title: An examination of the symptoms of anxiety and parental attitude in children with hemophilia.
abstract: OBJECTIVE
  Hemophilia is an inherited disease with serious repercussions. Psychiatric symptoms are frequently seen in children and adolescents with hemophilia. The aim of this study was to assess symptoms of anxiety in children with hemophilia and parental attitude towards children with hemophilia.
  
  
  METHODS
  42 boys were assessed according to child and adolescent psychiatry. Anxiety symptoms and parental attitude were obtained by the State-Trait Anxiety Scale, the Self-Report for Childhood Anxiety Related Disorders (SCARED) and the Parent Attitude Research Instrument (PARI).
  
  
  RESULTS
  The mean age was 11.6 ± 2.5 (range; 7-16). State anxiety scores (44.02 ± 6.9) were higher than trait anxiety scores (32.7 + 7.5). The most interesting results were high scores related to overprotective mothering (47.9 ± 9.7) and the application of strict discipline (39.4 ± 9.1). The total SCARED scores obtained were (23.25 ± 11.3).
  
  
  CONCLUSIONS
  Assuring a high quality of life is important for children and adolescents with chronic illness. Quality of life is negatively affected by psychiatric symptoms (e.g. anxiety symptoms, depression, intra-familial stress symptoms) in children with hemophilia. This study suggests that high anxiety scores and problems related to parental attitude can be seen in children and adolescents with hemophilia. These problems caused by parental attitude and anxiety symptoms should be considered in the treatment of hemophilia.
authors.affiliation: Department of Child and Adolescent Psychiatry, , İstanbul University, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Abali
authors.forename: Osman Bülent
authors.initials: OB
authors.lastname: Zülfikar
authors.forename: Sevcan
authors.initials: S
authors.lastname: Karakoç Demirkaya
authors.forename: Hamza
authors.initials: H
authors.lastname: Ayaydin
authors.forename: Fuat
authors.initials: F
authors.lastname: Kircelli
authors.forename: Mehtap
authors.initials: M
authors.lastname: Duman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000175:diagnosis*; D001294:Attitude to Health; D002648:Child; D005192:Family Health; D005260:Female; D006467:Hemophilia A / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology; D010287:Parent-Child Relations; D011788:Quality of Life