Sickle cell disease pain: II. Predicting health care use and activity level at 9-month follow-up

Autor:	Mary R. Abrams, David A. Williams, Karen M. Gil, George Phillips
Rok vydání:	1992
Předmět:	Activity level Coping (psychology) Longitudinal study medicine.medical_specialty business.industry Disease medicine.disease Sickle cell anemia Psychiatry and Mental health Clinical Psychology Hemoglobinopathy Health care medicine Physical therapy business Month follow up
Zdroj:	Journal of Consulting and Clinical Psychology. 60:267-273
ISSN:	1939-2117 0022-006X
DOI:	10.1037/0022-006x.60.2.267
Popis:	This study examined 9-month follow-up data obtained from adults with sickle cell disease (SCD) participating in a longitudinal study of pain-coping strategies. Of 99 subjects completing the baseline assessment of pain-coping strategies, 89 (90%) completed a structured pain interview assessing health care use and activity reduction during painful episodes over the follow-up period. Regression analyses controlling for demographics and disease severity revealed that baseline Negative Thinking and Passive Adherence was associated with greater activity reduction and more frequent health care contacts during the subsequent 9 months. Additional correlational analyses revealed that if levels of Negative Thinking and Passive Adherence increased from baseline to follow-up, this increase was associated with even further reductions in activity level during painful episodes. Changes in disease severity were not associated with any of the follow-up measures. Comparing pain-coping strategies assessed at baseline to pain-coping strategies measured at follow-up revealed that, without intervention, pain-coping strategies were relatively stable over time.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::43ec8589ef16df6a3c9bc4fbf2f5c1ae https://doi.org/10.1037/0022-006x.60.2.267 Zobrazit plný text záznamu