Jundishapur Journal of Chronic Disease Care

Published by: Kowsar

The Effectiveness of Self Management Program on Pain, Fatigue, Depression, Anxiety, and Stress in Sickle Cell Patients: A Quasi-Experimental Study

Mehrnaz Ahmadi 1 , Abdolali Shariati 1 , Saeed Poormansouri 2 , * and Najva Hazeghi 3
Authors Information
1 Department of Nursing, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
2 Supervisory Office, Treatment Deputy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
3 Midwifery Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
Article information
  • Jundishapur Journal of Chronic Disease Care: October 01, 2015, 4 (4); e29521
  • Published Online: October 17, 2015
  • Article Type: Research Article
  • Received: April 29, 2015
  • Revised: May 20, 2015
  • Accepted: June 4, 2015
  • DOI: 10.17795/jjcdc-29521

To Cite: Ahmadi M, Shariati A, Poormansouri S, Hazeghi N. The Effectiveness of Self Management Program on Pain, Fatigue, Depression, Anxiety, and Stress in Sickle Cell Patients: A Quasi-Experimental Study, Jundishapur J Chronic Dis Care. 2015 ; 4(4):e29521. doi: 10.17795/jjcdc-29521.

Copyright © 2015, Ahvaz Jundishapur University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Wright J, Ahmedzai SH. The management of painful crisis in sickle cell disease. Curr Opin Support Palliat Care. 2010; 4(2): 97-106[DOI][PubMed]
  • 2. Wallen GR, Middleton KR, Ames N, Brooks AT, Handel D. Randomized trial of hypnosis as a pain and symptom management strategy in adults with sickle cell disease. Integr Med Insights. 2014; 9: 25-33[DOI][PubMed]
  • 3. Wallen GR, Minniti CP, Krumlauf M, Eckes E, Allen D, Oguhebe A, et al. Sleep disturbance, depression and pain in adults with sickle cell disease. BMC Psychiatry. 2014; 14: 207[DOI][PubMed]
  • 4. Azarkeivan A. Sickle cell disease: treatment protocol [in persian]. Mezrab. 2012; 18: 5-17
  • 5. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgicalnursing. 2010; : 2240
  • 6. Imhonde HO, Ndom RJE, Ehon A. Social-support, self-esteem and depression as determinants of quality of life among sickle cell patients. IFE Psychol: Int J. 2013; 21(1): 101-13
  • 7. Anie KA, Egunjobi FE, Akinyanju OO. Psychosocial impact of sickle cell disorder: perspectives from a Nigerian setting. Global Health. 2010; 6: 2[DOI][PubMed]
  • 8. Mahdi N, Al-Ola K, Khalek NA, Almawi WY. Depression, anxiety, and stress comorbidities in sickle cell anemia patients with vaso-occlusive crisis. J Pediatr Hematol Oncol. 2010; 32(5): 345-9[DOI][PubMed]
  • 9. Asnani MR, Fraser R, Lewis NA, Reid ME. Depression and loneliness in Jamaicans with sickle cell disease. BMC Psychiatry. 2010; 10: 40[DOI][PubMed]
  • 10. Bakri MH, Ismail EA, Elsedfy GO, Amr MA, Ibrahim A. Behavioral impact of sickle cell disease in young children with repeated hospitalization. Saudi J Anaesth. 2014; 8(4): 504-9[DOI][PubMed]
  • 11. Ameringer S, Elswick RJ, Smith W. Fatigue in adolescents and young adults with sickle cell disease: biological and behavioral correlates and health-related quality of life. J Pediatr Oncol Nurs. 2014; 31(1): 6-17[DOI][PubMed]
  • 12. Ameringer S, Smith WR. Emerging biobehavioral factors of fatigue in sickle cell disease. J Nurs Scholarsh. 2011; 43(1): 22-9[DOI][PubMed]
