Daily Mood and Stress Predict Pain, Health Care Use, and Work Activity in African American Adults With Sickle-Cell Disease

This study examined the extent to which daily mood and stress were associated with pain, health care use, and work activity in 41 adults (mean age = 36 years) with sickle-cell disease. Multilevel model analyses of daily diaries ( M = 91 days) indicated that increases in stress and negative mood were...

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Bibliographic Details
Published in:Health psychology 2004-05, Vol.23 (3), p.267-274
Main Authors: Gil, Karen M, Carson, James W, Porter, Laura S, Scipio, Cindy, Bediako, Shawn M, Orringer, Eugene
Format: Article
Language:English
Subjects:
Adolescent
Adult
Affect
African Americans - psychology
Aged
Anemia, Sickle Cell - epidemiology
Anemia, Sickle Cell - psychology
Biological and medical sciences
Black American people
Black People
Daily stress
Emotional States
Employment - statistics & numerical data
Female
Fundamental and applied biological sciences. Psychology
Health care
Health Care Utilization
Health Services - utilization
Human
Humans
Illness and personality
Illness, stress and coping
Job Performance
Male
Middle Aged
Moods
Pain
Pain - epidemiology
Pain - psychology
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Risk factors
Sick leave
Sickle cell anaemia
Sickle Cell Disease
Stress
Stress, Psychological - epidemiology
Stress, Psychological - psychology
USA
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Summary:This study examined the extent to which daily mood and stress were associated with pain, health care use, and work activity in 41 adults (mean age = 36 years) with sickle-cell disease. Multilevel model analyses of daily diaries ( M = 91 days) indicated that increases in stress and negative mood were associated with increases in same-day pain, health care use, and work absences. Lagged models suggested bidirectional relationships, with evidence that pain may be the more powerful initiating variable in pain-mood and pain-stress cycles. Of importance, positive mood was associated with lower same-day and subsequent-day pain, as well as fewer health care contacts, suggesting that positive mood may serve to offset negative consequences of pain and other illness symptoms.
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.23.3.267