title: Psychosocial burden of beta-thalassaemia major in Antalya, south Turkey.
abstract: beta-thalassaemia is a recessively inherited blood disorder characterised by chronic anaemia. It requires monthly blood transfusions and regular iron chelation. Thousands of affected children are born annually and the magnitude of the problem is most severe in developing countries. Ninety-nine children and 32 adults with thalassaemia major, and 112 parents of patients were interviewed in Antalya, south Turkey, using specifically designed questionnaires to evaluate psychosocial burden. The education of most of the thalassaemic children of school age (60%) was affected, mainly due to having to attend hospital for investigation and transfusions. A high level of parental anxiety (82%) was reported. Nearly half of the families (47%) had employment and financial problems as a result of thalassaemia, yet there was a low level of marital breakdown (1.8%). A substantial majority (93%) of the parental couples would have chosen to terminate an affected pregnancy if they had known that the foetus had thalassaemia major. The results reflect the need for a national policy for public education and screening of thalassaemia in Turkey in order to offer prenatal diagnosis for all families at risk of homozygous thalassaemia.
authors.affiliation: Department of Paediatric Haematology, Antalya State Hospital, P.O. Box 624, 07001 Antalya, Turkey.
authors.forename: Duran
authors.initials: D
authors.lastname: Canatan
authors.forename: Siret
authors.initials: S
authors.lastname: Ratip
authors.forename: Saniye
authors.initials: S
authors.lastname: Kaptan
authors.forename: Rüya
authors.initials: R
authors.lastname: Cosan
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety; D001803:Blood Transfusion; D002648:Child; D017281:Cost of Illness; D003906:Developing Countries; D019988:Children with Disabilities / Q000523:psychology; D005260:Female; D006801:Humans; D007502:Iron Chelating Agents / Q000008:administration & dosage; D008297:Male; D010290:Parents / Q000523:psychology; D011247:Pregnancy; D011296:Prenatal Diagnosis; D015995:Prevalence; D012649:Self Concept; D011795:Surveys and Questionnaires; D014421:Turkey; D017086:beta-Thalassemia / Q000175:diagnosis / Q000191:economics / Q000523:psychology* / Q000628:therapy
chemical_list: D007502:Iron Chelating Agents