  • 13. Dampier C, Lieff S, LeBeau P, Rhee S, McMurray M, Rogers Z, et al. Health-related quality of life in children with sickle cell disease: a report from the Comprehensive Sickle Cell Centers Clinical Trial Consortium. Pediatr Blood Cancer. 2010; 55(3): 485-94[DOI][PubMed]
  • 14. While AE, Mullen J. Living with sickle cell disease: the perspective of young people. Br J Nurs. 2004; 13(6): 320-5[DOI][PubMed]
  • 15. Anie KA, Grocott H, White L, Dzingina M, Rogers G, Cho G. Patient self-assessment of hospital pain, mood and health-related quality of life in adults with sickle cell disease. BMJ Open. 2012; 2(4)[DOI][PubMed]
  • 16. Dos Santos JP, Gomes Neto M. Sociodemographic aspects and quality of life of patients with sickle cell anemia. Rev Bras Hematol Hemoter. 2013; 35(4): 242-5[DOI][PubMed]
  • 17. Dampier C, LeBeau P, Rhee S, Lieff S, Kesler K, Ballas S, et al. Health-related quality of life in adults with sickle cell disease (SCD): a report from the comprehensive sickle cell centers clinical trial consortium. Am J Hematol. 2011; 86(2): 203-5[DOI][PubMed]
  • 18. Sogutlu A, Levenson JL, McClish DK, Rosef SD, Smith WR. Somatic symptom burden in adults with sickle cell disease predicts pain, depression, anxiety, health care utilization, and quality of life: the PiSCES project. Psychosomatics. 2011; 52(3): 272-9[DOI][PubMed]
  • 19. Aisiku IP, Smith WR, McClish DK, Levenson JL, Penberthy LT, Roseff SD, et al. Comparisons of high versus low emergency department utilizers in sickle cell disease. Ann Emerg Med. 2009; 53(5): 587-93[DOI][PubMed]
  • 20. Ziadni MS, Patterson CA, Pulgaron ER, Robinson MR, Barakat LP. Health-related quality of life and adaptive behaviors of adolescents with sickle cell disease: stress processing moderators. J Clin Psychol Med Settings. 2011; 18(4): 335-44[DOI][PubMed]
  • 21. Levenson JL. Psychiatric Issues in Adults with Sickle Cell. Prim Psychiatr. 2008; 15(5): 45-9
  • 22. Thomas LS. A pilot study: the effect of healing touch on anxiety, stress, pain, pain medication usage, and physiological measures in hospitalized sickle cell disease adults experiencing a vaso-occlusive pain episode. 2010;
  • 23. Barakat LP, Patterson CA, Daniel LC, Dampier C. Quality of life among adolescents with sickle cell disease: mediation of pain by internalizing symptoms and parenting stress. Health Qual Life Outcomes. 2008; 6: 60[DOI][PubMed]
  • 24. Jenerette CM, Murdaugh C. Testing the Theory of Self-care Management for sickle cell disease. Res Nurs Health. 2008; 31(4): 355-69[DOI][PubMed]
  • 25. Farrell K. Chronic disease self management program (CDSMP) impacts perceived health status for underserved rural clients. Southern on line j nurs res. 2008; 8(3): 1-16
  • 26. Ahmadi M, Jahani S, Poormansouri S, Shariati A, Tabesh H. The Effectiveness of self management program on quality of life in patients with sickle cell disease. Iran J Ped Hematol Oncol. 2015; 5(1): 18-26[PubMed]
  • 27. Ritter PL, Lee J, Lorig K. Moderators of chronic disease self-management programs: who benefits? Chronic Illn. 2011; 7(2): 162-72[DOI][PubMed]
  • 28. Ahmadi M, Shariati A, Jahani S, Tabesh H, Keikhaei B. The effectiveness of self-management programs on self-efficacy in patients with sickle cell disease. Jundishapur J Chronic Dis Care. 2014; 3(3): 1-7[DOI]
  • 29. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989; 46(10): 1121-3[PubMed]
