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Illness specific patterns of psychological adjustment and cognitive adaptational processes in children with cystic fibrosis and sickle cell disease

✍ Scribed by Robert J. Thompson Jr.; Kathryn E. Gustafson; Karen M. Gil; Jake Godfrey; Laura M. Bennett Murphy


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
79 KB
Volume
54
Category
Article
ISSN
0021-9762

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✦ Synopsis


Illness-specific patterns of adjustment and cognitive adaptational process were identified in children (7-12 years of age) with cystic fibrosis (CF, n ϭ 40) or sickle cell disease (SCD, n ϭ 40). Anxiety diagnoses were most frequent for both illness subgroups but children with CF had a higher rate of oppositional disorder (27.5%) than did children with SCD (2.5%). Significant portions of the variance in adjustment were accounted for by stress appraisal (19%), expectations of efficacy (9%) and health locus of control (9%) for children with CF and by stress appraisal (21%) and selfworth (12%) for children with SCD. The interaction of general and specific illness tasks and adaptational process with developmental tasks in delineating intervention opportunities is discussed.