Negative Thinking as a Coping Strategy Mediator of Pain and Internalizing Symptoms in Adolescents with Sickle Cell Disease.

Barakat, Lamia; Schwartz, Lisa; Simon, Katherine; Radcliffe, Jerilynn

The objective of this study was to examine the role of coping strategies, specifically negative thinking, in mediating the association of pain with symptoms of anxiety and depression in adolescents with sickle cell disease. Fifty-two 12–18-year-old adolescents with sickle cell disease completed a daily pain diary and paper-and-pencil measures of pain, pain coping, depression and anxiety. Symptoms of depression and anxiety were within the non-clinical range. Preliminary analyses indicated that lower family income was associated with higher reports of pain and negative thinking. Mediation regression analyses supported negative thinking as mediating the association of: (1) pain intensity with depression, and (2) pain interference with daily activities with anxiety. Findings highlight negative thinking as a factor compromising adolescents’ adaptation to sickle cell pain; however, further investigation is required to determine the mediating influence of pain coping. Associations for lower income emphasize the multiple risk factors experienced by many of these adolescents.

SICKLE cell anemia in children; ANEMIA in children; BLOOD diseases; INTERNALIZING Symptoms Scale for Children; DIAGNOSIS of anxiety in children; PSYCHIATRIC rating scales; DIAGNOSIS of depression in children

Journal of Behavioral Medicine, 2007, Vol 30, Issue 3, p199

0160-7715

Academic Journal

10.1007/s10865-007-9103-x