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References
- Kumar R, Sharma P. Psychosocial impact of thalassemia on family caregivers: A study from a tertiary care
- hospital. J Family Med Prim Care. 2018;7(5):1020-1025. doi:10.4103/jfmpc.jfmpc_267_18.
- Shah, Farrukh T., et al. Challenges of blood transfusions in β-thalassemia. Blood reviews, 2019, 37: 10058.
- doi.org/10.1016/j.blre.2019.100588
- Rao E, Chandraker SK, Singh MM, Kumar R. Global distribution of β-thalassemia mutations: An update. Gene.
- ;896:148022. https://doi.org/10.1016/j.gene.2023.148022
- Mutar MT, Majid M, Jaleel A, Saad A, Abdulmortafea A, Talib H. Awareness among parents of beta thalassemia
- major and intermedia patients in three centers in Baghdad and Al-Nasiriyah, Iraq, in 2017. Int J Med Students.
- ;7(1):6-10. doi.org/10.5195/ijms.2019.315
- Lafta RK. Burden of Thalassemia in Iraq. Public Health Open Access. 2023;7(1):1. https://doi.org/10.23880/phoa
- DOI: 10.23880/phoa-16000242
- Kadhim KA, Baldawi KH, Lami FH. Prevalence, Incidence, Trend, and Complications of Thalassemia in Iraq.
- Hemoglobin. 2017;41(3):164-168. doi:10.1080/03630269.2017.1354877.
- Khan F, Khan N. Burden on caregivers of children with thalassemia: A qualitative study. BMC Pediatr.
- ;19(1):1-8. doi:10.1186/s12887-019-1740-2.
- Mansoor M, Bhatia S. Understanding the challenges faced by caregivers of thalassemic patients: A systematic
- review. Thalassemia Rep. 2021;11(1):12-20. doi:10.4081/thr.2021.8876.
- Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety
- Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43.
- DOI: 10.1016/0005-7967(94)00075-u
- Veijola J, Jokelainen J, Läksy K, Kantojärvi L, Kokkonen P, Järvelin MR, Joukamaa M. The Hopkins Symptom
- Checklist-25 in screening DSM-III-R axis-I disorders. Nord J Psychiatry. 2003;57(2):119-23. DOI: 10.1080/08039480310000941
- Cappellini MD, Farmakis D, Porter J, Taher A. Guidelines for the Management of Transfusion Dependent
- Thalassaemia (TDT) Thalassaemia International Federation. Strovolos, Cyprus. 2021.
- Shah FT, Sayani F, Trompeter S, Drasar E, Piga A. Challenges of blood transfusions in beta-thalassemia. Blood
- Rev. 2019;37:100588. doi.org/10.1016/j.blre.2019.100588
- Al-Allawi N, Al Allawi S, Jalal SD. Genetic epidemiology of hemoglobinopathies among Iraqi Kurds. J
- Community Genet. 2021;12(1):5-14. doi:10.1007/s12687-020-00495-z.
- Maximiano-Barreto MA, Alves LC, Monteiro DQ, Matias M, Montayre J, Luchesi BM. Factors associated with
- low health literacy in unpaid caregivers of older people: a systematic review. Health Promotion International. 2024
- Oct;39(5):daae118. DOI: 10.1093/heapro/daae118
- Mashayekhi F, Rafati S, RAFATI F, Pilehvarzadeh M, Mohammadi SM. A study of caregiver burden in mothers
- with thalassemia children in Jiroft, 2013.
- Kosaryan M, Karami H, Darvishi-Khezri H, Akbarzadeh R, Aliasgharian A, Bromand K. Treatment status of
- patients with B-thalassemia major in northern Iran: Thalassemia registry system. Iran J Public Health.
- ;48:1335-1345. PMID: 31497556 PMCID: PMC6708530
- Beijing AngelMom Charity Foundation. Report on the prevention and treatment of thalassemia in China. 2021.
- Available at: http://files.angelmom.org/Doc/20180312/20180312111844_9237.pdf
- Varghese A, Ukande U. Impact of selected socio-demographic variables with selected clinical variables and growth
- parameters among transfusion-dependent thalassemia children. Int J Adv Res. 2017;3(3):38-44. Available at:
- https://www.allresearchjournal.com/archives/2017/vol3issue3/PartA/3-3-41-743.pdf
- Aziz RA, Mohammed SH, Aburaghif LF. Burden of caregivers care for children with thalassemia at Babylon Child
- and Maternity Teaching Hospital, Babylon Governorate, Iraq. J Nurs Health Sci. 2015;4(6):82-87. Corpus ID:
- Paramore, C., Levine, L., Bagshaw, E., Ouyang, C., Kudlac, A., & Larkin, M. (2021). Patient- and Caregiver
- Reported Burden of Transfusion-Dependent β-Thalassemia Measured Using a Digital Application. The patient,
- (2), 197–208. https://doi.org/10.1007/s40271-020-00473-0
- Platania S, Gruttadauria S, Citelli G, Giambrone L, Di Nuovo S. Associations of thalassemia major and satisfaction
- with quality of life: The mediating effect of social support. Health Psychol Open. 2017;4:278688282. DOI:
- 1177/2055102917742054
- Lu L, Wang L, Yang X, Feng Q. Zarit caregiver burden interview: development, reliability and validity of the
- Chinese version. Psychiatry Clin Neurosci. 2009;63:730-734. DOI: 10.1111/j.1440-1819.2009.02019.x
- Abedi H, Abbaszadeh A, Kazemi M, Pouraboli B. Silent screams: experiences of caregiver suffering by parents of
- children with thalassemia: a qualitative study. Journal of Qualitative Research in Health Sciences. 2014 Sep
- ;3(3):281-91
- Islam, F., Seemanta, S., Rezina, S., Mehrab, A., Raheem, E., & Hossain, M. S. (2025). Depression, anxiety, and
- stress among mothers of children with thalassemia in Bangladesh: a cross-sectional study. BMC women's health,
- (1), 221. https://doi.org/10.1186/s12905-025-03762-8
- Son KY, Lee CH, Park SM, Lee CH, Oh SI, Oh B, Tak SH, Cho B, Lee K, Lee SH. The factors associated with the
- quality of life of the spouse caregivers of patients with cancer: A cross-sectional study. J Palliat Med. 2012;15:216
- DOI: 10.1089/jpm.2011.030514
- Sahu, S., Agrawal, A., Shrivastava, J., & Tonk, S. (2023). Psychiatric disorders and caregiver burden in children
- with transfusion dependent β-thalassaemia and their caregivers. World journal of clinical pediatrics, 12(3), 125
- https://doi.org/10.5409/wjcp.v12.i3.125
- Inamdar S, Inamdar M, Gangrade A. Stress level among caregivers of thalassemia patients. Natl J Community
- Med. 2015;6(4):579-582. Available from: https://njcmindia.com/index.php/file/article/view/1283
- Al-Mahmoud L, Al-Harbi K. The emotional and financial burden on families of children with thalassemia: A cross
- sectional study. Pediatr Blood Cancer. 2022;69(3):e29310. doi:10.1002/pbc.29310.
- Wilson D, Wong DL, Hockenberry MJ, Wilson D. Wong's nursing care of infants and children. Mosby/Elsevier;
- Schnitzer S, Oedekoven M, Amin-Kotb K, Gellert P, Balke K, Kuhlmey A. Caregivers’ burden and education
- level: does subjective health mediate the association? Innov Aging. 2017;1(Suppl 1):447. PMCID: PMC6245041.
- doi.org/10.1093/geroni/igx004.1599
- Mudiyanse RM. Thalassemia treatment and prevention in Sri Lanka: A cost-effective model for low-income
- countries. Sri Lanka J Child Health. 2015;44(4):230-236. DOI: 10.1080/03630260600642633
- Barua T, Sultana K, Barua D, Karnain R, Chowdhury SB, Arzu MA. Expenditure to treat thalassemia-a major
- financial burden. European Journal of Medical and Health Sciences. 2022 Sep 29;4(5):52-6.
