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Journal > Journal of the Indonesian Medical Association > Risk Factors of Psychosocial Disorder Patients with Thalassemia Mayor

 

Journal of the Indonesian Medical Association
Vol. 62 No. 2 February 2012
Risk Factors of Psychosocial Disorder Patients with Thalassemia Mayor
Adriani, Nia ( Faculty of Medicine- Universitas Padjadjaran/Dr. Hasan Sadikin Hospital, Bandung)
Rusmil, Kusnandi ( Faculty of Medicine- Universitas Padjadjaran/Dr. Hasan Sadikin Hospital, Bandung)
Hilmanto, Dany ( Faculty of Medicine- Universitas Padjadjaran/Dr. Hasan Sadikin Hospital, Bandung)
Article Info   ABSTRACT
Published date:
29 Feb 2012
 
Introduction: Thalassemia is a chronic disease in which transfusion dependent could affectpsychosocial life. The aim of this study is to observe risk factors for psychosocial disorder.Methods: This was a cross sectional observational analytic study. Subjects were thalassemiaoutpatients aged 4-16 years in April-May 2011 in Dr. Hasan Sadikin General Hospital. Psychosocial disorder was measured by pediatric symptom checklist (PSC) 17. Risk factors include age, female, education, low income of parents, history of psychological disorder in family, and length of the disease. Data were analyzed using chi-square, then logistic regression multivariate analysis.Results: From 96 children, 42 had psychosocial disorder. Bivariate analysis showed aged >10years was 2.7 times risk (OR 2.71, CI95%: 1.51-4.86, p<0.001), length of the diseases >10 years was 6.7 times risk (OR 6.69, CI95%: 1.74-25.75; p<0.001), low education of mothers was 8.8 times risk (OR 8.78, CI95%: 1.32-58.51, p<0.001), low income of parents was 9.7 times risk (OR 9.69, CI95%: 3.22-29.19, p<0.001). Female was not a risk factor (OR 1.16; CI95%: 0.74-1.82, p 0.531). Multivariate analysis showed low income of parents was 14.7 times risk (OR 14.7,  CI95%: 2.65-83.33, p<0.001) and duration of the disease was 55 times (OR 55.622, CI95%: 5.540-558.395, p<0.001).Conclusion: Risk factors of psychosocial disorder in patients with thalassemia major were lowincome parents and length of the disease. J Indon Med Assoc. 2012;62:56-9.Keywords: Psychosocial disorder, risk factors, thalassemia major
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