The effect of psychoeducation program on hope, stress coping, and psychiatric symptoms in patients with Thalassemia major


Şahin Tarım H., ÖZ F.

Archives of Psychiatric Nursing, cilt.62, 2026 (SCI-Expanded, SSCI, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 62
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.apnu.2026.152137
  • Dergi Adı: Archives of Psychiatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, Psycinfo
  • Anahtar Kelimeler: Hope, Psychiatric symptom, Psychoeducation, Stress coping, Thalassemia major
  • Lokman Hekim Üniversitesi Adresli: Evet

Özet

Background: Thalassemia major is an inherited public health condition associated with significant psychosocial challenges due to its chronic course and complications. Aim: This study aimed to examine the effect of a psychoeducation program on hope, stress coping, and psychiatric symptoms in patients with thalassemia major. Method: This randomized controlled trial used a pre-test, post-test, and follow-up design. The study was conducted at the Thalassemia Center in the Turkish Republic of Northern Cyprus between January and July 2021. Sixty adult patients were randomly assigned to the intervention (n = 30) and control (n = 30) groups using a computer-generated randomization procedure. Data were collected using the patient information form, Beck Hopelessness Scale, Stress Coping Styles Scale, and Brief Symptom Inventory. The intervention group received an eight-session psychoeducation, while the control group continued with routine care. Results: Significant differences in Beck Hopelessness Scale scores were observed between the intervention and control groups across all measurements. In the intervention group, significant differences were observed in the post-test and follow-up mean scores in the submissive approach and seeking social support approach subscales of the Stress Coping Styles Scale. Analysis of the Brief Symptom Inventory indicated a significant decline in anxiety symptoms at follow-up in the intervention group, while no significant changes were observed in the control group (p < 0.05). Conclusion: The psychoeducation program improved hope levels, promoted adaptive coping strategies, and reduced anxiety symptoms in patients with thalassemia major. Psychoeducation can be used to enhance psychological well-being in this patient group.