镰状细胞病青年患者疼痛危象的心理因素与住院治疗
Psychological aspects and hospitalization for pain crises in youth with sickle-cell disease.
作者信息
Tsao Jennie C I, Jacob Eufemia, Seidman Laura C, Lewis Mary A, Zeltzer Lonnie K
机构信息
University of California, Los Angeles, USA.
出版信息
J Health Psychol. 2014 Mar;19(3):407-16. doi: 10.1177/1359105312471570. Epub 2013 Feb 13.
Abstract
Sickle-cell disease is a genetic disorder characterized by severe pain episodes or "vaso-occlusive crises" that may require hospitalization. This study examined the associations among emotion regulation, somatization, positive and negative affect, and hospitalizations for pain crises in youth with sickle-cell disease. Multivariate analyses indicated that emotional suppression and somatization were significantly associated with more frequent hospitalizations for pain crises in the previous year after controlling for sickle-cell disease type and pain. These results suggest that efforts to reduce emotional suppression and somatization may assist in decreasing the frequency of hospitalizations for pain crises among youth with sickle-cell disease.
摘要
镰状细胞病是一种遗传性疾病，其特征为严重疼痛发作或“血管阻塞性危机”，可能需要住院治疗。本研究调查了镰状细胞病青少年的情绪调节、躯体化、积极和消极情绪与疼痛危机住院之间的关联。多变量分析表明，在控制镰状细胞病类型和疼痛因素后，情绪抑制和躯体化与上一年更频繁的疼痛危机住院显著相关。这些结果表明，减少情绪抑制和躯体化的努力可能有助于降低镰状细胞病青少年疼痛危机的住院频率。
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