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Illness specific patterns of psychological adjustment and cognitive adaptational processes in children with cystic fibrosis and sickle cell disease
Author(s) -
Thompson Robert J.,
Gustafson Kathryn E.,
Gil Karen M.,
Godfrey Jake,
Murphy Laura M. Bennett
Publication year - 1998
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/(sici)1097-4679(199801)54:1<121::aid-jclp14>3.0.co;2-m
Subject(s) - psychology , disease , anxiety , cystic fibrosis , cognition , locus of control , clinical psychology , sickle cell anemia , cognitive appraisal , psychiatry , developmental psychology , medicine
Illness‐specific patterns of adjustment and cognitive adaptational process were identified in children (7–12 years of age) with cystic fibrosis (CF, n = 40) or sickle cell disease (SCD, n = 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 self‐worth (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. © 1998 John Wiley & Sons, Inc. J Clin Psychol 54: 121–128, 1998.