Korean J Fam Med 2018; 39(2): 101-107  https://doi.org/10.4082/kjfm.2018.39.2.101
Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study
Aghbabak Maheri1, Roya Sadeghi2, Davoud Shojaeizadeh2,*, Azar Tol2, Mehdi Yaseri3, Alireza Rohban4
1Reproductive Health Research Center, Department of Public Health, School of Health, Urmia University of Medical Sciences, Urmia, Iran
2Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Davoud Shojaeizadeh https://orcid.org/0000-0003-2730-4795
Tel: +98-21-42933211, Fax: +98-21-88989129, E-mail: shojae5@yahoo.com
Received: April 10, 2017; Revised: April 22, 2017; Accepted: May 8, 2017; Published online: March 20, 2018.
© Korean Academy of Family Medicine. All rights reserved.

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Background: Considering the high prevalence of depression and anxiety among thalassemia patients and the role of social support in preventing mental disorders, this study aimed to determine prevalence of depression, anxiety, and perceived social support (PSS) among adults with beta-thalassemia major.
Methods: This cross-sectional study was performed with 389 adults with beta-thalassemia major. Data were collected via a questionnaire consisting of three parts: demographic and medical information, the Persian version of the hospital anxiety and depression scale, and the Persian version of the Multidimensional Scale of Perceived Social Support. Data were analyzed using IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) through analytical statistics (independent-samples t-test, one-way analysis of variance, Pearson correlation coefficient, and multilevel linear regression), and the results less than 0.05 were considered to be significant.
Results: The mean scores of depression, anxiety, and PSS of patients were 7.42±3.17, 7.47±4.35, and 41.8±8.64, respectively. Of 389 patients, 19.8% had depression and 23.7% had an anxiety disorder. Relationships of depression and anxiety with age, the level of education, job, and family income were statistically significant, as were those of PSS with age, thalassemia center, family income, job, and the level of education. PSS from family, friends, and significant others were the significant predictive factors of depression and anxiety among adult patients with beta-thalassemia major.
Conclusion: Considering the PSS as a factor influencing the reduction in depression and anxiety in thalassemia patients, social support from the social networks (spouse, family members, friends, and healthcare workers) should be integrated with interventions that are designed to improve the mental and physical health of thalassemia patients.
Keywords: Depression; Anxiety; Social Support; Beta-Thalassemia

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