The Role of Stress and Mood in Sickle Cell Disease Pain An Analysis of Daily Diary Data

The role of stress and mood in the onset and course of sickle cell disease (SCD) pain was examined using a daily diary design. Fifteen adults with SCD completed daily diaries about their pain, stress, mood, and health care and medication use for an average of 94 days. Multilevel random effects model...

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Bibliographic Details
Published inJournal of health psychology Vol. 5; no. 1; pp. 53 - 63
Main Authors Porter, Laura S., Gil, Karen M., Carson, James W., Anthony, Kelly K., Ready, Jawana
Format Journal Article
LanguageEnglish
Published London, Thousand Oaks and New Delhi SAGE Publications 01.01.2000
Subjects
Diaries
Factors
Moods
Pain
Patients
Sickle cell anaemia
Stress
stress
pain
mood
sickle cell disease (SCD)
daily diaries
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Summary:The role of stress and mood in the onset and course of sickle cell disease (SCD) pain was examined using a daily diary design. Fifteen adults with SCD completed daily diaries about their pain, stress, mood, and health care and medication use for an average of 94 days. Multilevel random effects models indicated that stress was significantly and positively related to same-day pain ratings. Stress remained a significant predictor of pain after omitting stressors related to SCD. Mood also showed significant associations with same-day pain in the expected directions. In addition, stress and mood were associated with health care and medication use during painful episodes. Finally, painful episodes were preceded by increases in stress 2 days previously, suggesting that stress may play a role in the onset of SCD pain.
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ISSN:1359-1053
1461-7277
DOI:10.1177/135910530000500109