Shafiee Akbar, Nazari Shiva, Jorjani Soudeh, Bahraminia Emad, Sadeghi-Koupaei Mohammadtaghi
Tehran Heart Centre, Tehran University of Medical Sciences , Tehran , Iran.
Hemoglobin. 2014;38(4):289-91. doi: 10.3109/03630269.2014.929008. Epub 2014 Jul 2.
β-Thalassemia (β-thal) is a frequent, chronic hereditary disease, and a plausible cause for psychological disorders. In this cross-sectional study, we aimed to identify the rate and severity of depression among Iranian patients with β-thal using the Beck's Depression Inventory (BDI). β-Thalassemic patients aged 13-20 years [median age 17.2 years; 27 males (48.2%), 29 females (51.8%)], who presented to the Mofid Children Hospital, Tehran, Iran, for blood transfusions within a 1-year period, were asked to complete the BDI questionnaire. Based on the BDI score, patients were classified as normal or mild-to-severe depression groups, and the collected data were then analyzed according to age and sex. A total of 56 subjects completed the BDI form. Mean score for BDI was 14.27 ± 12.79. Based on the BDI results, 35 (62.5%) had a BDI score below 16 and were therefore not classified as being depressed, while seven (12.5%) patients suffered from severe depression (BDI > 47). Age and gender did not have any significant association with the BDI results (p = 0.52 and p = 0.67, respectively). The total prevalence of various degrees of depression was 30.8% in this study. We concluded that the noticeable rate of depression in thalassemic patients signifies the necessity for improving psychosocial care in this specific group of patients.
β地中海贫血(β-地贫)是一种常见的慢性遗传性疾病,也是心理障碍的一个可能病因。在这项横断面研究中,我们旨在使用贝克抑郁量表(BDI)确定伊朗β-地贫患者中抑郁症的发生率和严重程度。年龄在13至20岁之间的β-地贫患者[中位年龄17.2岁;男性27名(48.2%),女性29名(51.8%)],在1年内在伊朗德黑兰的莫菲德儿童医院接受输血治疗,被要求完成BDI问卷。根据BDI评分,患者被分为正常组或轻度至重度抑郁组,然后根据年龄和性别对收集的数据进行分析。共有56名受试者完成了BDI表格。BDI的平均得分为14.27±12.79。根据BDI结果,35名(62.5%)患者的BDI评分低于16,因此未被归类为抑郁,而7名(12.5%)患者患有重度抑郁症(BDI>47)。年龄和性别与BDI结果均无显著关联(p分别为0.52和0.67)。本研究中不同程度抑郁症的总患病率为30.8%。我们得出结论,地贫患者中抑郁症的显著发生率表明有必要改善这一特定患者群体的心理社会护理。