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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.
Objective:
To evaluate sociodemographic and clinical aspects of children with sickle cell disease (SCD) and their behavioral characteristics.
Methods:
Interview with parents of patients with SCD from four to ten years old, addressing socioeconomic aspects and other health conditions, and using the Strengths and Difficulties Questionnaire (SDQ). Clinical data were obtained from medical records. Exclusion criteria were the use of hydroxyurea, previous diagnosis of stroke, chronic encephalopathy and/or intellectual disability.
Results:
45 patients (19 girls and 26 boys) were assessed. The median age was seven years. Diagnosis of SCD: 26 hemoglobinopathy SC; 19 hemoglobinopathy SS. Socioeconomic class: D: 24.4%; C2: 44.4%; C1: 28.9%; B2: 2.2%. Clinical history: acute chest syndrome: 40%; transfusions: 66.7%; hospitalizations: 82.2%. SDQ findings: 88.9% clinical impact (emotional subscale: 68.9%); total score: impact in 48.9%. It was not possible to establish a relation between the severity of the disease and the results of the SDQ. Regarding socioeconomic class: among individuals of classes B2 and C1, 21.4% had impact at the total score; in classes C2 and D, this percentage was 61.3%. Regarding the schooling of the head of the family, with Elementary School at least, 39.3% of the children had impacts; for fewer education, this percentage was 64.7%.
Conclusions:
Behavioral impacts are highly prevalent in children with SCD. Individuals in socioeconomic classes C2 and D suffered more behavioral impacts than individuals in classes B2 and C1.
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