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      Sickle cell disease pain in children and adolescents: change in pain frequency and coping strategies over time.

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          Abstract

          Examined 9-month follow-up data obtained from children and adolescents with sickle cell disease (SCD) and their parents participating in a longitudinal study of pain coping strategies. Of 87 subjects completing the baseline assessment of pain coping strategies, 70 (80%) of their parents completed a structured pain interview assessing their child's health care use and activity reduction during painful episodes over the follow-up period. Regression analyses controlling for age and pain frequency revealed that baseline Coping Attempts were associated with higher levels of school, household, and social activity during painful episodes. Baseline Passive Adherence was associated with more frequent health care contacts during the subsequent 9 months. Increases in Negative Thinking over time were associated with further increases in health care contacts during the follow-up period. Comparing pain coping strategies assessed at baseline to pain coping strategies measured at follow-up revealed that pain coping strategies were relatively stable over time for younger children but changed more for adolescents.

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          Author and article information

          Journal
          J Pediatr Psychol
          Journal of pediatric psychology
          0146-8693
          0146-8693
          Oct 1993
          : 18
          : 5
          Affiliations
          [1 ] Pain Management Program, Duke University Medical Center, Durham, North Carolina 27710.
          Article
          8295083
          8d0d7df5-7d2e-4b59-9191-b524c9935548
          History

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