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A study in Iran highlights the importance of access to psychological services for mothers of boys with severe haemophilia
A study in Iran highlights the importance of access to psychological services for mothers of boys with severe haemophilia

Socio-demographic characteristics of participating mothers of sons with severe haemophilia (n=15)

VARIABLE NUMBER (%)
Mother as the main caregiver 15 (100%)
Nationality
Iranian 13 (87%)
Afghani 2 (13%)
Age of mother
Mean 37.6 years
Range 30-45 years
Age of child with severe haemophilia
Mean 10.5 years
Range 6-14 years
Age of child at diagnosis
Mean 5.8 months
Range 3-20 months
Family history of haemophilia
Known family history 4 (26%)
No/unknown family history 11 (74%)
Previous knowledge of haemophilia
Had knowledge about haemophilia before child’s diagnosis 4 (26%)
No knowledge about haemophilia before child’s diagnosis 11 (74%)
Prophylaxis administration
Mother administers prophylaxis 12 (80%)
Prophylaxis administered at hospital 3 (20%)
Adjustments for child’s safety within the home
Safety protocols in place 9 (60%)
No safety protocols in place 6 (40%)
Education level of mother
Associate degree 1 (7%)
Master’s degree 2 (13%)
Bachelor’s degree 2 (13%)
Diploma 6 (40%)
Elementary school 2 (13%)
Illiterate 2 (13%)

Further supporting quotes for themes identified in the psychological experiences of mothers of boys with severe haemophilia in Iran

THEME SUB-THEMES
Daily emotional experiences “I consider myself guilty. So, I must do my best for my son’s future till he grows up perfect and healthy.” [Participant 10]
“Sometimes I say to myself, I wish I didn’t give birth to such a person who has to endure these challenges because of my wrong decision, however abortion was like killing my own child.” [Participant 1]
“I agree that I get angry fast especially when he is nervous. I try to be relaxed and negotiate with him in these situations, but after five minutes when I see him not calming down I shout eventually.” [Participant 14]
Challenge of acceptance “In the first two years after diagnosis, I had no normal life, especially in my relationship with my husband, but I noticed it cannot continue like this and I asked myself if there is a problem, what else do you want to do? So, I faced with difficulties and started again, then I coped with these problems gradually.” [Participant 12]
Defence mechanisms “I always try not to think about the annoying situation and distract my thoughts with something else.” [Participant 3]
Coping strategies Emotion-focused strategies “I like to watch movies or read books and sometimes I do so during the physiotherapy sessions.” [Participant 12]
“We used to live in Arak and because of my son’s illness, we moved to Tehran.” [Participant 14]
Problem-focused strategies “We came to this centre and the head nurse explained all I needed to know and answered my questions to take care of my son.” [Participant 11]
“I realised something is not right so I preferred to visit a psychologist and he/she gave some practical recommendations.” [Participant 15]
Positive expectations for the future “My only dream is about my children’s education. I wish to see them in the best scientific positions, which I couldn’t achieve it myself because of imposed restrictions by culture on women in my town. I specially encourage my affected son to study hard. Because of haemophilia, all physical job is prohibited for him.” [Participant 7]

Overview of themes and sub-themes relating to the psychological experiences of mothers of boys with severe haemophilia in Iran

THEME SUB-THEMES
Daily emotional experiences Depression
Hate
Regret
Disappointment
Sadness
Shame
Anger
Embarrassment
Anxiety
Guilt
Fear
Challenge of acceptance Acceptance
Non-acceptance
Defence mechanisms
Rumination
Idealisation of children
Avoidance
Withdrawal
Splitting
Coping strategies Emotion-focused strategies Emotional drain
Daily activities for wellbeing
Problem-focused strategies Medical migration
Consulting with medical staff
Childbearing after having a boy with haemophilia
Consulting with a psychologist
Positive expectations for the future Educational positive expectations
Medical positive expectations
General positive visualisation of the future
eISSN:
2055-3390
Langue:
Anglais
Périodicité:
Volume Open
Sujets de la revue:
Medicine, Basic Medical Science, other, Clinical Medicine, Pharmacy, Pharmacology