Daily coping practice predicts treatment effects in children with sickle cell disease

Karen M. Gil, Kelly K. Anthony, James W. Carson, Rupa Redding-Lallinger, Charles W. Daeschner, Russell E. Ware

Research output: Contribution to journalArticle

83 Scopus citations

Abstract

Objective: To examine the 1-month effects of a pain coping skills intervention in children with sickle cell disease (SCD). Methods: Forty-six African American children (8-17 years old) were randomly assigned to either a coping skills condition or a standard care control condition. Children were asked to practice daily with audiotaped instructions of skills (e.g., relaxation, imagery). Results: Multivariate analyses of summary measures indicated that children in the coping intervention (versus control group) reported a significantly more active approach to managing pain. Multilevel random effects models applied to daily diary data indicated that on pain days when children practiced their strategies, they had fewer health care contacts, fewer school absences, and less interference with household activities than on days when they did not practice. Conclusions: Brief training in coping skills followed by minimal therapist contact may lead to a range of benefits when children practice with their skills on a consistent basis.

Original languageEnglish (US)
Pages (from-to)163-173
Number of pages11
JournalJournal of Pediatric Psychology
Volume26
Issue number3
DOIs
StatePublished - May 7 2001

Keywords

  • Coping skills training
  • Daily pain diaries
  • Pediatric pain
  • Sickle cell disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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