Examination of Risk and Resiliency in a Pediatric Sickle Cell Disease Population Using the Psychosocial Assessment Tool 2.0
Journal of Pediatric Psychology, 07/27/2012
Karlson CW et al. – Results suggest that the PAT has utility in a pediatric sickle cell disease sample. Most caregivers reported low distress and high resiliency factors in this population.Methods
- 219 caregivers completed the PAT during regular hematology clinic visits.
- Confirmatory factor analysis and tests of reliability were conducted.
- Multilevel modeling examined change and predictors of risk scores across four assessments.
- Confirmatory factor analysis factor loadings ranged from .03 to .81, and reliability coefficients ranged from .43 to .83.
- Risk for patient and sibling emotional problems, family problems, and parent stress reaction decreased over time.
- Increased patient age, chronic blood transfusion, lower caregiver education, caregivers being divorced, fewer adults and more children in the home, and greater financial difficulties were independent predictors of psychosocial risk.