Behavioral Inhibition and Its Relation to Anxiety and Depression Symptoms in Adolescents With Sickle Cell Disease: A Preliminary Study

Author:

Carpentier Melissa Y.1,Elkin T. David2,Starnes Sarah E.3

Affiliation:

1. Section of Adolescent Medicine at the Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana,

2. Department of Psychiatry and Human Behavior at the University of Mississippi Medical Center, Jackson, Mississippi

3. Blair E. Batson Hospital for Children, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi

Abstract

Several investigations have found support for the role of behavioral inhibition in the etiology of childhood anxiety and depression disorders. However, nothing is known about how this relation extends to children with a chronic, life-threatening illness. The purpose of the current study was to examine behavioral inhibition and its relation to anxiety and depression symptoms among 30 adolescents with sickle cell disease (SCD). Adolescents with SCD and their primary caregivers completed instruments assessing demographic information, behavioral inhibition, and anxiety and depression symptoms. A majority of adolescents with SCD classified themselves as middle or low on behavioral inhibition. Adolescents with SCD who classified themselves as high on behavioral inhibition displayed higher levels of anxiety and depression than adolescents with SCD who classified themselves as low on behavioral inhibition; adolescents with SCD endorsing the middle behavioral inhibition category generally scored in between. These data extend previous work with healthy children and adolescents and suggest that early and continued assessment of behavioral inhibition may be important in preventing adverse psychological outcomes among a group that is already at risk for internalizing disorders.

Publisher

SAGE Publications

Subject

Oncology(nursing),Pediatrics

Reference25 articles.

1. Barakat, L.P., Lash, L.A., Lutz, M.J. & Nicolaou, D.C. (2006). Psychosocial adaptation of children and adolescents with sickle cell disease. In R. T. Brown (Ed.), Comprehensive handbook of childhood cancer and sickle cell disease: A biopsychosocial approach (pp. 471-495). New York: Oxford University Press.

2. Further Evidence of Association Between Behavioral Inhibition and Social Anxiety in Children

3. A 3-Year Follow-up of Children with and without Behavioral Inhibition

4. Cognitive and Academic Functioning in Children With Sickle-Cell Disease

5. Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample

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