Examining the effect of cognitive-behavioral family therapy on social stigma in family with children suffering from sickle cells in Manujan in 2016
More details
Hide details
MSN, Nursing and Midwifery Faculty, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Submission date: 2018-02-02
Final revision date: 2018-02-21
Acceptance date: 2018-02-23
Online publication date: 2018-03-06
Publication date: 2018-03-06
Electron J Gen Med 2018;15(4):em34
Background and Purpose:
Given the ruinous impact of physical ailments, such as sickle cells and absence of psychological care, instructing cognitive-behavioral mediations is vital for enhancing family functioning to diminish social stigma perceived by these families. Most of the research conducted has focused on various recommendations for the probable betterment in the status of children with sickle cells and less on the families affected. Thus, this study conducted to determine the effectiveness of cognitive-behavioral family therapy (CBFT) in social stigma of these families.

The study was quasi-experimental and the needed information collected by Family Measurement Tool and Social Stigma questionnaires. The sample was 20 families with children suffering from sickle cells (SC) covered by two clinics in Manujan, selected through convenient sampling in 2016. First, the families were divided into two groups of 10 (intervention group and control group), and after measuring the aspects of family evaluation and social stigma in them, the intervention group underwent cognitive-behavioral intervention for 8 weeks. SPSS 22, descriptive, and inferential statistics were used to analyze the results.

The results indicated that cognitive-behavioral intervention in the intervention group, contrasted to the control group, had a significant relationship with the general function of family in problem solving (Control 1.97; Intervention, 2.26 ), emotional responsiveness (Control 2.16; Intervention, 2.21), behavioral control (Control 2.36; Intervention, 2.35), and the social stigma of patients with SC (P<0.05).

CBFT method enhances general function of the family and reduces perceived social stigma, and this significance shows that health systems and centers should use psycstigmaherapists for more cognitive and behavioral interventions to reduce social stigma in families of patients with SC or other chronic illnesses.

Hassell KL. Population estimates of sickle cell disease in the U. S. Am J Prev Med. 2010;38(4):S512–521. PMid:20331952.
Zandian Kh. Imprisoned First report on the disease in Ahwaz cell cycle. Ahwaz: Azad Publishing; 2004. PMid:15147965.
Robin K, Bertil G, Georg B. Diseases of the Blood. Nelson Text Book of Pediatrics. New York: Saunders; 2004.
John W. Anemia and polyeythemia. In: Kasper (editor). Harrison’s Internal Medicine. New York: Mc Graw–Hill; 2005.
Hinckel C, Chivir K. Bruner and Soodfast in the course of internal nursing and hematologic surgery, Asemi translation. Sociologist Publishing. 2014;13(7):52-62.
Davidson HJB. Hematology, coagulation and blood transfusion medicine. Translation of Mohseni A, Khademi R, Mohammadi, Shahabi A, Sharifi M. First Edition. Tehran: Artin Teb; 2012.
Vahedi P. Encyclopedia Symptoms and Symptoms in Clinical Medicine - Blood Disease. Tehran: Aijang Publishing; 2008.
Karamati H, Moradi A, Kaveh M. Comparison of psychological aspects of family functioning and control children. J Educational Innovation. 2006;4:56-75.
Link b & Phelan J. Labeling and stigma. New York: Rutledge; 2013.
Slade SC, Molloy E, Keating JL. Stigma experienced by people with nonspecific chronic low back pain: A qualitative study. Pain Med. 2009;10(1):143–154. PMid:19222775.
Halding AG, Heggdal K, Wahl A. Experiences of self-blame and stigmatisation for self-infliction among individuals living with COPD. Scand J Caring Sci. 2010;7(2):426-437. PMid: 20534028.
Corrigan P. How stigma interferes with mental health care. Am Psychol. 2004;59(7):614-25. PMid:15491256.
Shariati RM. Recognition and treatment of behavioral disorders in children and adolescents. Volume II First Edition. Tehran: Abed; 2006.
Goldenberg A, Goldenberg H. Family Therapy, Shahid Browathi translation, Sayyid Q, Arjmand A. Psycho publishing, ninth edition. 2010;5(3):310-315.
Mohiadini H, Sadeghi Z, Cheragi S, Zare R. The Effectiveness of Cognitive Behavioral Group Therapy on Improving Family Process in Families of Addicted People, Psychological Models and Methods, Third Year. 2013;12:9-1.
Jafari J. Survey on the degree of socially perceived social sensation in adolescent girls and boys with their particular needs and their relationship with their psychological characteristics [master’s thesis]. Marvdasht: Azad University of Marvdasht; 2011.
Cullbert GJ, Earnshaw VA, Wegman, MP. Correlates and Experiences of HIV Stigma in Prisoners Living With HIV in Indonesia: A Mixed Method Analysis; Journal of the Association of Nurses in aids care. 2015;26(6):743-749. PMid:26304049 PMCid:PMC4600662.
Switaj P, Grygiel P,Wciorka J, Humenny G, Anczewska M. The stigma subscale of the consumer experiences of stigma questionnaire. Comprehensive Psychiatry. 2013;54:713-719. PMid:23601989.
Graham C, Maude GH, Serjeant GR. Delayed menarche in homozygous sickle cell disease. West Indian Med J. 1986;35(1):18–22. PMid:3716388.
Journals System - logo
Scroll to top