egyptian thalassemic patients and to identify predictors of these psychiatric disorders. A case–control study was conducted in 218 thalassemic patients, with 244 healthy subjects as a control. All patients and control subjects were subjected to thorough evaluation of medical history and clinical examination, and examined by a psychiatrist using the clinician version of the structured clinical interview for DSM-IV (SCID-CV), hospital anxiety and depression scale and Coopersmith self-esteem inventory. Abnormal and borderline anxieties were reported by 36.7 and 20.6 % of thalassemic patients, respectively, while abnormal and borderline depressions were reported by 32.1 and 16.1 % of patients, respectively. Hospitalization, low self-esteem, diabetes mellitus and heart failure were independent predictors of anxiety. The independent predictors of depression were heart failure, hospitalization, diabetes mellitus, short stature and delayed puberty. Thalassemic patients were more vulnerable to anxiety and depression, indicating that screening and management for such psychiatric disorders should be considered in treating all such patients. |
Databáze: | OpenAIRE |
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