- DOI: 10.24018/ejmed.2022.4.5.1454
References
Kumar R, Sharma P. Psychosocial impact of thalassemia on family caregivers: A study from a tertiary care
hospital. J Family Med Prim Care. 2018;7(5):1020-1025. doi:10.4103/jfmpc.jfmpc_267_18.
Shah, Farrukh T., et al. Challenges of blood transfusions in β-thalassemia. Blood reviews, 2019, 37: 10058.
doi.org/10.1016/j.blre.2019.100588
Rao E, Chandraker SK, Singh MM, Kumar R. Global distribution of β-thalassemia mutations: An update. Gene.
;896:148022. https://doi.org/10.1016/j.gene.2023.148022
Mutar MT, Majid M, Jaleel A, Saad A, Abdulmortafea A, Talib H. Awareness among parents of beta thalassemia
major and intermedia patients in three centers in Baghdad and Al-Nasiriyah, Iraq, in 2017. Int J Med Students.
;7(1):6-10. doi.org/10.5195/ijms.2019.315
Lafta RK. Burden of Thalassemia in Iraq. Public Health Open Access. 2023;7(1):1. https://doi.org/10.23880/phoa
DOI: 10.23880/phoa-16000242
Kadhim KA, Baldawi KH, Lami FH. Prevalence, Incidence, Trend, and Complications of Thalassemia in Iraq.
Hemoglobin. 2017;41(3):164-168. doi:10.1080/03630269.2017.1354877.
Khan F, Khan N. Burden on caregivers of children with thalassemia: A qualitative study. BMC Pediatr.
;19(1):1-8. doi:10.1186/s12887-019-1740-2.
Mansoor M, Bhatia S. Understanding the challenges faced by caregivers of thalassemic patients: A systematic
review. Thalassemia Rep. 2021;11(1):12-20. doi:10.4081/thr.2021.8876.
Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety
Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43.
DOI: 10.1016/0005-7967(94)00075-u
Veijola J, Jokelainen J, Läksy K, Kantojärvi L, Kokkonen P, Järvelin MR, Joukamaa M. The Hopkins Symptom
Checklist-25 in screening DSM-III-R axis-I disorders. Nord J Psychiatry. 2003;57(2):119-23. DOI: 10.1080/08039480310000941
Cappellini MD, Farmakis D, Porter J, Taher A. Guidelines for the Management of Transfusion Dependent
Thalassaemia (TDT) Thalassaemia International Federation. Strovolos, Cyprus. 2021.
Shah FT, Sayani F, Trompeter S, Drasar E, Piga A. Challenges of blood transfusions in beta-thalassemia. Blood
Rev. 2019;37:100588. doi.org/10.1016/j.blre.2019.100588
Al-Allawi N, Al Allawi S, Jalal SD. Genetic epidemiology of hemoglobinopathies among Iraqi Kurds. J
Community Genet. 2021;12(1):5-14. doi:10.1007/s12687-020-00495-z.
Maximiano-Barreto MA, Alves LC, Monteiro DQ, Matias M, Montayre J, Luchesi BM. Factors associated with
low health literacy in unpaid caregivers of older people: a systematic review. Health Promotion International. 2024
Oct;39(5):daae118. DOI: 10.1093/heapro/daae118
Mashayekhi F, Rafati S, RAFATI F, Pilehvarzadeh M, Mohammadi SM. A study of caregiver burden in mothers
with thalassemia children in Jiroft, 2013.
Kosaryan M, Karami H, Darvishi-Khezri H, Akbarzadeh R, Aliasgharian A, Bromand K. Treatment status of
patients with B-thalassemia major in northern Iran: Thalassemia registry system. Iran J Public Health.
;48:1335-1345. PMID: 31497556 PMCID: PMC6708530
Beijing AngelMom Charity Foundation. Report on the prevention and treatment of thalassemia in China. 2021.
