Symptoms of Depression and Anxiety in Adolescents with Sickle Cell Disease: The Role of Intrapersonal Characteristics and Stress Processing Variables

Autor/inn/en	Simon, Katherine; Barakat, Lamia P.; Patterson, Chavis A.; Dampier, Carlton
Titel	Symptoms of Depression and Anxiety in Adolescents with Sickle Cell Disease: The Role of Intrapersonal Characteristics and Stress Processing Variables
Quelle	In: Child Psychiatry and Human Development, 40 (2009) 2, S.317-330 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0009-398X
DOI	10.1007/s10578-009-0129-x
Schlagwörter	Siblings; Caregivers; Diseases; Adolescents; Coping; Patients; Depression (Psychology); Anxiety; Symptoms (Individual Disorders); Individual Characteristics; Interpersonal Relationship; Stress Variables; Interpersonal Competence; Psychological Patterns; Personality Traits; Comparative Analysis; Self Esteem; Correlation; African Americans; Genetic Disorders + Suchen Sie Ihr Suchwort? Sibling; Geschwister; Caregiver; Carer; Betreuungsperson; Pfleger; Disease; Krankheit; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Bewältigung; Patient; Angst; Psychiatrische Symptomatik; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Interpersonale Kompetenz; Individual characteristics; Self-esteem; Selbstaufmerksamkeit; Korrelation; Afroamerikaner
Abstract	Sickle cell disease (SCD) complications place patients at risk for poor psychosocial adaptation, including depression and anxiety symptoms. This study aimed to test a mediator model based on the Risk and Resistance model to explore the role of intrapersonal characteristics and stress processing variables in psychosocial functioning. Participants were 44 adolescents with SCD, 15 healthy siblings, and 43 primary caregivers, recruited from an East Coast comprehensive sickle cell center. The participants completed paper and pencil measures of resilience factors (attributional style, hope, coping) and internalizing symptoms (depression, anxiety). Internalizing symptoms among adolescents with SCD and healthy siblings did not differ and were within non-clinical ranges. Self-esteem of adolescents with SCD was correlated with less depression and anxiety and sense of inadequacy was associated with poorer functioning. There were no findings to support the role of coping in psychosocial adjustment. Although the mediation hypothesis was not supported, findings highlighted the resilience of this sample of adolescents with SCD. Determining how these resilience factors protect adolescents with SCD may aid in the development of psychosocial interventions. In particular, interventions should focus on improving intrapersonal skills and coping with stress and investigate ways to tailor these interventions to African-American populations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10