• Aliya Hisam, Najm Us Sadiq Khan, Naseer Alam Tariq, Hira Irfan, Bushra Arif, and Mawra Noor.
• Dr. Aliya Hisam, MBBS, MPH, FCPS (Community Medicine). Associate Professor, Department of Community Medicine, Army Medical College, National University of Medical Sciences, Rawalpindi, Pakistan.
• Pak J Med Sci. 2018 Jul 1; 34 (4): 901-906.

ObjectiveTo find the perceived stress level and monetary burden in the thalassemia patients and their caregivers related to thalassemia treatment sessions.MethodsA descriptive cross sectional study was conducted at Rawalpindi Thalassemia Centre and Military Hospital Rawalpindi of six months' duration from November 2016 to April 2017. A total of 87 sample size was calculated by using WHO sample size calculator. Participants were inducted through purposive sampling technique from thalassemia centers. A validated standardized Cohen's Perceived Stress score was used. Data were entered and analyzed in SPSS 22.ResultsMean age of the participants was 30.42 ± 14.53 years. There were 30 (34.2%) males and 57 (65.8%) females. There were 39 (51.3%) patients and 48 (48.7%) caregivers. The mean income per month of the participants was 48706.9 ± 39492.68 PKR. The mean total expenditure per treatment session was 48706 ± 4037.12 PKR. Among the patients, there were 15 (38.5%) who were having average stress, while 4 (10.3%) were having moderate stress while 45 (51.7%0 were having severe stress. Among the caregivers, 10 (20.8%) were having mild stress, 13 (27.1%) were having moderate stress while 25 (52.1%) were having severe stress. The stress among the two groups was not statistically significant (p=0.066).ConclusionMore than half of the patients and caregivers were having a high perceived stress levels and there was a significant association between the two groups. The monetary burden was a lot to bear by the patients and the cost of treatment session most expensive.

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