Abstract：
PURPOSE:To assess the prevalence of depressive symptoms and examine the contribution of demographics, disease severity, and health care use variables to depressive symptoms in sickle cell patients who had been in stable health for at least one month. PATIENTS AND METHODS:Subjects were a convenience sample of 27 men and 23 women selected during a routine visit to the sickle cell clinic at Howard University Hospital. Depression was assessed using a cut-off score from the Beck Depression Inventory (BDI) and related to a variety of health outcomes. RESULTS:The results of the analyses indicate that 44% (n=22) of the sample scored within the mild to severe (>20) range of depression on the BDI. Depressed sickle cell patients were more frequently treated in emergency rooms and more likely to be hospitalized with vaso-occlusive crises. Patients more likely to be depressed were: those with low family income (<$10,000); less than high school education; female; those who had multiple blood transfusions; poor pain control; inadequate social support; hydroxyurea use; and had histories of frequent vaso-occlusive crises. CONCLUSION:The prevalence of depressive symptoms in sickle cell patients is high compared to the general African American population. Our findings confirmed previous studies examining the occurrence of depression in adults with sickle cell disease. Treatment of depression should be strongly considered to improve the quality of life and probably disease course in sickle cell patients.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Hasan SP,Hashmi S,Alhassen M,Lawson W,Castro Okeywords:
subject
Has Abstractpub_date
2003-07-01 00:00:00pages
533-7issue
7eissn
0027-9684issn
1943-4693journal_volume
95pub_type
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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更新日期：1987-07-01 00:00:00
abstract：:Group B streptococci (GBS) have been infrequently recognized as a cause of pharyngitis. We report three cases of GBS pharyngitis in patients with underlying diseases, two of whom were treated with and responded incompletely to oral beta-lactam antibiotics. The susceptibility of 20 clinical isolates of GBS was tested b...
journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30774-4
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
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更新日期：2005-02-01 00:00:00
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2005-09-01 00:00:00
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
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更新日期：1977-02-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-10-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-01-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1993-05-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-06-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2000-08-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1979-11-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-09-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
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journal_title：Journal of the National Medical Association
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doi：
更新日期：1982-04-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)31512-1
更新日期：2008-11-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30738-0
更新日期：2010-11-01 00:00:00
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更新日期：2011-02-01 00:00:00
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
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更新日期：1984-04-01 00:00:00
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journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
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