Abstract
Examining 61 youths diagnosed with sickle cell syndromes, this study focused on both protective and risk factors of adaptive behavioral functioning in these children. Demographic characteristics (age, sex, intelligence, and socioeconomic status), severity of disease (number of days hospitalized, emergency room visits, hemoglobin, and school days missed), behavioral adjustment, and family functioning were examined to determine their relation to adaptive behavioral competencies. Age, sex, and intellectual functioning were found to be efficient predictors of the majority of adaptive behavioral domains, with higher adaptive functioning being associated with younger children, girls, and greater intellectual functioning. Adjustment difficulties characterized by internalizing symptoms were found to predict communication and global adaptive functioning. Within the context of a risk-resistance adaptation model, the present data were interpreted to support the use of secondary prevention efforts for children with s...
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