HOPE, COPING, AND ADJUSTMENT AMONG CHILDREN WITH SICKLE-CELL DISEASE - TESTS OF MEDIATOR AND MODERATOR MODELS

Tested mediator and moderator models of hope, coping, and adjustment i n 39 children with sickle cell disease. In home interviews parents pro vided information on demographics and functional adjustment. Children self-reported levels of hope, coping strategies, and psychological adj ustment. Coping strategies moderated, but did not mediate, the relatio nship between hope and adjustment, Hope was negatively associated with anxiety when active coping, support coping, and distraction coping wa s high, Avoidance coping did not moderate the hope-adjustment relation ship but was positively related to anxiety. No effects were found for depressive symptoms or for the functional measures of adjustment.