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Journal of Behavioral Medicine

Erschienen in:

01.06.2007

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

verfasst von: Lamia P. Barakat, Lisa A. Schwartz, Katherine Simon, Jerilynn Radcliffe

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2007

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Abstract

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.

Because pain was associated with negative thinking and with internalizing symptoms, mediation was considered more likely than moderation in terms of describing the nature of the associations among target variables in this study. It should be noted, however, that we tested the alternative hypothesis of moderation of the association of pain and depression and pain and anxiety by negative thinking (using a strategy outlined by Baron and Kenny 1986). We did not find statistical support for this alternative hypothesis.

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Titel: Negative Thinking as a Coping Strategy Mediator of Pain and Internalizing Symptoms in Adolescents with Sickle Cell Disease
verfasst von: Lamia P. Barakat
Lisa A. Schwartz
Katherine Simon
Jerilynn Radcliffe
Publikationsdatum: 01.06.2007
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Journal of Behavioral Medicine / Ausgabe 3/2007
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-007-9103-x

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

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