Psychosocial problems in children with thalassemia and their siblings

Orawan Louthrenoo1, Somjai Sittipreechacharn, Pattra Thanarattanakorn

  • 1Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Thailand.

Insights

Children with beta-thalassemia experience significantly more psychosocial problems than healthy children. Early psychosocial interventions are crucial for managing these challenges and preventing psychiatric disorders in affected children.

Area of Science:

  • Pediatric Psychology
  • Hematology
  • Child Psychiatry

Background:

  • Beta-thalassemia presents significant health challenges for children and families.
  • Chronic illness in childhood can impact psychosocial well-being.
  • Understanding these impacts is vital for comprehensive care.

Purpose of the Study:

  • To assess psychosocial problems in children with beta-thalassemia.
  • To compare these problems with those in siblings and healthy controls.
  • To identify the need for targeted psychosocial interventions.

Main Methods:

  • Utilized semi-structured interviews and the Pediatric Symptom Checklist (PSC).
  • Included 82 children with thalassemia, 20 siblings, and 50 healthy controls.
  • Demographically controlled for family and child characteristics.

Main Results:

  • Children with beta-thalassemia showed significantly higher rates of psychosocial problems (28.05%) compared to controls (4%).
  • No significant difference in psychosocial problems was found between siblings and controls.
  • Mean PSC scores were markedly higher in children with thalassemia.

Conclusions:

  • Children with beta-thalassemia face an elevated risk of psychosocial difficulties.
  • Psychosocial interventions are recommended to mitigate risks and prevent psychiatric disorders.
  • Further research into tailored support for this population is warranted.

Related Concept Videos

Relationship with Other Adult Family Members and Siblings01:29

Relationship with Other Adult Family Members and Siblings

Other adult family members and siblings play a crucial role in shaping children’s social and emotional development. While parents or primary caregivers are often the central figures in early attachment and socialization, other adults in a child’s life, such as grandparents, aunts, and uncles, can significantly influence developmental outcomes. These influences depend on each adult’s personality and may help compensate when a primary caregiver is emotionally distant or inconsistent. For...
Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Stella Chess...
Psychological and Sociocultural Causes of Schizophrenia01:29

Psychological and Sociocultural Causes of Schizophrenia

Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
Erikson's Theory on Socioemotional Development during Childhood01:28

Erikson's Theory on Socioemotional Development during Childhood

Erik Erikson, a stage theorist, adapted Freud's theory to emphasize social factors in personality development throughout life, a concept known as psychosocial development. Unlike Freud, who focused on early childhood, Erikson believed that personality evolves across eight life stages, each marked by a specific challenge or "crisis." Successful resolution of each stage fosters competence, while failure may lead to feelings of inadequacy.
The first four of Erikson's eight psychosocial stages...
Socioemotional Experience and Gender Development01:30

Socioemotional Experience and Gender Development

Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
Adler's Individual Psychology01:28

Adler's Individual Psychology

Alfred Adler, a prominent figure in psychology, founded the school of individual psychology. In contrast to Freud's emphasis on sexual or aggressive motives, Adler suggested that individuals are primarily motivated by their purposes and goals. He believed that people strive for perfection rather than pleasure. Adler argued that individuals could creatively act upon their genetic inheritance and environmental experiences to shape their own lives, emphasizing conscious motivation over unconscious...