The role of catastrophizing in sickle cell disease - the PiSCES project

dc.contributor.authorCitero, Vanessa de A. [UNIFESP]
dc.contributor.authorLevenson, James L.
dc.contributor.authorMcClish, Donna K.
dc.contributor.authorBovbjerg, Viktor E.
dc.contributor.authorCole, Portia L.
dc.contributor.authorDahman, Bassam A.
dc.contributor.authorPenberthy, Lynne T.
dc.contributor.authorAisiku, Imoigele P.
dc.contributor.authorRoseff, Susan D.
dc.contributor.authorSmith, Wally R.
dc.contributor.institutionVirginia Commonwealth Univ
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv Virginia
dc.description.abstractIn several types of chronic pain, catastrophizing has been related to higher pain intensity, and health care utilization but it has not been explored extensively in sickle cell disease (SCD). the objective of the study was to identify the role of catastrophizing in SCD, specifically in relation to painful crises, non-crisis pain, and responses to pain. Two hundred and twenty SCD adults were enrolled in a prospective cohort study of pain and completed between 30 and 188 daily diaries in 6 months. the Catastrophizing subscale (CAT) of the Coping Strategy Questionnaire (CSQ) was administered at baseline and at study exit. Depression and quality of life were measured by the Patient Health Questionnaire and SF-36, respectively, at baseline. the CAT mean was 13.6 (SD = 8.4) and higher CAT was correlated with greater depression severity (r = 0.48; p < 0.001) and poorer quality of life in all domains (r = -0.24 to -0.47; p < 0.001). There was no significance difference between CAT mean baseline and exit scores, and the measures were strongly correlated within patients (r = 0.69; p < 0.001). No difference was found between higher and lower catastrophizers in intensity of pain, distress, interference, and health service utilization, both on crisis or non-crisis SCD-related pain days, after controlling for depression. Adults with SCD had a higher mean catastrophizing score than found in studies of other chronic pain conditions that are not lifelong and life-threatening. CAT scores were not correlated with pain parameters or utilization. the role of catastrophizing in other conditions cannot be generalized to SCD. (c) 2007 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.en
dc.description.affiliationVirginia Commonwealth Univ, Dept Psychiat, Div Consultat Liaison, Richmond, VA USA
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.affiliationVirginia Commonwealth Univ, Dept Med, Div Qual Hlth Care, Richmond, VA 23298 USA
dc.description.affiliationUniv Virginia, Dept Hlth Evaluat Sci, Charlottesville, VA USA
dc.description.affiliationVirginia Commonwealth Univ, Sch Social Work, Richmond, VA 23284 USA
dc.description.affiliationVirginia Commonwealth Univ, Dept Pathol, Div Clin Pathol, Richmond, VA USA
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.identifier.citationPain. Amsterdam: Elsevier B.V., v. 133, n. 1-3, p. 39-46, 2007.
dc.publisherElsevier B.V.
dc.rightsAcesso restrito
dc.subjectchronic painen
dc.subjectsickle cell diseaseen
dc.subjectquality of lifeen
dc.subjectcohort studyen
dc.titleThe role of catastrophizing in sickle cell disease - the PiSCES projecten