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

J Clin Psychol. 1998 Jan;54(1):121-8. doi: 10.1002/(sici)1097-4679(199801)54:1<121::aid-jclp14>;2-m.


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.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adaptation, Psychological*
  • Age Factors
  • Attitude to Health
  • Child
  • Child Behavior Disorders / diagnosis
  • Child Behavior Disorders / psychology
  • Chronic Disease
  • Cognition*
  • Cystic Fibrosis / psychology*
  • Female
  • Hemoglobin SC Disease / psychology*
  • Humans
  • Internal-External Control
  • Male
  • Models, Psychological
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Self Concept