Journal of Pediatric Psychiatry, Vol 24, 491-498, Copyright © 1999 by Society of Pediatric Psychology
RJ Thompson Jr, FD Armstrong, WG Kronenberger, D Scott, MA McCabe, B Smith, J Radcliffe, L Colangelo, D Gallagher, S Islam and E Wright
OBJECTIVE: To investigate the independent and combined contributions of
neurocognitive and family functioning to mother-reported behavior problems
in children with sickle cell disease (SCD) and evaluate the factor
structure of the Family Environment Scale (FES) with African American
families. METHOD: The study sample included 289 children enrolled in the
multisite Cooperative Study of Sickle Cell Disease. The study protocol
included neuropsychological evaluation and brain magnetic resonance imaging
(MRI) of the children, and mothers completed the Child Behavior Checklist
and Family Environment Scale. RESULTS: With child and maternal demographic
parameters controlled, conflicted family functioning, but not
neurocognitive functioning, accounted for a significant portion of the
variance in mother-reported behavior problems. The factor structure of the
FES for families of children with SCD was found to be similar to that for
other families. CONCLUSIONS: Family functioning may be a salient target for
fostering adaptation to chronic childhood illness.
ARTICLE
Family functioning, neurocognitive functioning, and behavior problems in children with sickle cell disease
Duke University Medical Center, Durham, North Carolina, USA. Bobt@acpub.Duke.Edu
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