Gil Karen M, Carson James W, Porter Laura S, Ready Jawana, Valrie Cecelia, Redding-Lallinger Rupa, Daeschner Charles
Department of Psychology, Davie Hall, CB# 3270, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina 27599-3270, USA.
J Pediatr Psychol. 2003 Jul-Aug;28(5):363-73. doi: 10.1093/jpepsy/jsg026.
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).
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.
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.
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.
确定日常压力和情绪与镰状细胞病（SCD）青少年的疼痛、医疗保健使用及学校活动之间的关联程度。
37名患有SCD的青少年（年龄在13至17岁之间）完成为期长达6个月的每日日记，评估疼痛、压力、情绪、活动及医疗保健使用情况。采用多水平模型分析数据。
日常压力和负面情绪的增加与当日疼痛加剧、医疗保健使用增加以及学校和社交活动减少相关。积极情绪的增加与疼痛减轻、医疗保健使用减少以及更多的活动参与相关。值得注意的是，疼痛可预测随后几天更高的压力和更低的积极情绪。
患有SCD的青少年的疼痛会产生压力，并可能导致情绪状态改变。了解这些变量与医疗保健使用和活动之间的关系方式可能会带来改进的疼痛管理方法。
