| Popis: |
Both adults and adolescents with sickle cell disease (SCD) tend to show better adjustment when using cognitive-behavioral coping strategies during SCD pain episodes. However, little is known about how daily coping affects the relationship between SCD pain and adjustment. For the present study, cognitive-behavioral coping strategies were hypothesized to moderate the relationship between daily SCD pain and mood, activity level, and use of health care resources. Additionally, distraction, relaxation and cognitive restructuring were hypothesized to attenuate the pain-adjustment relationship significantly more than other strategies. Multilevel models were developed to analyze an archival data set of daily diaries from 56 adults and 54 adolescents with SCD. The results indicated that the impact of coping strategies varied between outcomes; occasionally, strategies that related to benefits for one outcome showed costs for another. The findings suggest that for optimal adjustment, individuals should select coping strategies based on their appropriateness for their current situation. |
