This study examines the psychological adjustment of children with sickle cell anemia (SCA) and their healthy siblings during a noncrisis period. Thirteen SCA children (age range, 8 to 17) along with their healthy sibling, matched for sex and age, and maternal caretakers completed self-report measures assessing affective and behavioral difficulties. Healthy siblings, when compared with SCA children, were found to be at increased risk of psychological adjustment problems. Healthy siblings’ distress levels were positively associated with their SCA siblings’ reports of problems and maternal depression and anxiety. Possible sources of sibling distress along with treatment implications and future directions of research are discussed.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Developmental and Educational Psychology
- Clinical Psychology