Perceived well-being and mental health in haemophilia

Luca Negri, Andrea Buzzi, Anna Brigida Aru, Antonino Cannavò, Claudio Castegnaro, Maria Rosaria Fasulo, Giuseppe Lassandro, Angiola Rocino, Cristina Santoro, Gianluca Sottilotta, Paola Giordano, Maria Gabriella Mazzucconi, Rosamaria Mura, Flora Peyvandi, Antonella Delle Fave

Research output: Contribution to journalArticlepeer-review


The investigation of mental health among persons with haemophilia is mostly focused on negative and disease-related indicators. Literature however shows that psychosocial resources and optimal daily functioning can co-exist with chronic disease. The Dual Continua Model operationalizes positive mental health as ‘flourishing’, a condition comprising emotional, psychological, and social well-being dimensions. In the present study physical and mental health were comparatively assessed through positive and negative indicators in adults with haemophilia and a control group. Participants included 84 Italian persons with severe haemophilia (Mage = 43.44; SDage = 13.04) and 164 adults without history of chronic illness (Mage = 40.98; SDage = 12.26), who completed the Short Form Health Survey, the Positive and Negative Affect Schedule, and the Mental Health Continuum Short Form. MANOVA and post-hoc t-tests provided evidence of worse general health, lower negative affect and higher psychological well-being among participants with haemophilia compared with the control group. Moreover, the percentage of flourishing individuals was higher among participants with haemophilia. Results support previous evidence suggesting that a chronic disease does not prevent mental well-being attainment. The identification of assets and strengths allowing people with haemophilia to flourish can be fruitfully used to design resource-centered interventions.

Original languageEnglish
Pages (from-to)1062-1072
JournalPsychology, Health and Medicine
Issue number9
Publication statusPublished - 2020


  • flourishing
  • Haemophilia
  • mental health
  • physical health
  • well-being

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health


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