Social-environmental factors and cognitive and behavioral functioning in pediatric sickle cell disease

Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence
Sarah E BillsLaura Reinman

Abstract

Sickle cell disease (SCD), an inherited blood disorder that primarily affects individuals of African descent, is associated with serious medical complications as well as numerous social-environmental risk factors. These social-environmental factors are linked to long-standing social inequities, such as financial hardship and racial discrimination, both of which impact cognitive and behavioral functioning in youth. Previous research on the relationship between social-environmental risk and psychological functioning has primarily relied on non-modifiable, unidimensional measures of socioeconomic status (SES), such as income and parental education, as a proxy for social-environmental risk. The current study aimed to address the limitations associated with typical SES-type measures by comparing the unique and shared association of SES and more targeted and modifiable social-environmental factors (e.g., parent and family functioning) with specific areas of cognitive and behavioral adjustment in pediatric SCD. Seventy children ages 4-8 years old and their parents completed measures of social-environmental risk and psychological adjustment. Exploratory factor analysis indicated parent and family functioning measures were largely indep...Continue Reading

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Citations

Oct 4, 2019·Journal of Pediatric Psychology·Janet YarboiBruce E Compas
Jan 23, 2020·Journal of Pediatric Psychology·Kemar V PrussienBruce E Compas
Feb 12, 2021·British Journal of Haematology·Anjelica C Saulsberry-AbateJane S Hankins
Mar 8, 2021·Toxicological Sciences : an Official Journal of the Society of Toxicology·Anke M TukkerKimberly A McAllister
Feb 25, 2021·Journal of Pediatric Hematology/oncology·Megan E ConnollySteven J Hardy
Aug 17, 2021·Journal of Developmental and Behavioral Pediatrics : JDBP·Eboni I LanceJames F Casella
Jan 1, 2022·Pediatric Blood & Cancer·Andrew M HeitzerJane S Hankins

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