title: Psychiatric problems in children and adolescents with sickle cell disease, based on parent and teacher reports.
abstract: OBJECTIVE
  This study aimed to investigate the occurrence of psychiatric problems in children and adolescents withsickle cell disease (SCD).
  
  
  METHODS
  The Child Behavior Checklist for ages 4-18 years (CBCL/4-18), Conners' Parent RatingScale (CPRS), Conners' Teacher Rating Scale (CTRS-R), and The Turgay DSM-IV Based Child and Adolescent BehaviorDisorders Screening and Rating Scale, clinician and parent forms (T-DSM-IV-S) were given to the caregivers and teachersof 31 children with SCD aged between 7-18 years and the caregivers and teachers of 34 age matched controls with irondeficiencyanemia.
  
  
  RESULTS
  The SCD patients had higher scores on all 4 of scales. Among the subscales, internalizing problems, andattention problems were more prominent in the SCD patients.
  
  
  CONCLUSIONS
  Children and adolescents with SCD appear to have an increased risk for psychiatric problems. Regularpsychological evaluation and referral to child and adolescent psychiatry clinics may facilitate timely diagnosis andeffective treatment of at-risk children and adolescents.
authors.affiliation: Ozalp Ekinci Child and Adolescent Psychiatry Clinic, Hatay, Turkey.
authors.forename: Ozalp
authors.initials: O
authors.lastname: Ekinci
authors.affiliation: Mustafa Kemal University, School of Medicine, Department of Pediatrics, Hatay, Turkey.
authors.forename: Tanju
authors.initials: T
authors.lastname: Celik
authors.affiliation: Antakya State Hospital, Pediatric Hematology Clinic, Hatay, Turkey.
authors.forename: Sule
authors.initials: S
authors.lastname: Unal
authors.affiliation: Mustafa Kemal University, School of Medicine, Department of Family Medicine, Hatay, Turkey.
authors.forename: Cahit
authors.initials: C
authors.lastname: Ozer
keywords: Sickle cell disease; adolescents; children; psychiatric problems
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