“…The comorbidity of psychological problems with chronic illnesses called for more attention to psychological consequences and its impact on health care outcomes (Al Abeiat, Hamdan-Mansour, Ghannam, Azzeghaiby, & Dawood, 2014;Khalil, DarAwwad, Al-Gamal, & Hamdan-Mansour, 2012). Studies showed that psychological difficulties and psychological follow up care were associated with increased morbidity, mortality, expenditure of health services, and burden of caregivers (Dawani, Hamdan-Mansour, & Ajlouni, 2014;Sullivan, Simon, Spertus, & Russo, 2002;Wang et al, 2006).…”