Assessment of Cognitive Functions, Psychological Symptoms, and Quality of Life Among B Thalassemia Patients and Their Clinical Correlates.
- Conditions
- B Thalassemia
- Interventions
- Diagnostic Test: Wechsler IQ for AdultsDiagnostic Test: MAS (Memory assessment scale)Diagnostic Test: Health-Related Quality of Life (HRQoL)Diagnostic Test: Symptom check list 90Diagnostic Test: Socioeconomic level
- Registration Number
- NCT05105659
- Lead Sponsor
- Assiut University
- Brief Summary
Multiple studies showed the negative impact thalassemia disease and its therapy have on the cognition of these patients. This study aims to assess and compare the cognition, psychological impact and quality of life among patients with B thalassemia major, requiring regular blood transfusion, patients with B thalassemia intermedia, who don't, and healthy controls. Thus, estimating the role of blood transfusion and hemosiderosis in cognitive impairment, psychological symptoms, and low quality of life in these patients.
- Detailed Description
Thalassemia is one the most common autosomal recessive haemolytic diseases both worldwide and in the middle east. (1) Beta-thalassemia is a disorder characterized by the congenital absence of the beta chain synthesis of the haemoglobin tetramer, In healthy individuals the haemoglobin chain consists of 2 alpha and 2 beta globin chains, as a result the absence of 2 beta chains in the b thalassemia patients results in clinical symptoms as pallor and failure to thrive. (2,3,4) These patients thus rely on blood transfusions for their entire lives, unless they undergo bone marrow transplant, exposing them to many complications both organically and psychologically. (5) Other patients with b thalassemia whose anaemia doesn't require regular blood transfusion are considered to have B thalassemia intermediate. (6)B thalassemia is among one the most common haemoglobinopathies in Egypt, estimating t 1000/ 1.5 million per year live births born with thalassemia disease. (7) Attention, orientation, memory, gnosis, and executive functions are among some of the cognitive functions that enable an individual to perceive, store, interpret and restore information from the surrounding. (8) Studies have shown that patients with B thalassemia have impairment in most of these cognitive functions in comparison to their healthy counterparts.
psychological problems as stress, anxiety, and depression are some of the psychological disorders that negatively impact the lives of thalassemia patients and may cause multiple comorbidities if not managed properly (9) Quality of life is assessed by focusing on the person's own view of his/her life and his/her well-being taking any conditions or issues that may affect the person's life into consideration. (10) Multiple studies showed the negative impact thalassemia disease and its therapy have on the cognition of these patients. This study aims to assess and compare the cognition, psychological impact and quality of life among patients with B thalassemia major, requiring regular blood transfusion, patients with B thalassemia intermedia, who don't, and healthy controls. Thus, estimating the role of blood transfusion and hemosiderosis in cognitive impairment, psychological symptoms, and low quality of life in these patients.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
- Age above 18 years.
- Patients diagnosed as B thalassemia major and intermedia by Hb Electrophoresis.
- Neurological or any other medical disease.
- IQ less than 70.
- Past history or family history of any psychiatric disorders.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description B thalassemia Intermedia patients MAS (Memory assessment scale) - B thalassemia Intermedia patients Health-Related Quality of Life (HRQoL) - Healthy Controls Socioeconomic level - B thalassemia Major patients Health-Related Quality of Life (HRQoL) - B thalassemia Major patients Symptom check list 90 - B thalassemia Major patients Socioeconomic level - B thalassemia Intermedia patients Wechsler IQ for Adults - B thalassemia Intermedia patients Socioeconomic level - B thalassemia Major patients MAS (Memory assessment scale) - B thalassemia Intermedia patients Symptom check list 90 - Healthy Controls Wechsler IQ for Adults - Healthy Controls Health-Related Quality of Life (HRQoL) - Healthy Controls Symptom check list 90 - Healthy Controls MAS (Memory assessment scale) - B thalassemia Major patients Wechsler IQ for Adults -
- Primary Outcome Measures
Name Time Method Assessment Quality of life among B Thalassemia Patients one year Assessment of Cognitive functions among B Thalassemia Patients one year Assessment of Psychological Symptoms among B Thalassemia Patients one year
- Secondary Outcome Measures
Name Time Method