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A survey of depressive symptoms in children and adolescents with hemophilia

OBJECTIVE: To evaluate, using the self-report questionnaire Children's Depression Inventory (CDI), the presence of depressive symptoms, suicidal ideations, and fear of pain in hemophilic children and adolescents, comparing them with a control group without hemophilia. METHODS: CDI was applied to 40 male children and adolescents aged 7 to 15, 20 patients with hemophilia and 20 of the control group. RESULTS: The total mean score for the hemophilic group in CDI was 11.55 ± 7.51, and for the control group, 5.3 ± 2.7, a statistically significant difference (p = 0.0003). Using the cut-off score of thirteen, 35% of the hemophilic group was placed in the range that indicates depressive symptoms, while none of the individuals in the control group was placed in this range, difference statistically significant (p = 0.008). In the analysis of the presence of suicidal ideations, the hemophilic group presented 25% while the control group presented 10%, difference considered non-statistically significant. In the analysis of the fear of pain, the hemophilic group presented 85% while the control group presented 25%, a statistically significant difference (p = 0.0002). CONCLUSIONS: Children and adolescents with hemophilia from our sample have a higher rate of depressive symptoms and fear of pain than children and adolescents of the general population.

children and adolescents; hemophilia; depressive symptoms; fear of pain


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