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. 1993 Jun;61(3):468-74.
doi: 10.1037//0022-006x.61.3.468.

Role of child and maternal processes in the psychological adjustment of children with sickle cell disease

R J Thompson Jr  1 , K M Gil, D J Burbach, B R Keith, T R Kinney
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Role of child and maternal processes in the psychological adjustment of children with sickle cell disease

R J Thompson Jr et al. J Consult Clin Psychol. 1993 Jun.

Abstract

In this study, 64% of children aged 7-12 years with sickle cell disease were found to have a parent-reported behavior problem, and 50% met the criteria for a Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) diagnosis based on a structural clinical interview of the child. Internalizing types of behavior problems and diagnoses were the most frequent. Support was provided for a transactional stress and coping model in delineating the processes associated with child adjustment. In particular, maternal anxiety accounted for 16%-33% of the variance in mother-reported internalizing and externalizing behavior problems, respectively, and child pain-coping strategies accounted for 21% of the variance in child-reported adjustment problems.

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