  • 30. Dehghan A, Ghaem H, Borhani Haghighi A, Kashfi SM, Zeyghami B. Comparison of quality of life in Parkinson's patients with and without fatigue. Bimonth J Hormozgan Univ Med Sci. 2011; 15(1): 49-55
  • 31. Shahvarughi Farahani A, Azimian M, Fallahpour M, Karimlou M. Evaluation of Reliability and Validity of the Persian Version of Fatigue Severity Scale (FSS) among Persons with Multiple Sclerosis [in persian]. Quart J Rehabil. 2013; 13(4): 84-91
  • 32. 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[PubMed]
  • 33. Sahebi A, Asghari A, Salari RS. Validation of depression anxiety and stress scale for an Iranian population [in persian]. J Iranian psychol. 2005; 1(4): 299-312
  • 34. Bazen P. Cognitive Appraisal of Pain and Other" Chronic Stressors in Adults Living with Sickle Cell Disease (SCD): Correlates and Predictors of Emotional and Quality of Life Outcomes. 2011;
  • 35. Anie KA, Green J, Tata P, Fotopoulos CE, Oni L, Davies SC. Self-Help Manual-Assisted Cognitive Behavioural Therapy for Sickle Cell Disease. Behav Cogn Psychother. 2002; 30(451-8)[DOI]
  • 36. Tanabe P, Porter J, Creary M, Kirkwood E, Miller S, Ahmed-Williams E, et al. A qualitative analysis of best self-management practices: sickle cell disease. J Natl Med Assoc. 2010; 102(11): 1033-41[PubMed]
  • 37. Hamnes B, Hauge MI, Kjeken I, Hagen KB. 'I have come here to learn how to cope with my illness, not to be cured': a qualitative study of patient expectations prior to a one-week self-management programme. Musculoskeletal Care. 2011; 9(4): 200-10[DOI][PubMed]
  • 38. Eyles C, Leydon GM, Hoffman CJ, Copson ER, Prescott P, Chorozoglou M, et al. Mindfulness for the self-management of fatigue, anxiety, and depression in women with metastatic breast cancer: a mixed methods feasibility study. Integr Cancer Ther. 2015; 14(1): 42-56[DOI][PubMed]
  • 39. Deechakawan W, Heitkemper MM, Cain KC, Burr RL, Jarrett ME. Anxiety, depression, and catecholamine levels after self-management intervention in irritable bowel syndrome. Gastroenterol Nurs. 2014; 37(1): 24-32[DOI][PubMed]
  • 40. Hewlett S, Ambler N, Almeida C, Cliss A, Hammond A, Kitchen K, et al. Self-management of fatigue in rheumatoid arthritis: a randomised controlled trial of group cognitive-behavioural therapy. Ann Rheum Dis. 2011; 70(6): 1060-7[DOI][PubMed]
  • 41. Gracey JH, Watson M, Payne C, Rankin J, Dunwoody L. Translation research: 'Back on Track', a multiprofessional rehabilitation service for cancer-related fatigue. BMJ Support Palliat Care. 2014; [DOI][PubMed]
  • 42. Meng H, Friedberg F, Castora-Binkley M. Cost-effectiveness of chronic fatigue self-management versus usual care: a pilot randomized controlled trial. BMC Fam Pract. 2014; 15: 184[DOI][PubMed]
  • 43. Thomas PW, Thomas S, Kersten P, Jones R, Slingsby V, Nock A, et al. One year follow-up of a pragmatic multi-centre randomised controlled trial of a group-based fatigue management programme (FACETS) for people with multiple sclerosis. BMC Neurol. 2014; 14: 109[DOI][PubMed]
  • 44. Rietberg MB, van Wegen EE, Eyssen IC, Kwakkel GMS. study group. . Effects of multidisciplinary rehabilitation on chronic fatigue in multiple sclerosis: a randomized controlled trial. PLoS One. 2014; 9(9)[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments