Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.
Department of Haematology, King's College Hospital, London, United Kingdom.
Blood Rev. 2024 May;65:101181. doi: 10.1016/j.blre.2024.101181. Epub 2024 Feb 8.
Advances in understanding the disease process in β-thalassemia supported development of various treatment strategies that resulted in improved survival. Improved survival, however, allowed multiple morbidities to manifest and cemented the need for frequent, lifelong treatment. This has directly impacted patients' health-related quality of life and opened the door for various psychiatric and cognitive disorders to potentially develop. In this review, we summarize available evidence on quality of life, depression and anxiety, suicidality, and cognitive impairment in adult patients with β-thalassemia while sharing our personal insights from experience in treating patients with both transfusion-dependent and non-transfusion-dependent forms.
对β-地中海贫血疾病过程的认识的提高支持了各种治疗策略的发展,从而提高了生存率。然而,生存率的提高使得多种疾病表现出来,并坚定了需要频繁、终身治疗的需要。这直接影响了患者的健康相关生活质量,并为各种精神和认知障碍的发展提供了可能。在这篇综述中,我们总结了成人β-地中海贫血患者的生活质量、抑郁和焦虑、自杀倾向和认知障碍的现有证据,并分享了我们在治疗输血依赖和非输血依赖形式的患者方面的个人经验。