Daily stress and mood and their association with pain, health-care use, and school activity in adolescents with sickle cell disease.

Published

Journal Article

OBJECTIVE: To determine the extent to which daily stress and mood are associated with pain, health-care use, and school activity in adolescents with sickle cell disease (SCD). METHOD: Adolescents with SCD (n = 37; aged 13 to 17 years) completed daily diaries assessing pain, stress, mood, activity, and health-care use for up to 6 months. Multilevel modeling was used to analyze the data. RESULTS: Daily increases in stress and negative mood were associated with increases in same-day pain, health-care use, and reductions in school and social activity. Increases in positive mood were associated with decreases in pain, less health-care use, and more activity participation. Notably, pain was predictive of higher stress and lower positive mood on subsequent days. CONCLUSION: Pain in adolescents with SCD is stressful and may lead to alterations in mood states. Understanding the way in which these variables relate to health-care use and activity may lead to improved pain management approaches.

Full Text

Duke Authors

Cited Authors

  • Gil, KM; Carson, JW; Porter, LS; Ready, J; Valrie, C; Redding-Lallinger, R; Daeschner, C

Published Date

  • July 2003

Published In

Volume / Issue

  • 28 / 5

Start / End Page

  • 363 - 373

PubMed ID

  • 12808013

Pubmed Central ID

  • 12808013

International Standard Serial Number (ISSN)

  • 0146-8693

Digital Object Identifier (DOI)

  • 10.1093/jpepsy/jsg026

Language

  • eng

Conference Location

  • United States