McCrae J D, Lumley M A
Department of Psychology, Wayne State University, Detroit, Michigan, USA.
J Behav Med. 1998 Feb;21(1):35-55. doi: 10.1023/a:1018763404868.
People with sickle cell disease (SCD) vary in their pain, activity levels, and medical care. We examined how coping (Coping Strategies Questionnaire), somatic awareness, and illness worry were related to these health indices in 70 African-American adults with SCD. Negative Thinking/Passive Adherence and/or somatic awareness was positively correlated with pain episode frequency, duration, or severity, after controlling for demographics and disease severity and positively correlated with activity reduction or hospitalization frequency after also controlling for pain. Self-reported negative affectivity was correlated with both psychological and SCD measures; and controlling for negative affectivity eliminated several, but not all, relationships. Examination of the Negative Thinking/Passive Adherence factor suggested a distinction between Negative Thinking and Passive Adherence, which was partially supported by their different relationships. We conclude that negative thinking, passive coping, and somatic awareness are related to several measures of poor health in SCD but that some relationships are better accounted for by general measures of negative affectivity.
患有镰状细胞病（SCD）的人在疼痛、活动水平和医疗护理方面存在差异。我们研究了70名患有SCD的非裔美国成年人的应对方式（应对策略问卷）、躯体感知和疾病担忧与这些健康指标之间的关系。在控制了人口统计学和疾病严重程度后，消极思维/被动依从和/或躯体感知与疼痛发作频率、持续时间或严重程度呈正相关，在控制了疼痛后，与活动减少或住院频率也呈正相关。自我报告的消极情感性与心理和SCD测量指标均相关；控制消极情感性消除了一些但并非所有的关系。对消极思维/被动依从因素的检验表明消极思维和被动依从之间存在区别，这在一定程度上得到了它们不同关系的支持。我们得出结论，消极思维、被动应对和躯体感知与SCD中一些健康状况不佳的指标相关，但一些关系可以通过消极情感性的一般测量指标得到更好的解释。
