Background & Objectives: Thalassemia major is a chronic genetic disorder caused by the deficiency of one or more multi–chain polypeptide globin, i.e., inherited according to Mendelian genetic rules. Thalassemic patients should regularly visit healthcare centers to receive blood and consume iron supplements daily. They may develop facial and organ degeneration as a result of disease progression, and a bad image of which will affect their self–esteem. The present study aimed to investigate the effect of education on stress reduction based on mindfulness on body image and death anxiety in patients with thalassemia major.
Methods: This was a quasi–experimental study with a pretest-posttest and a control group design. The statistical population consisted of all patients with thalassemia major who referred to a thalassemia center weekly for treatment and blood transfusion in Chabahar Hospital. In this study, 30 patients were selected by convenience sampling method from the community. The study participants were randomly assigned to two groups of 15 (mindfulness & evidence–based stress reduction); the study groups were matched on age, gender, and education. The inclusion criteria included the age range of 12 to 30 years, the educational level of fifth grade to the high–school diploma, and the lack of mental disorders. The exclusion criteria were absence from more than one intervention session, the lack of cooperation, and providing incomplete questionnaires. Littelton’s Body Image Concern Inventory (BICI) and Templer’s Death Anxiety Scale (DAS) were used to collect the required data. Data analysis was performed using descriptive indexes and one–way Analysis of Covariance (ANCOVA).
Results: The present study results suggested the intervention effects of the variable of the group (experimental and control) on the posttest values of the body image (η2=0.95, p=0.009, F1,27=509.05). In other words, mindfulness training was effective in improving body image in patients with thalassemia major. Furthermore, there was no significant difference between the two groups in terms of the initial level and the comparison basis in the pretest stage in the death anxiety scale.
Conclusion: It seems that mindfulness reduces stress, i.e., effective in improving body image and death anxiety in patients with thalassemia major. It is suggested that along with medical therapies, education for reducing mindfulness–based stress management be provided to this group.
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