Date of Award


Degree Type


University or Center

Atlanta University (AU)


School of Social Work

Degree Name


First Advisor

Betty A. Cook


This study attempts to present a detailed case study investigation on adolescent twins with sickle cell anemia. The study attempts to answer -five basic research'questions: 1) What kinds o-f physiological stressors are evident in the medical records o-f the subjects involved? 2) Are there any incidences o-f stress in the psychological pro-files o-f the subjects involved? 3) Do the subjects show any indications o-f stress in the classroom setting? 4) Are there any indications o-f stress in the social pro-files o-f the subjects for study? Is this typical -for their age group? 5) Will a stress reduction program be a useful modality to enhance biopsychosocial functioning and reduce stress?

The major findings of the study are as follows: 1) The analysis of medical data reveals that one twin had more hospitalizations and medical complications than the other twin. Both twins feel that the sickle cell pain crisis is the most stressful event in their lives. 2) The analysis of psychological data reveals that both youngsters are experiencing varying degrees of stress. 3) Some indi cations of anxiety are shown in the classroom setting. 4) The social profile on each subject reveals that both twins are below average on scales measuring social interaction. 5) The multimodal stress reduction approach seems to be a useful modality to educate youth about ways to enhance biopsychosocial functioning.

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