%0 Journal Article %T Health %A Farkhondeh Sharif %A Kate Khair %A Masoume Rambod %A Sylvia von Mackensen %A Zahra Molazem %J Clinical and Applied Thrombosis/Hemostasis %@ 1938-2723 %D 2018 %R 10.1177/1076029618758954 %X Hemophilia causes bleeding that may affect patients¡¯ psychological aspects and quality of life. This study aims to evaluate the impact of psychological aspects and pain on health-related quality of life (HRQoL) in adult patients with hemophilia. This cross-sectional study was conducted on 103 patients with hemophilia. Data were collected using hemophilia-specific quality of life, Depression Anxiety Stress Scales, and pain visual analogue scales. Data were analyzed using correlation coefficients, analysis of covariance, and regression analysis. The results showed that 71.7% of patients with hemophilia experienced pain on the study day. The mean score of HRQoL of patients with hemophilia was 51.09 (standard deviation = 19.37). Moreover, 57.4%, 64.6%, and 44.6% of the patients had mild to severe depression, anxiety, and stress, respectively. In addition, a significant association was observed between HRQoL and depression, anxiety, and severity of pain. In the regression model, 48% of changes in HRQOL were explained by the study variables, with the severity of pain and depression being significant predictors. Therefore, attention should be paid to these aspects to improve patients¡¯ quality of life and psychosocial health %K hemophilia %K health-related quality of life %K stress %K anxiety %K depression %K Haem-A-QoL %K DASS %K pain %U https://journals.sagepub.com/doi/full/10.1177/1076029618758954