Emotional, social, and behavioral functioning of children with sickle cell disease and comparison peers
Emotional, social, and behavioral functioning of children with sickle cell disease and comparison peers
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DOI：
10.1097/01.mph.0000139456.12036.8d
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发表时间：
2004-10-01
影响因子：
1.2
通讯作者：
Noll, RB
中科院分区：
文献类型：
--
作者：
Trzepacz, AM;Vannatta, K;Noll, RB
本研究探讨了情绪，社会和行为功能的儿童镰状细胞病（SCD）和课堂比较同龄人的主要和次要照顾者的角度。据推测，与对照组相比，患有SCD的儿童会有更多的内化（情感）和社会问题，更少的外化（行为）问题。70名SCD儿童和67名对照儿童的照顾者在访问儿童之家期间完成了儿童行为检查表（CBCL）。相对于同龄人，SCD儿童被认为是由主要照顾者有更多的总和内化的问题和总的能力。此外，显著更多的SCD儿童超过CBCL的临床截止值。虽然SCD儿童的照顾者认为这些儿童在多个领域出现问题的风险略高，但大量SCD儿童存在临床范围的问题。作者建议在SCD儿童的日常护理中应包括积极的心理健康问题筛查计划，并应实施心理社会干预研究计划，以改善高危儿童的问题。
This research examined the emotional, social, and behavioral functioning of children with sickle cell disease (SCD) and classroom comparison peers from the perspective of primary and secondary caregivers. It was hypothesized that children with SCD would have more internalizing (emotional) and social problems and fewer externalizing (behavioral) problems than comparison peers. Caregivers of 70 children with SCD and 67 comparison peers completed the Child Behavior Checklist (CBCL) during visits to the children's homes. Relative to comparison peers, children with SCD were perceived by primary caregivers as having more total and internalizing problems and less total competence. Additionally, significantly more children with SCD exceeded clinical cutoffs on the CBCL. While caregivers of children with SCD perceive these children to be at a slightly elevated risk for problems across multiple domains, a significant number of children with SCD have problems in the clinical range. The authors recommend that vigorous screening programs for mental health problems should be included in the routine care of children with SCD, and programs of psychosocial intervention research should be implemented to ameliorate problems for the children at greatest risk.