BEHAVIORAL CHARACTERISTICS OF CHILDREN WITH SICKLE CELL DISEASE

Fellipe Bondança Pereira1, Glaura César Pedroso1, Rosa Miranda Resegue1

  • 1Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Insights

Behavioral issues are common in children with sickle cell disease (SCD). Lower socioeconomic status is linked to increased behavioral impacts in these children.

Area of Science:

  • Pediatric Hematology
  • Child Psychology
  • Public Health

Background:

  • Sickle cell disease (SCD) is a genetic blood disorder impacting children's health.
  • Behavioral and sociodemographic factors in pediatric SCD require further investigation.

Purpose of the Study:

  • To assess sociodemographic and clinical characteristics of children with SCD.
  • To evaluate behavioral patterns in children diagnosed with SCD using the Strengths and Difficulties Questionnaire (SDQ).

Main Methods:

  • Interviews with parents of 45 children (ages 4-10) with SCD.
  • Collected clinical data from medical records, excluding specific treatments or conditions.
  • Administered the SDQ to assess behavioral difficulties.

Main Results:

  • 88.9% of children showed clinical impact on the SDQ, particularly in the emotional subscale (68.9%).
  • Children from lower socioeconomic classes (C2 and D) experienced significantly more behavioral impacts (61.3%) compared to higher classes (B2 and C1, 21.4%).
  • Higher prevalence of behavioral impacts was observed in children whose family head had less formal education.

Conclusions:

  • Behavioral impacts are highly prevalent in children with sickle cell disease.
  • Socioeconomic status significantly influences the manifestation of behavioral difficulties in pediatric SCD patients.
Abstract

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