Available at: http://files.angelmom.org/Doc/20180312/20180312111844_9237.pdf
Varghese A, Ukande U. Impact of selected socio-demographic variables with selected clinical variables and growth
parameters among transfusion-dependent thalassemia children. Int J Adv Res. 2017;3(3):38-44. Available at:
https://www.allresearchjournal.com/archives/2017/vol3issue3/PartA/3-3-41-743.pdf
Aziz RA, Mohammed SH, Aburaghif LF. Burden of caregivers care for children with thalassemia at Babylon Child
and Maternity Teaching Hospital, Babylon Governorate, Iraq. J Nurs Health Sci. 2015;4(6):82-87. Corpus ID:
Paramore, C., Levine, L., Bagshaw, E., Ouyang, C., Kudlac, A., & Larkin, M. (2021). Patient- and Caregiver
Reported Burden of Transfusion-Dependent β-Thalassemia Measured Using a Digital Application. The patient,
(2), 197–208. https://doi.org/10.1007/s40271-020-00473-0
Platania S, Gruttadauria S, Citelli G, Giambrone L, Di Nuovo S. Associations of thalassemia major and satisfaction
with quality of life: The mediating effect of social support. Health Psychol Open. 2017;4:278688282. DOI:
1177/2055102917742054
Lu L, Wang L, Yang X, Feng Q. Zarit caregiver burden interview: development, reliability and validity of the
Chinese version. Psychiatry Clin Neurosci. 2009;63:730-734. DOI: 10.1111/j.1440-1819.2009.02019.x
Abedi H, Abbaszadeh A, Kazemi M, Pouraboli B. Silent screams: experiences of caregiver suffering by parents of
children with thalassemia: a qualitative study. Journal of Qualitative Research in Health Sciences. 2014 Sep
;3(3):281-91
Islam, F., Seemanta, S., Rezina, S., Mehrab, A., Raheem, E., & Hossain, M. S. (2025). Depression, anxiety, and
stress among mothers of children with thalassemia in Bangladesh: a cross-sectional study. BMC women's health,
(1), 221. https://doi.org/10.1186/s12905-025-03762-8
Son KY, Lee CH, Park SM, Lee CH, Oh SI, Oh B, Tak SH, Cho B, Lee K, Lee SH. The factors associated with the
quality of life of the spouse caregivers of patients with cancer: A cross-sectional study. J Palliat Med. 2012;15:216
DOI: 10.1089/jpm.2011.030514
Sahu, S., Agrawal, A., Shrivastava, J., & Tonk, S. (2023). Psychiatric disorders and caregiver burden in children
with transfusion dependent β-thalassaemia and their caregivers. World journal of clinical pediatrics, 12(3), 125
https://doi.org/10.5409/wjcp.v12.i3.125
Inamdar S, Inamdar M, Gangrade A. Stress level among caregivers of thalassemia patients. Natl J Community
Med. 2015;6(4):579-582. Available from: https://njcmindia.com/index.php/file/article/view/1283
Al-Mahmoud L, Al-Harbi K. The emotional and financial burden on families of children with thalassemia: A cross
sectional study. Pediatr Blood Cancer. 2022;69(3):e29310. doi:10.1002/pbc.29310.
Wilson D, Wong DL, Hockenberry MJ, Wilson D. Wong's nursing care of infants and children. Mosby/Elsevier;
Schnitzer S, Oedekoven M, Amin-Kotb K, Gellert P, Balke K, Kuhlmey A. Caregivers’ burden and education
level: does subjective health mediate the association? Innov Aging. 2017;1(Suppl 1):447. PMCID: PMC6245041.
doi.org/10.1093/geroni/igx004.1599
Mudiyanse RM. Thalassemia treatment and prevention in Sri Lanka: A cost-effective model for low-income
countries. Sri Lanka J Child Health. 2015;44(4):230-236. DOI: 10.1080/03630260600642633
Barua T, Sultana K, Barua D, Karnain R, Chowdhury SB, Arzu MA. Expenditure to treat thalassemia-a major
financial burden. European Journal of Medical and Health Sciences. 2022 Sep 29;4(5):52-6.
DOI: 10.24018/ejmed.2022.4.5.1454
