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Journal of Pediatric Psychology 19(4) pp. 443-456, 1994
© 1994 Society of Pediatric Psychology

research-article

A Multiperspective Investigation of Social Competence in Children with Sickle Cell Disease1

Kathleen L. Lemanek2, Wendy Horwitz and Kwaku Ohene-Frempong

University of Kansas, Swarthmore College, University of Pennsylvania School of Medicine

2All correspondence should be addressed to Kathleen L. Lemanek, Department of Psychology and Department of Human Development and Family Life, University of Kansas, Lawrence, Kansas 66045

Compared the social competence and self-perceptions of 4- to 8-year-old children with sickle cell disease (SCD) to a comparison group of healthy children. Social competence ratings were obtained from multiple perspectives, including parents, teachers, and clinic staff members; children provided ratings of self-perceived acceptance and competence. Children in the SCD group were rated as socially competent as their peers in the comparison group and the normative group. Differences across raters were found, however, with parents in the SCD group giving higher ratings than clinic staff members. No differences were revealed between children in the SCD group and the comparison group in their self-perceptions of competence and acceptance. Implications for future studies addressing the situational specificity of social competence and its relevance to health care of chronically ill children are discussed.

Key words: social competence; sickle cell disease; psychosocial adjustment; chronic illness.


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