Hope, Coping, and Adjustment Among Children with Sickle Cell Disease: Tests of Mediator and Moderator Models |
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| Authors: | Lewis, Hellen A. Kliewer, Wendy |
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| Affiliation: | Virginia Commonwealth University 2All correspondence should be sent to Wendy Kliewer, Department of Psychology, PO Box 842018, Virginia Commonwealth University, Richmond, Virginia 23284-2018 |
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| Abstract: | Tested mediator and moderator models of hope, coping, and adjustmentin 39 children with sickle cell disease. In home interviewsparents provided information on demographics and functionaladjustment. Children self-reported levels of hope, coping strategies,and psychological adjustment. Coping strategies moderated, butdid not mediate, the relationship between hope and adjustment.Hope was negatively associated with anxiety when active coping,support coping, and distraction coping was high. Avoidance copingdid not moderate the hope-adjustment relationship but was positivelyrelated to anxiety. No effects were found for depressive symptomsor for the functional measures of adjustment. |
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| Keywords: | sickle cell disease hope coping adjustment. |
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