Anxiety and Coping Strategies of Students with Sickle Cell Disease: Three-Year Cross-Sectional Study
Keywords:Anxiety, Coping Strategies, Sickle cell disease, Students.
Introduction: Sickle cell disease (SCD) is the most prevalent inherited blood disorder worldwide and
estimated 18 million Indians have sickle cell trait1 and 4 million have sickle cell disease2. The study aims
to find out the prevalence of sickle cell disease among university students and to identify coping strategies,
they have adopted by them to deal with anxiety.
Methods: A retrospective cross-sectional survey was done among 2126 students over duration of three years
to identify with simple random sampling technique followed by purposive sampling technique. Diagnosis
confirmed by DTT and haemoglobin Electrophoresis before assessing the anxiety level and coping strategies
using Hamilton-Anxiety Scale and Brief COPE scale through interview technique.
Result: Total 143(6.73%) students was found sickling positive while 63(44%) was suffering with mild to
moderate level of anxiety and 52(36%) was in the range of moderate to severe. Among them 53(46.09%) has
used approach coping strategies whereas 62(53.91%) preferred avoidant coping strategies.
Conclusion: Study finding suggest that students with SCD experience anxiety and they developed coping
strategies to deal with anxiety. Proper guidance will be helpful for developing effective coping strategies to
reduce level of anxiety.
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