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During the implementation, VNRC carried out only about half of its planned monitoring activities, due to the intensive scheduling of activities and availability of time among project teams at different levels. In order to address at least part of this challenge, VNRC has mobilized two staff from the Ho Chi Minh City representative office to support monitoring the training for volunteers in the three targeted provinces of Ho Chi Minh, Dong Nai and Binh Duong. The VNRC headquarters, with its geographic location closer to Quang Ngai and Thanh Hoa, covers the monitoring of these two provinces. However, as. | bjh review Psychological complications in sickle cell disease Kofi A Anie Department of Haematology Brent Sickle Cell and Thalassaemia Centre Imperial College London Central Middlesex Hospital London UK Summary This review examines the evidence for some of the common psychological complications found across the life span of patients with sickle cell disease SCD which are likely to be encountered by haematologists responsible for their medical management. Electronic searches of medical and psychological databases were conducted with a focus on three main areas psychological coping quality of life and neuropsychology. Psychological complications were identified in both children and adults with SCD and included inappropriate pain coping strategies reduced quality of life owing to restrictions in daily functioning anxiety and depression and neurocognitive impairment. There were wide variations in design and consistency of the studies therefore some caution needs to be observed in the findings. Moreover interventional studies were lacking in some areas such as neuropsychology. Utilization of psychological interventions including patient education cognitive behavioural therapy and special educational support to help improve the quality of life of patients are recommended. Keywords sickle cell disease psychology neuropsychology complications coping quality of life. The management of sickle cell disease SCD continues to pose a challenge to both haematologists and affected patients. Treatment advances over a generation have greatly improved the quality of life and longevity of patients. Nonetheless the current position in terms of the identification of the clinical implications of psychological complications and management within a multidisciplinary context remains unsatisfactory. Haematologists have only begun to address this issue recently. Psychological impact of SCD Psychological complications in patients with SCD mainly result from the impact of pain and symptoms on .
