title: Role of child and maternal processes in the psychological adjustment of children with sickle cell disease.
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.
authors.affiliation: Duke University Medical Center, Durham, North Carolina 27710.
authors.forename: R J
authors.initials: RJ
authors.lastname: Thompson
authors.forename: K M
authors.initials: KM
authors.lastname: Gil
authors.forename: D J
authors.initials: DJ
authors.lastname: Burbach
authors.forename: B R
authors.initials: BR
authors.lastname: Keith
authors.forename: T R
authors.initials: TR
authors.lastname: Kinney
mesh_terms: D000223:Adaptation, Psychological; D000755:Anemia, Sickle Cell / Q000523:psychology*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009034:Mother-Child Relations; D010552:Personality Assessment; D010553:Personality Development; D012803:Sick Role