DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20181479

Cross sectional study to assess behavioral problems in multi-transfused thalassemic children and psychosocial factors affecting them

Naresh Kumar, Jaspal Singh, Hira Khullar, Munish Arora

Abstract


Background: Beta‑thalassemia major is a chronic disorder of blood, having an extensive impact on the quality of life of the affected child and parents/caregivers. It involves lifelong management, with repeated blood transfusions and chelation therapy. With improved life expectancy owing to better medical facilities and education status of caregivers, psychosocial aspects of thalassemia are gaining importance. Objective of the present study was to assess the behavioral problems in multi‑transfused thalassaemic children and psychosocial factors affecting them.

Methods: The study was conducted in a tertiary care level hospital having separate thalassemia day care centre. The study was a cross‑sectional study involving 100 multi‑transfused thalassaemic children of age 6-18years.Child Behavior Check List (Achenbach) (CBCL) was used to collect data from each parent regarding the child’s behavior. Parental Attitude Scale (Rangaswamy 1989) was applied. Descriptive statistical analysis was used with analysis of variance (ANOVA) and Student’s t test to find the significance of data.

Results: The CBCL total scores were high in 39% patients which indicated that behavior problems are more common in thllasemic patients. Higher CBCL scores were found in older children, those having poor school performance, with mothers who are illiterate, had history of death of thalassemic relative in family, longer duration of diagnosed illness, poor pre‑transfusion hemoglobin level, and poor school attendance.

Conclusions: Behavioral problems are common in multi‑transfused thalassaemic children. Timely diagnosis and appropriate remedial intervention of behavioral problems in these children would improve quality of life of these children.


Keywords


Behavioral problems, Child behavior check list, Multi‑transfused thalassemia

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References


Moorjani JD, Issac C. Neurotic manifestations in adolescents with thalassemia major. Indian J Pediatr 2006;73:603‑7.

Canatan D, Ratip S, Kaptan S, Cosan R. Psychosocial burden of beta- Thalassemia major in Antalya, South Turkey. Soc Sci Med 2003;56;815‑9.

Ratip S, Modell B. Psychological and sociological aspects of the Thalassemias. Semin hematol 1996;33:53‑65.

Aydinok Y, Erermis S, Bukusoglu N. Psychosocial implications of Thalassemia Major. Pediatr Int 2005;47:84‑9.

Zani B, Di Palma A, Vullo C. Psychosocial aspects of chronic illness in adolescents with Thalassemia Major. J Adolesc 1995;18:387‑402.

Achen B. Mannual for the child behavior checklist 14‑18 and 1991 profile, Burlington, VI; University of Vermount, Department of Psychiatry. 1991.Available at http://www.checklist.vvm.edu. Last accessed on 2010 March 02.

Rangaswami K. Parental attitude towards mentally retarded children. Indian J Clin Psychol. 1995;22:20‑3

Sherman M, Koch D, Giardina P, Seigel P, Siegel R, Shapiro T. Thalassemic children’s understading of illness: A study of cognitive and emotional factors. Anns N Y Acad Sci. 1985;445:327‑36.

Shaligram D, Girimaji SC, Chaturvedi SK. Psychological problems and quality of life in children with Thalassemia. Indian J Pediatr. 2007;74:727‑30.

Chandra SJ, Goswami U, Singh V, Dutta A. Case control study of psychosocial morbidity in B thalssemia major. J Paediatr. 2007;50:516‑20.

Beratis S. Psychosocial status in preadolescent children with B thalassemia. J Psychosom Res. 1993;37:271‑9.

Pradhan PV, Shah H, Rao P, Ashturkar D, Ghaisas P. Psychopathology and self-esteem in chronic illness. Indian J Pediatr 2003;70:135‑8.

Yalçn SS, Durmuşoğlu-Sendoğdu M, Gümrük F, Unal S, Karg E, Tuğrul B. Evaluation of the children with Beta‑Thalassemia in terms of their self‑concept, Behavioural and Parental Attitudes. J Pediatr Hematol Oncol. 2007;29:523‑8

Khurana A, Katyal S, Marwaha RK. Psychosocial burden in Thalassemia. Indian J Pediatr. 2006;73:877‑80.