Document Detail


Too little, too late: primary vs. secondary interventions for adolescents with sickle cell disease.
MedLine Citation:
PMID:  10611936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The cognitive, biological, and psychological characteristics of adolescents affect their adaptation to a chronic medical condition. This article reviews the literature on how sickle cell disease alters the normal developmental challenges facing adolescents. Examples of these challenges include delayed maturation, neurologic complications, sequelae of pain episodes, and prolonged financial and family dependence. These challenges are also discussed within the context of family and peer relationships, as well as cultural norms. Using the principles of anticipatory guidance, interventions into the psychological development may help to preserve normal functioning. These interventions need to be provided in a manner acceptable to the adolescent within the community context. The education, counseling, and medical services provided by the multidisciplinary team in the Comprehensive Sickle Cell Program at Children's Hospital in Columbus, Ohio are used to highlight these intervention strategies.
Authors:
K L Lemanek; S M Steiner; N J Grossman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Adolescent medicine (Philadelphia, Pa.)     Volume:  10     ISSN:  1041-3499     ISO Abbreviation:  Adolesc Med     Publication Date:  1999 Oct 
Date Detail:
Created Date:  2000-01-13     Completed Date:  2000-01-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9006270     Medline TA:  Adolesc Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  385-400, x     Citation Subset:  IM    
Affiliation:
Department of Psychology, Columbus Children's Hospital, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Psychology
Anemia, Sickle Cell / diagnosis,  psychology,  therapy*
Humans

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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