Psychosocial impact of sickle cell disorder: perspectives from a Nigerian setting
Sickle Cell Disorder is a global health problem with psychosocial implications. Nigeria has the largest population of people with sickle cell disorder, with about 150,000 births annually. This study explored the psychosocial impact of sickle cell disorder in 408 adolescents and adults attending three hospitals in Lagos, Nigeria. A questionnaire was designed for the study, with some of commonly described areas of psychosocial impact including general public perceptions and attitudes, education, employment, and healthcare issues, and emotional responses.
The majority of participants thought that society in general had a negative image of SCD, and reported negative perceptions and attitudes. Some issues in education, employment, and healthcare were expressed, however these were in the minority of cases. The results also showed that depressive feelings were experienced in almost half the study population, even though feelings of anxiety or self-hate were uncommon. Clinical implications of these findings are considered.
- Weatherall, DJ, Clegg, JB (2001) Inherited haemoglobin disorders: an increasing global health problem. Bull World Health Organ 79: pp. 704-12
- Sickle-Cell Anaemia Report by the Secretariat. Fifty ninth world Health Assembly.
- Riddington, C, Owusu-Ofori, S (2002) Prophylactic antibiotics for preventing pneumococcal infection in children with sickle cell disease. Cochrane Database Syst Rev 3: pp. CD003427
- Konotey-Ahulu, FID (1991) The sickle cell disease patient. MacMillan, London
- De Montalembert, M (2008) Management of sickle cell disease. BMJ 337: pp. a1397 CrossRef
- Bhatia, M, Walters, MC (2008) Hematopoietic cell transplantation for thalassemia and sickle cell disease: past, present and future. Bone Marrow Transplant 41: pp. 109-17 CrossRef
- Nzewi, E (2001) Malevolent ogbanje: recurrent reincarnation or sickle cell disease?. Soc Sci Med 52: pp. 1403-16 CrossRef
- Ohaeri, JU, Shokunbi, WA, Akindale, KS, Dare, LO (1995) The psychosocial problems of sickle cell disease sufferers and their methods of coping. Soc Sci Med 40: pp. 955-60 CrossRef
- Uwakwe, CBU, Kofie, SA, Shokumbi, WA (2001) Sickle cell disease and the psychological adjustment of sufferers in a Nigerian Teaching Hospital. Nigerian Medical Journal 41: pp. 21-23
- Anie, KA, Dasgupta, T, Ezenduka, P, Anarado, A, Emodi, I (2007) A cross-cultural study of psychosocial aspects of sickle cell disease in the UK and Nigeria. Psychol Health Med 12: pp. 299-304 CrossRef
- Moos, RH, Schaefer, JA The crisis of physical illness: An overview and conceptual approach. In: Moos, RH eds. (1984) Coping With Physical Illness: New Perspectives. Plenum Press, New York, pp. 3-35
- Brown, RT, Kaslow, NJ, Doepke, K, Buchanan, I, Eckman, J, Baldwin, K, Goonan, B (1993) Psychosocial and family functioning in children with sickle cell syndrome and their mothers. J Am Acad Child Adolesc Psychiatry 32: pp. 545-53 CrossRef
- Kliewer, W, Lewis, H (1995) Family Influences on Coping Processes in Children and Adolescents with Sickle Cell Disease. J Pediatr Psychol 20: pp. 511-525 CrossRef
- Gil, KM, Wilson, JJ, Edens, JL (1997) The stability of pain coping strategies in young children adolescents, and adults with sickle cell disease over an 18-month period. Clin J Pain 13: pp. 110-115 CrossRef
- Thompson, RJ, Armstrong, FD, Kronenberger, WG, Scott, D, McCabe, MA, Smith, B, Radcliffe, J, Colangelo, L, Gallagher, D, Islam, S, Wright, E (1999) Family functioning, neurocognitive functioning, and behavior problems in children with sickle cell disease. J Pediatr Psychol 4: pp. 491-8 CrossRef
- Thompson, RJ, Gil, KM, Keith, BR, Gustafson, KE, George, LK, Kinney, TR (1994) Psychological adjustment of children with sickle cell disease: stability and change over a 10-month period. J Consult Clin Psychol 62: pp. 856-866 CrossRef
- Omonzejele, PF (2008) African Concepts of Health, Disease, and Treatment: An Ethical Inquiry. The Journal of Science and Healing 4: pp. 120-126 CrossRef
- Anie, K, Smalling, B, Fotopoulos, C (2000) Groupwork: children and adolescents with sickle cell disease. Community Practitioner 73: pp. 556-558
- Yang, YM, Cepeda, M, Price, C, Shah, A, Mankad, V (1994) Depression in children and adolescents with sickle-cell disease. Arch Pediatr Adolesc Med 148: pp. 457-60
- Hasan, SP, Hashmi, S, Alhassen, M, Lawson, W, Castro, O (2003) Depression in sickle cell disease. Journal of the National Medical Association 95: pp. 533-537
- Primary Health Care: Now more than ever. The World Health Report.
- Anie, KA, Green, J (2002) Psychological therapies for sickle cell disease and pain (Cochrane review). The Cochrane Library, 3, 2002. Update Software, Oxfordpp. CD001916
- Psychosocial impact of sickle cell disorder: perspectives from a Nigerian setting
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- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Globalization and Health
- Online Date
- February 2010
- Online ISSN
- BioMed Central
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