Psychological interventions in the context of hemophilia: Impacts on quality of life and treatment adherence

Authors

DOI:

https://doi.org/10.33448/rsd-v14i9.49473

Keywords:

Hemophilia, Health Psychology, Quality of Life, Treatment Adherence, Psychological Interventions.

Abstract

Hemophilia is a rare hereditary condition that affects not only physical health but also the psychological and social well-being of those affected. The present study aimed to analyze the contributions of psychological interventions to the quality of life (QoL) and treatment adherence of people with hemophilia, through an integrative literature review. The bibliographic search was carried out between February and April 2025 in the databases SciELO, LILACS, PubMed/MEDLINE, and PsycINFO, using descriptors in Portuguese and English. Following the PRISMA 2020 protocol, 145 records were initially identified, of which 15 articles met the inclusion criteria. The results indicated that psychoeducational interventions, psychological counseling, and empowerment programs had positive impacts in reducing anxiety and depressive symptoms, in addition to promoting greater treatment adherence. It was also observed that the combination of psychological support with pharmacological innovations, such as extended half-life clotting factors (EHL), enhanced functionality indicators and quality of life in adult and adolescent patients. It is concluded that Health Psychology plays an essential role in the comprehensive management of hemophilia and should be systematically incorporated into the multiprofessional practices of blood centers, with emphasis on emotional support, psychoeducation, and strengthening patient autonomy.

References

Beck, C. T., & Polit, D. F. (2022). Fundamentals of nursing research (11th ed.). Wolters Kluwer.

Brasil. Ministério da Saúde. (2023). Hemovida Web Coagulopatias: Relatório técnico nacional. Brasília: Ministério da Saúde.

Cartwright, T. (2022). Psychological support for patients with haemophilia: Implications for adherence and quality of life. Haemophilia, 28(5), 755–762.

Carvalho, R., Souza, M. T., & Silva, M. D. (2022). Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 20(2), 1–6.

Cheung, Y., et al. (2022). Treatment adherence and health-related quality of life in patients with hemophilia: Evidence from clinical cohorts. International Journal of Environmental Research and Public Health, 19(11), 6496.

Dutta, S., et al. (2024). Solution-focused brief therapy to improve coping strategies in adolescents with hemophilia: A randomized clinical trial. Psychology, Health & Medicine, 29(2), 187–196.

Ferreira, L. C., et al. (2020). Hemofilia: Complicações, tratamento e qualidade de vida em pacientes pediátricos. Revista Brasileira de Hematologia e Hemoterapia, 42(1), 33–41.

Khanji, C., et al. (2025). Adherence to prophylactic therapy and health-related quality of life in hemophilia: Systematic review and meta-analysis. Haemophilia, 31(1), 11–25.

Lopez-Pedrosa, J. M., et al. (2024). Brief symptom-targeted psychological interventions in rare chronic diseases: Outcomes for haemophilia. Orphanet Journal of Rare Diseases, 19(7), 1–12.

Martinez, R., et al. (2023). Measuring quality of life in hemophilia: Gaps and methodological challenges. Quality of Life Research, 32, 1547–1560.

Nguyen, L. H., et al. (2023). Home-based psychoeducation programs and quality of life in patients with haemophilia. Psychology, Health & Medicine, 28(9), 1098–1109.

Pacheco, J. R., et al. (2022). Psicoterapia integrativa em paciente jovem com hemofilia A: Estudo de caso clínico. Psicologia em Estudo, 27, 1–11.

Page, M. J., et al. (2021). PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372(71), 1–9.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica [e-book]. Ed. UAB/NTE/UFSM.

Ministério da Saúde. (2023). Política Nacional de Atenção Integral às Pessoas com Doenças Raras. Brasília: Ministério da Saúde.

Schiavoni, M., et al. (2023). Mental health, treatment adherence and quality of life in adults with hemophilia: A cross-sectional study. Psychology & Health, 38(5), 587–601.

Setoodeh, A., Karimi, M., & Shakiba, M., et al. (2023). Empowerment program to improve self-management and adherence in adolescents with hemophilia: A quasi-experimental study. Haemophilia, 29(4), 765–773.

Setoodeh, S., et al. (2023). Empowerment programs for adolescents with hemophilia: Psychological and clinical outcomes. Journal of Pediatric Psychology, 48(3), 212–220.

Shitsuka, R., Shitsuka, D. M., & Pereira, A. S. (2014). Matemática fundamental para tecnologia (2ª ed.). Editora Érica.

Silva, R. F., et al. (2022). Adesão terapêutica e qualidade de vida em adultos com hemofilia B: Estudo transversal. Revista Brasileira de Psicologia da Saúde, 14(1), 77–88.

Silva, R. M., et al. (2022). Adesão terapêutica e suporte psicológico em hemofilia: Revisão sistemática. Revista Brasileira de Hematologia e Hemoterapia, 44(3), 215–223.

Ucero-Lozano, J., et al. (2024). Extended half-life therapies and psychological support in hemophilia A: A cohort study. Haemophilia, 30(4), 612–621.

Vieira, S. (2021). Introdução à bioestatística. GEN/Guanabara Koogan.

World Federation of Hemophilia. (2023). Hemophilia: Annual global survey 2023. Montreal: WFH.

Published

2025-09-07

Issue

Section

Health Sciences

How to Cite

Psychological interventions in the context of hemophilia: Impacts on quality of life and treatment adherence. Research, Society and Development, [S. l.], v. 14, n. 9, p. e2114949473, 2025. DOI: 10.33448/rsd-v14i9.49473. Disponível em: https://rsdjournal.org/rsd/article/view/49473. Acesso em: 5 dec. 2025.