title: Examination of risk and resiliency in a pediatric sickle cell disease population using the psychosocial assessment tool 2.0.
abstract: OBJECTIVE
  To evaluate the Psychosocial Assessment Tool 2.0 (PAT) as an appropriate screening measure of risk for patient and family psychological distress in pediatric sickle cell disease (SCD).
  
  
  METHODS
  219 caregivers completed the PAT during regular hematology clinic visits. Confirmatory factor analysis and tests of reliability were conducted. Multilevel modeling examined change and predictors of risk scores across four assessments.
  
  
  RESULTS
  Confirmatory factor analysis factor loadings ranged from .03 to .81, and reliability coefficients ranged from .43 to .83. Risk for patient and sibling emotional problems, family problems, and parent stress reaction decreased over time. Increased patient age, chronic blood transfusion, lower caregiver education, caregivers being divorced, fewer adults and more children in the home, and greater financial difficulties were independent predictors of psychosocial risk.
  
  
  CONCLUSIONS
  Results suggest that the PAT has utility in a pediatric sickle cell disease sample. Most caregivers reported low distress and high resiliency factors in this population.
authors: Department of Psychiatry and Human Behavior, Division of Hematology/Oncology, University of Mississippi Medical Center, Jackson, MS 39216, USA. ckarlson@umc.edu
authors: Cynthia W
authors: CW
authors: Karlson
authors: Stacey
authors: S
authors: Leist-Haynes
authors: Maria
authors: M
authors: Smith
authors: Melissa A
authors: MA
authors: Faith
authors: T David
authors: TD
authors: Elkin
authors: Gail
authors: G
authors: Megason
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000523:psychology*; D017028:Caregivers / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D015203:Reproducibility of Results; D055500:Resilience, Psychological; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires